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Low Fertility in the Twenty-First Century 589
Demography, Volume 40-Number 4, November 2003: 589–603
589
L
IS LOW FERTILITY A TWENTY-FIRST-CENTURY
DEMOGRAPHIC CRISIS?*
S. PHILIP MORGAN
Nearly half of the world’s population in 2000 lived in countries
with fertility rates at or below
replacement level, and nearly all countries will reach low
fertility levels in the next two decades.
Concerns about low fertility, fertility that is well below
replacement, are widespread. But there are
both persistent rationales for having children and institutional
adjustments that can make the
widespread intentions for two children attainable, even in
increasingly individualistic and egalitar-
ian societies.
ike many demographers of my generation, I was attracted to
demography by The
Population Bomb (Ehrlich 1974), The Limits to Growth
(Meadows et al. 1974) and The
Tragedy of the Commons (Hardin 1968), the neo-Malthusian
classics. The crisis was high
fertility and the resulting rapid population growth. The
population crisis was dire, seemed
intractable, and afflicted the poorest countries.
But an ongoing global fertility transition has made population
stabilization by the
middle of the twenty-first century a reasonable forecast.
Stylized versions of these fertility
transitions posit shifts from high to low fertility, with fertility
rates eventually oscillating
around replacement level. However, observed declines show the
total fertility rate (TFR)
slicing below replacement levels with little resistance, and
many are skeptical about its
recuperation (e.g., Lesthaeghe and Willems 1999).
Herein lies a potential demographic crisis: the dynamics of
population decline mir-
ror those of population increase. Halving times mirror doubling
times, and population
momentum can be negative as well as positive (Lutz, O’Neill,
and Scherbov 2003). The
social problems associated with low fertility are also mirror
images of those associated
with high fertility: women now have fewer children than they
want (see, e.g., Hewlett’s
(2002) high-profile book about the personal crises of
unintended childlessness), and
women have children at late ages, with some questioning
whether they should have de-
layed childbearing (e.g., Wolf 2001). At the aggregate level,
dramatic population aging
threatens the solvency of programs for the old, and country-
level population decline
could soon become a common reality (Demeny 2003).
But I’m getting ahead of my story. Below, I review the
dramatic, ongoing global
spread of low fertility. Then I turn to the heart of my argument,
which acknowledges the
inevitability of low fertility but not of very low fertility.
Finally, I answer the question
posed in my title: is low fertility a twenty-first-century crisis?
EMERGING GLOBAL LOW FERTILITY
Table 1 shows a year-2000 snapshot of the global fertility
transition based on data from
the United Nations (United Nations Population Division 2002).
Each of the following
observations are important and dramatic:
*S. Philip Morgan, Department of Sociology, Duke University,
Box 90088, Durham, NC 27708-0088; E-
mail: [email protected] An earlier version of this paper was
presented as the presidential address at the
annual meeting of the Population Association of America,
Minneapolis, May 2, 2003. For comments on previ-
ous drafts, I thank Thomas DiPrete, Charles Hirschman, M. E.
Hughes, David Brady, Samuel Preston, Ronald
Rindfuss, Herbert Smith, and Etienne van de Walle. This
research was supported by Grants R01 HD-041042 and
R03 HD-41035 from the National Institutes of Health.
590 Demography, Volume 40-Number 4, November 2003
1. The United Nations (U.N.) lists only 16 (of a total of 187)
countries as not
showing clear evidence of a fertility transition (see column 1).
Lingering high
fertility has become geographically isolated and affects fewer of
the world’s coun-
tries and people. Only 3% of the global population now lives in
countries not yet
in fertility transition. The U.N. projects that all these countries
will soon begin a
transition.
2. At the other extreme, there are 64 countries with fertility at
replacement level
or lower. Twenty-three countries recently made the transition to
low fertility (see
column 4), and another 41 countries have had several decades of
low fertility
punctuated by a baby boom and bust (see column 5). Together,
approximately
45% of the world’s population now lives in countries with low
fertility.
3. Between these extremes, 105 countries are said to be
experiencing fertility
transitions (see columns 2 and 3) because empirical evidence
shows that once
begun, these declines do not stop until fertility reaches
replacement level or be-
low (see Bongaarts and Watkins 1996). For 96% of these 105
countries in transi-
tion, their most recent estimate is their lowest recorded
fertility.1
4. Only two countries have halted their transition at a fertility
level that is sub-
stantially above replacement (at TFRs of 2.5 to 3.0). Others
with currently high
TFRs could do so, but evidence clearly suggests that arrested
declines will be rare.
Thus, these data and U.N. projections portend a remarkable
achievement. In a few
decades, high fertility will likely be of historical interest
(Bongaarts and Bulatao 2000;
United Nations Population Division 2003a).2
Replacing a focus on high fertility, concerns about very low
fertility have already
arrived. Table 2 shows TFRs for six countries. The lowest
observed TFRs, for countries
like Spain and Italy, provide an empirical basis for concerns
about population decline.
Fertility in a number of countries is well below replacement. As
an example of the conse-
quences of such low fertility, the U.N. projection of the Italian
population to 2050 (with
Table 1. Stages of the Transition to Low Fertility in 187
Countries
Early Early
Declining Declining Declined Transition Transition
No With With to and Baby Boom and
Transition TFR > 5 5 < TFR < 2.1 TFR � 2.1 TFR < 2.1 2.1 <
TFR < 3 Total
(1) (2) (3) (4) (5) (6) (7)
Number of
Countries 16 32 73 23 41 2 187
Percentage of Global
Population Living
in Countries at
Selected Stages
of Transition 3.0 9.5 42.6 24.6 19.6 0.7 100.0
Source: United Nations Population Division (2002: table 1.1).
1. Calculations are from United Nations Population Division
(2000: tables I.3–I.6).
2. The United Nations Population Division (2003a) forecasts the
TFRs of the 49 poorest countries to be
low but above replacement level. For these countries, the
forecasts are for TFR levels between 2 and 3 in 2050,
with the medium variant of approximately 2.5. Thus, fertility is
not forecast to be at replacement level or below
for all countries.
Low Fertility in the Twenty-First Century 591
only a modest increase in its current fertility of 1.2 to 1.35, the
U.N. low-variant esti-
mate) produces a 30% decline in total population. Figure 1
shows the projected 2050 age
distribution. The old-age dependency burden implied here is
dramatic. Such pervasive
low fertility and rapidly aging populations could be cited in
constructing low fertility as a
major twenty-first-century crisis. But there are exceptions to
very low fertility; the United
Table 2. Variation in Low Total Fertility
Rates (TFR)
Country TFR
Spain 1.16
Italy 1.20
Greece 1.30
Germany 1.33
France 1.89
United States 2.03
U.S.: White non-Hispanic 1.84
Sources: United Nations Population Division (2002).
U.S. data for 2001 are from Ventura, Hamilton, and
Sutton (2003).
0 1,000 2,000 3,000 4,000
0
10
20
30
40
50
60
70
80
90
100+
A
ge
(
B
o
th
S
ex
es
)
Population (in 1,000s)
TFR 1.2 1.35
(U.N. low-variant estimate)
Figure 1. Projected Population by Age: Italy 2050
Source: United Nations Population Division (2003b).
592 Demography, Volume 40-Number 4, November 2003
States is the most obvious exception. Also note that the higher
fertility of the United
States cannot be attributed solely to its minority populations.
Non-Hispanic whites have a
TFR of 1.84, a high fertility level by European standards.
IS VERY LOW FERTILITY INEVITABLE?
Some evidence and arguments suggest that very low fertility is
inevitable. For example,
in his presidential address, Bumpass (1990) argued that secular
trends producing family
change, and an imbedded fertility transition, had not run their
course. Commenting on
classic arguments about family change (e.g., Goode 1963),
Bumpass argued that “...the
theoretical perspectives of a half-century ago were essentially
correct” (p. 483). These
theories linked modernization and family change and had
essentially two components: a
structural component and an ideological one. The structural
component acknowledged
the changed circumstances of industrial (and postindustrial)
economies, which increased
the cost of children. Of special importance was the
incompatibility of work and familial
obligations for women. Citing not only this earlier work but
also the contemporary work
of Lesthaeghe and colleagues (Lesthaeghe 1983; Lesthaeghe and
Surkyn 1988),
Bumpass argued that this structural change was accompanied by
ideologies that stressed
that individuals should assess these costs and act in their self-
interest. Bumpass con-
cluded that “there is no reason to think that these processes are
exhausted or are likely to
reverse” (p. 493).
Another view is that a future with very low fertility is much less
certain. I assign this
view the title from Campbell’s (1974) presidential address,
“beyond the demographic tran-
sition.” Campbell focused on a demographic surprise: the baby
boom. This baby boom
and subsequent bust called for explanation distinct from the
secular decline in high-parity
births. An adequate explanation, focusing on the United States,
follows from Ryder’s
(1980) decomposition of trends in the baby boom and bust.
Ryder’s analysis isolated the
dynamic components of change as the timing and number of
low-parity births. I argue
that by moving beyond the demographic transition and focusing
on low-parity births, one
can anticipate a floor on low fertility and better understand low-
fertility trends and differ-
ences. From this view, very low fertility is not inevitable. Of
course, this is very different
from saying it will never be observed.
To argue against the inevitability of very low fertility, I will
first emphasize the dis-
tinction between low- and high-parity births and stress that
motivations remain for low-
parity births. Second, I will suggest that institutional
adjustments are possible that would
make having small families compatible with contemporary
developed-country settings.
Low- Versus High-Parity Births
The distinction between first and second births and higher-order
births is crucial. In eco-
nomically advanced contexts, 75%–90% of births are first or
second births. Trends in this
direction are long term—secular fertility declines have resulted
from a move to small
families, not to “no families.” Without such a distinction
between low- and high-parity
births, one might reasonably assume that the average family
size could decline to zero.
Children are costly in modern contexts: the fewer children one
has, the better, and having
no children is the best. However, there have not been large
increases in the proportion of
women who intend to have no children. In fact, the proportion
of women who intend to
have two children is dominant in most developed countries
(Bongaarts 2002).
One explanation for this pervasive intention to have two
children comes from stud-
ies of the value of children, which have shown that the
rationales for having first and
second children differ from those for higher-order births. Using
data from the mid-1970s
for the United States, the Philippines, and South Korea, Bulatao
(1981) showed that
across contexts, first children were desired for affective
reasons, such as to have a child
to love and care for, to carry on the family name, and to bring
spouses closer together.
Low Fertility in the Twenty-First Century 593
Second children were rationalized as “family building”; to
provide a sibling for the first
child was especially important. Also, second and third births
were frequently desired for
balancing the sex composition of the family.3 Higher-order
births served primarily eco-
nomic functions. Bulatao suggested that higher-parity births
declined because the ration-
ales for them were undermined by socioeconomic change,
whereas factors motivating
first and second births were not.
Furthermore, an important ideological shift has encouraged
parents to focus attention
on just a few children. At the heart of this change is the notion
that each child is unique
and deserves substantial parental investment, including
purchased resources and parental
time and attention. Being a good parent is now largely
inconsistent with having more than
a small number of children. Blake (1972) argued that in the
1960s, there were not strong
norms against having large families. This has changed: large
families are now viewed as
inconsistent with good parenting. Because of this ideological
change, low fertility coex-
ists with strong and pervasive desires to be a parent.
Clearly, there have been other relevant ideological changes. A
major argument for the
continued decline of fertility below replacement levels points to
powerful trends toward
individualism and self-actualization. But are these trends
inevitably antinatalist? Giddens
(1991) theorized wide-ranging effects of the rejection of the
traditional structured life
course. People now have great flexibility in how they structure
their lives, making it diffi-
cult to find standards against which to judge their own progress
or success. Achieving
identity through a coherent “narrative of the self” is always a
work in progress. Raising a
child can bring predictable routines to daily life that promote
well-being and provide
continuity to one’s “narrative” (see Friedman, Hechter, and
Kanazawa 1994; King 2000;
Morgan and King 2001). In short, beyond adolescence and
young adulthood, parenthood
may provide a powerful source of connectedness and meaning.
Thus, parenthood can be constructed as a response to increased
individualism and
self-actualization. Furthermore, greater individualism may
undermine traditional
constraints on fertility. For instance, continued secularization
and individualism could
undermine norms against nonmarital childbearing and against
parenthood by gay couples.
Currently, all western countries that approximate replacement-
level fertility have signifi-
cant levels of nonmarital childbearing (Rindfuss, Guzzo, and
Morgan forthcoming).
My final point may be more controversial. I believe that
biological predispositions
reinforce the desire for parenthood, especially the affective
reasons for having children
(that parents fall in love with their children), and the
willingness of parents to have fewer
children to increase their children’s life chances (see Lam
2003). It is true that biological
predispositions don’t “cause anything.” As Pinker (1997, 2002)
noted, genes associated
with risk taking don’t make people take risks, but they do
increase the pleasure sensation
resulting from things like jumping out of a plane or driving fast.
Likewise, neural cir-
cuitry producing a warm glow when parents hold their helpless,
big-eyed infant didn’t
make them have that baby, but it does help them to fall in love
with the baby. In fact, love
may be the root of altruism toward one’s children. Hrdy (1999)
asserted that maternal
attachment is conditional, as evidenced most strongly in the
coevolution of babies to ex-
tract maternal commitment. In short, having few children and
heavily investing in them
“fits” well with our evolutionary inheritance and, thus, with the
neural wiring in our and
our children’s brains.
In sum, even “large families” in the twenty-first century will be
small. Nevertheless,
motivations and rationales for first, second, and (sometimes)
third children remain rel-
evant in modern contexts. Ideological change, psychological
needs, and biological pre-
dispositions buttress these motivations and rationales.
3. Moves toward gender equality may be undermining the
importance of balancing the sex composition of
the family (Pollard and Morgan 2002).
594 Demography, Volume 40-Number 4, November 2003
Institutional Adjustments
The second stage of my argument against the inevitability of
very low fertility is that
institutional adjustments can make small families feasible in the
twenty-first century.
Social contexts can support or thwart desires for children. My
argument is not new. At
the heart of demography is the decomposition of change into
that owing to distributional
shifts and to changing rates. A common way to think about
future trends is in terms of
secular change in the distributions (e.g., age or educational
distributions) while other
distribution-specific rates stay the same. This is a useful
counterfactual, but one fre-
quently counter to fact. For example, Preston (1984) noted the
increasing proportion of
elderly and a decreasing proportion of children over the 1960–
1980 period. Such
changes (given a Malthusian, fixed-resource constraint) should
have advantaged the
young and disadvantaged the old. Instead, predictable changes
across time in the sizes of
America’s dependent groups (children and the elderly) were
trumped in importance by
institutional responses. Key in Preston’s account were public
policy decisions to provide
collectively for the medical care and income maintenance of
older persons while main-
taining a benign neglect of children.
Let’s take this as a template for thinking about the importance
of institutions and
institutional responses. At the heart of most explanations of
recent changes in family and
fertility are the changing roles of women and their movement
into the labor force. A
straightforward application of distributional shifts and constant
rates projects lower fertil-
ity with greater female labor-force participation.
Rindfuss, Guzzo, and I (forthcoming) showed such an
association in cross-sectional
data for 22 countries in the Organization for Economic
Cooperation and Development
(OECD) with multiple decades of low-fertility experience (see
Figure 2; the data in the
figure are for 1960, but the data for 1950 and 1970 produce the
same result). This negative
cross-sectional association makes perfect sense when fertility is
relatively high. High fer-
tility is incompatible with women’s nonfamilial work in most
observed or likely contexts.
R = –0.605
1.0
1.5
2.0
2.5
3.0
3.5
4.0
0.2 0.6 1.0
Female Labor-Force Participation Rate
T
o
ta
l
F
er
ti
li
ty
R
at
e
0.80.4
Figure 2. Total Fertility Rate, by Female Labor-Force
Participation Rate, 1960: 22 OECD
Countries
Source: Rindfuss et al. (forthcoming).
Low Fertility in the Twenty-First Century 595
In contrast, many of us who have studied fertility over multiple
decades find the
scatterplot for 1990, shown in Figure 3, remarkable. By 1990,
fertility was much lower
than in 1960. But the anomalous finding is the reversal of the
country-level association
between female labor-force participation and fertility: the
negative association is now
strongly positive.
Figure 4 plots the simple correlation coefficient, calculated
year-by-year, between
the TFR and female labor-force participation. This graphic
reveals that the previous
scatterplots shown in Figures 2 and 3 characterize a dramatic
change from a strong nega-
tive association to strong positive one.
An adequate explanation for this change requires a move away
from cross-sectional
analysis. Let us compare two countries that typify this change:
the United States, which
had the highest 1997 TFR among the 22 OECD countries we
examined (Rindfuss et al.
forthcoming), and Italy, which had the lowest. As Table 3
shows, both countries have
over two decades of replacement-level or lower fertility
experience, and both countries
experienced increases in female labor-force participation that
averaged 0.4% and 0.5%
per year in Italy and the United States, respectively. Over this
period, the U.S. TFR was
insensitive to increasing female labor-force participation. In
contrast, a 1% increase in
female labor-force participation in Italy was associated with
greater than a 3.2% decline
in fertility. How could such a pervasive and fundamental social
change (increasing fe-
male labor-force participation) accompany such divergent
fertility trends?
The answer lies in varying institutional responses. Rindfuss
(1991) stressed the im-
portance of affordable, quality child care in weakening the
incompatibility of work and
childbearing and child rearing. Bianchi (2000) stressed gender
and technological changes
that affected the division of household labor (also see Bianchi
et al. 2000; Gershuny 2000).
In the United States, these changes allowed women’s time with
children to remain virtu-
ally unchanged over the 1965–1990 period. Esping-Anderson
(1999) argued that welfare-
state regimes offer different institutional environments for
parenting. McDonald (2000)
conceptualized very low fertility as an incompatible change in
familial and nonfamilial
R = 0.459
1.0
1.5
2.0
2.5
0.2 0.4 0.6 0.8 1.0
Female Labor-Force Participation Rate
T
o
ta
l
F
er
ti
li
ty
R
at
e
Figure 3. Total Fertility Rate, by Female Labor-Force
Participation Rate, 1990: 22 OECD
Countries
Source: Rindfuss et al. (forthcoming).
596 Demography, Volume 40-Number 4, November 2003
institutions. I find the intuitive appeal of these institutional
arguments to be powerful and
their overlap to be considerable.
Quantitative tests of institutional arguments provide some
evidence of pronatalist
impacts, but tests to date are limited by a focus on a few
specific features, especially
family-related public policy. A broader consideration of the
cumulative childbearing envi-
ronment would provide compelling explanations of cross-
national differences. Quantita-
tive studies of multiple countries face great challenges in
measuring and incorporating this
context. Pampel’s (2001) interesting and important country-
level analysis of welfare-state
and institutional arguments suggests that governmental support
can attenuate the effects of
increasing female labor-force participation on fertility, but his
regressions leave the United
States as a large outlier. With little public support of families,
why is U.S. fertility among
the highest in the developed world? The U.S. story clearly does
not lie in the relative
generosity of welfare systems that were explicitly included in
Pampel’s analysis; instead,
it must lie in the responsiveness of nongovernmental
institutions (perhaps consumer mar-
kets or changes in the family, especially gender roles).
For example, my colleagues and I (DiPrete et al. forthcoming)
compared the costs of
a first child in West Germany and the United States. Costs were
narrowly defined as the
Table 3. Sensitivity/Elasticity of Female Labor-Force
Participation (FLFP) and the Total Fertility
Rate (TFR): Italy and the United States
Years Since Average FLFP Sensitivity or 1997 Sensitivity
Country First TFR < 2.0 Increase aElasticitya TFR Rank
Italy 21 0.4 –3.2– 1.19 01
United States 25 0.5 0.3 2.06 22
aSensitivity or elasticity = ln(TFRt / TFR1) / ln(FLFPt /
FLFP1), where subscript 1 = the first year in series TFR < 2.0
and
year t = 1997 or the last year with observed data.
–0.8
–0.6
–0.4
–0.2
0.0
0.2
0.4
0.6
0.8
1.0
1960 1965 1970 1975 1980 1990 1995
Year
C
o
rr
el
at
io
n
C
o
ef
fi
ci
en
t
1985
Figure 4. Year-by-Year Correlation Between the Total Fertility
Rate and the Female Labor-Force
Participation Rate, 1960–1995: 22 OECD Countries
Source: Rindfuss et al. (forthcoming).
Low Fertility in the Twenty-First Century 597
change in family income that accompanies a birth. Longitudinal
data showed that West
German women exit the labor force for much longer periods
than do American women,
with a correspondingly greater decline in earnings for West
German women. German gov-
ernment transfers compensate for a substantial part of this
difference, but the net costs on
this dimension remain greater for West German women. Indeed,
the greater cost and longer
exits from the labor force are associated with lower rates of
first birth in West Germany
than in the United States. Apparently, institutional responses
other than government trans-
fers, perhaps greater gender equality and labor-market
responses, such as flex time, more
than compensate for the paltry U.S. government transfers (in
women’s and couples’ deci-
sions to have a first child).
In sum, the context matters, and contexts vary. Covariation of
institutional contexts
with fertility levels shows that very low fertility is not
inevitable. However, this state-
ment leaves us a long way from a precise answer to the
question, what mix of institutions
produce an environment conducive to replacement-level
fertility?
Answering this question is the agenda of the next decade for
studies of low fertility.
The richness of analyses will be aided by the study of more
societies (and more non-
Western societies) as low fertility spreads. One way that
demography has traditionally
contributed to answering such questions is by identifying more
precisely what proximate
variables produce fertility change and variability.
An Integrative Framework
I recommend Bongaarts’ (2001a, 2002) conceptual framework,
which views the TFR as
resulting from the population’s intended family size multiplied
by a set of factors that are
not subsumed or cannot be subsumed in the respondent’s
fertility intentions. These factors
reflect unanticipated effects. In Table 4, I offer hypothetical
values for these proximate
determinants that are more fully justified elsewhere (Morgan
and Hagewen forthcoming).
The values present a stylized view of Italy and the United
States. Consistent with substan-
tial evidence suggesting small differences in intended family
sizes across developed coun-
tries (Bongaarts 2001b, 2002),4 let us assume an intended
family size of 2.0 and 2.2 for
Italy and the United States, respectively.
In this framework, a parameter of 1.0 reflects no effect net of
intentions, values above
1.0 increase fertility relative to intentions, and values lower
than 1.0 decrease fertility
relative to intentions. For example, the net effect of unwanted
fertility (Fu) pushes the
TFR higher than would be predicted by intentions alone: by
about 12% in the United
States and by 1/3 this amount in Italy. Not having a child of the
sex one prefers (Fg) or
having a child that dies (Fr) also cannot be anticipated and may
increase fertility in a
similar way, but these effects are small and do not vary in this
illustration.
The last three factors—the tempo effect, infecundity, and
competition—are poten-
tially powerful in explaining very low fertility. Bongaarts and
Feeney (1998) showed
that adjustments for fertility delay (Ft), the postponement of
births to later ages (and,
necessarily, subsequent years), can explain a substantial part of
the very low fertility
observed in contemporary settings. The estimates for fertility
delay capture the range of
values observed circa 1995. Specifically, shifts in the timing of
childbearing reduce fer-
tility by about 15% (a factor of .85) in Italy and by 8% (a factor
of .92) in the United
States. As Bongaarts (2002; Bongaarts and Feeney 1998) has
pointed out, these reduc-
tions are, by definition, temporary (on a decadal time scale).
Infecundity is the flip side of unwanted fertility. Intended
family sizes are inevitably
reduced by infecundity, and this impact (Fi) is directly related
to the age pattern of
4. Of course, more sophisticated questions and analyses may
reveal differences between countries. This
perspective should refocus demographers’ attention on fertility
intentions and levels of certainty respondents
attach to their intentions.
598 Demography, Volume 40-Number 4, November 2003
childbearing. The pattern of later childbearing in Italy reduces
fertility by 10%, while the
pattern in the United States reduces fertility by half this
amount.
Finally, competition (Fc) refers to decisions to revise
childbearing intentions, that is,
to have fewer (or more) children than anticipated, on the basis
of one’s life experiences.
One might view this as the extent of antinatalist opportunities
or the lack of institutional
adjustment reducing say, work-family incompatibility. But also
included in this variable
are reductions in intended family size later in the life course
because one does not marry
and does not want to have a nonmarital birth or to raise a child
without a committed
partner. As an illustration of these combined forces, Ginsborg
(2003:73–74) suggested
the following explanation for low Italian fertility:
(Italy) offered its own peculiar mixture of transformation and
continuity . . . . (T)here
were strong forces pushing towards a European model of
modernity . . . leading to greater
individual choice, the spread of contraception and legalized
abortion, the partial emanci-
pation of women and their entry into the labor market. (In
addition), tradition weighed
heavily in both the public and private spheres: the felt
obligation to have children within
marriage, the power of the family as an intergenerational
collective, the state’s disinterest
. . . in reproductive politics.
Consistent with evidence I presented earlier, especially with the
data presented in Table
3, the competition parameter (Fc) is set to reflect sharp
differences in institutional con-
straints between Italy and the United States.
I find this proximate-determinants model useful. Note how a
modest set of hypo-
thetical differences cumulate to produce substantial differences
in fertility. Low fertility
has multiple causes, and convincing explanations may read like
country-specific social
histories.
Quesnel-Vallée and I (forthcoming) applied this model to U.S.
longitudinal data from
the National Longitudinal Survey of Youth for the period 1982–
2000. Because we focused
on a cohort of women, we were able to eliminate the tempo
effect (Ft), an important factor
in Bongaarts’s period formulation. We showed that only about
38% of women realized
their stated intended parity at age 22 by age 40. The individual-
level error between intent
Table 4. Bongaarts’s Conceptual Model of the Factors Affecting
the Period Total Fertility
Rate (TFR)a: Illustrative Values for Italy and the United States
Country________________________________________
Posttransition Posttransition
Component Description Italy United States
IFS intended family size 2 2.2
Fu unwanted fertility 1.04 1.12
Fg gender preferences 1.02 1.02
Fr replacement effect 1.005 1.005
Ft tempo effect 0.85 0.92
Fi infecundity 0.9 0.95
Fc competition 0.75 0.9
TFR 1.22 1.99
aTFR = IFS × Fu × Fg × Fr × Ft × Fi × Fc .
Low Fertility in the Twenty-First Century 599
and behavior averaged 1.0 birth per woman; the net error was –
0.33 birth. Thus, consistent
with much prior research (e.g., Westoff and Ryder 1977), the
predictive validity of inten-
tions is far from perfect, and errors do not necessarily
“balance”; in this case, women more
frequently missed low than high. Our prediction is that such an
analysis for Italy would
show a similar level of error but, following from Bongaarts’s
framework, with a much
larger negative net error. Italians are almost always missing on
the low side, that is, they
almost always have fewer children than intended.
We (Quesnel-Vallée and Morgan forthcoming) also found that
errors between intended
and realized family sizes are ordered, as one would expect given
the arguments I presented
so far. Related to the competition parameter, those who do not
marry, or marry late, are
likely to have fewer births than intended. This occurs in a
context in which roughly one-
third of births are nonmarital; marriage would likely play a
greater role in Italy, where
nonmarital births are rare. Highly educated women, but not
highly educated men, are more
likely than their less-educated counterparts to have fewer
children than intended. We inter-
preted this finding as an effect of competition between
employment and familial options
that are felt more intensely by women than by men. Finally,
women and men who have
children later—say, after age 25—are much more likely to have
fewer children than in-
tended (compared with those having children earlier). This
finding could be explained in
terms of infecundity at later ages, although other interpretations
are plausible.
By way of summary and as a proposed working model, variation
in low fertility is not
produced by a disinterest in having children. Most women want
children, and their mean
intentions approximate what is needed for replacement-level
fertility. But as women age,
they are faced with a set of competing demands that are most
easily accommodated by a
delay in fertility. Postponement is a major reason for
contemporary low fertility. Demog-
raphers know that shifts in the timing of childbearing affect
period fertility rates, but few
appreciate that postponement effects can act for three or more
decades at substantial lev-
els. The good news is that the underlying quantum of period
fertility is substantially greater
than the currently very low TFRs.
But this “mechanical” effect of temporal shifts is not the full
story. Although post-
ponement is frequently the least costly solution to competing
fertility and nonfamilial
opportunities, postponement brings risks that women will not
have all the children they
intend. One reason is the higher levels of infecundity at older
ages. In addition, at older
ages, competing demands may interact with being “too old,” in
a social sense, for children
(Rindfuss and Bumpass 1978). Thus, women revise their
intentions downward at older
ages, and continuing delay and competing opportunities
translate some delayed fertility
into forgone fertility.
Although this general process is occurring everywhere in the
developed world, it
plays out differently in particular societies. Public policy and
institutional responses can
assist women in realizing their intended fertility by easing the
difficulty of combining
child rearing, working, and participating in other activities, and
by making parenthood
practical at younger ages (Lutz et al. 2003). Some countries
have contexts that are more
conducive to childbearing than do others. Current cross-national
fertility differences are
largely the unanticipated consequences of current public policy
and institutional arrange-
ments. But these differences indicate that lowest-low fertility is
not our inevitable desti-
nation and demise.
IS LOW FERTILITY A “CRISIS”?
One need not be a pessimist to concede that a future without
problems is unlikely. Cherlin
(1999), however, warned against “going to extremes” and
defining all problems as either
a crisis or as trivial. Some problems and challenges are real but
are of a second order.
Perspective can be gained by identifying some as the kind of
problems one would like to
have. What characteristics define problems one would like to
have? First, these problems
600 Demography, Volume 40-Number 4, November 2003
result from solving some bigger, more troublesome challenge.
Second, these problems
have solutions and befall those with the resources to solve them.
In my view, low fertility is not a twenty-first-century crisis—
not yet, anyway. It is a
genuine problem, but the kind of problem we want to have. That
is, it is the result of
solving a bigger, more threatening social problem: the crisis of
continued population
growth. Low fertility is also a problem that can be addressed
through public policy and
institutional adjustments. Finally, low fertility is a problem that
befalls developed coun-
tries that, by and large, have the resources to respond.
At the global level, population growth will slow over the next
few decades because of
increasingly pervasive low fertility. For those of us attracted to
demography by neo-
Malthusian concerns and who still believe that there are limits
to human population growth,
how can this be seen as anything but good news? It is clearly
good news compared with the
forecasts that primed the interests of many contemporary
demographers. Continued atten-
tion to this decline and efforts to assure it are crucial. Besides,
it was naive to think that
fertility would magically stabilize exactly at replacement levels.
Thinking globally, I pre-
fer the current low-fertility problem to fertility at 2.5 or 3 births
per woman, at least for the
first half of the twenty-first century.
Low fertility produces rapidly aging populations and possible
country-level popula-
tion decline. It will reduce the proportion of the global
population living in Europe and
North America (see Demeny 2003). For whom is this a problem?
It clearly depends on
one’s perspective. An African American colleague recently
questioned my research
agenda: “so you’re studying the disappearance of white folks.” I
was taken aback; this is
not how I prefer to characterize my work. But he had made his
point: for many, “fewer
white people” does not sound like the greatest crisis of the
twenty-first century.
Buchanan (2002), in Death of the West, was mightily
concerned. He embraced the
concept of differential growth rates with adolescent hormonal
passion and subtlety. The
book’s subtitle is its thesis: How Dying Populations and
Immigrant Invasions Imperil Our
Country and Civilization. Buchanan’s argument, like
Wattenberg’s (1989) earlier version,
The Birth Dearth, is only the latest in a vintage that links
population decline, family decline,
and the decline of a “valued moral or national order”
(Teitelbaum and Winter 1985:132).
Less polemical low-fertility concerns focus on a shortage of
warriors, workers, and
consumers. But given current technology and the global
economy, these concerns seem to
be second-order twenty-first-century problems. Fans of U.S.
military might are breathless
over its speed and technology, not its size. Furthermore, in a
global economy, workers
and consumers don’t need to be homegrown or national
coresidents.5
Of course, the severity of the problem of low fertility and
population decline varies
on a country-by-country basis. Effective responses bring to
mind the concept of a
multiphasic response (Davis 1963). Moderate levels of
immigration could easily offset
modest below-replacement levels of fertility (say, cohort
fertility of 1.7 or 1.8 births per
woman). Source populations are numerous and willing (given
receptive environments).
In addition, short-term concerns about labor-force availability
could easily be satisfied
by postponing retirement. Retirement ages in some countries are
low when compared
with healthy life expectancy.
Finally, for societies that cannot even approximate replacement
fertility on a decadal
time scale, a full-blown crisis exists. For such countries, there
is likely much more wrong
than low fertility. Societies that can respond to the legitimate
needs of their citizens and
invest in the next generations will, I believe, approximate
replacement-level fertility. These
are places where the low-fertility public policy battles should be
fought. A coalition of
those concerned about low fertility, the welfare of children, the
stress of the second shift,
5. For that matter, soldiers need not be citizens. Noncitizen
residents are numerous and are targeted re-
cruits for the U.S. all-volunteer military.
Low Fertility in the Twenty-First Century 601
and gender equality could press for institutional adjustments
that improve the quality of
life for mothers, fathers, children, and families. Demographic
research can provide evi-
dence regarding which changes would make a difference. If
enacted, such changes might
just allow women to have the children they want while
providing the children that low-
fertility societies need.
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/HRV (Za stvaranje Adobe PDF dokumenata najpogodnijih za
visokokvalitetni ispis prije tiskanja koristite ove postavke.
Stvoreni PDF dokumenti mogu se otvoriti Acrobat i Adobe
Reader 5.0 i kasnijim verzijama.)
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/NLD (Gebruik deze instellingen om Adobe PDF-documenten
te maken die zijn geoptimaliseerd voor prepress-afdrukken van
hoge kwaliteit. De gemaakte PDF-documenten kunnen worden
geopend met Acrobat en Adobe Reader 5.0 en hoger.)
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[INSERT TITLE HERE] 3
Running head: [INSERT TITLE HERE]
[INSERT TITLE HERE]
Student Name
Allied American University
Author Note
This paper was prepared for [INSERT COURSE NAME],
[INSERT COURSE ASSIGNMENT] taught by [INSERT
INSTRUCTOR’S NAME].
Directions: Please complete the following tasks. Be sure to
read the directions carefully. When you have completed all
parts of the Homework Assignment, create a zipped folder
containing all files, then upload this .zip file to iBoard.
PART I: Project
Mega Bytes, your computer hardware and software company,
has approached the local public school system about providing
computer instruction at the junior and senior high school level.
The local public schools are using computer equipment that is
approximately 10 years old. You can assume that all the
training will take place in a single room in one building and that
the room is available and furnished with suitable computer
furniture.
You will be making a presentation before the school Board of
Directors and you will cover the following points:
Why it is important to use current hardware and software
The cost involved in purchasing equipment for a 20-student
capacity computer lab
A proposed software training program, which includes your
hourly rate and the estimated number of hours required per
semester to train a single class
The benefits to the students, faculty, and community-at-large
Open a new Word document and save it as School Outline.docx.
Create an outline that contains headings and subheadings for at
least 10 slides. Hint: Remember to work in Outline view to
enter text for the headings and subheadings.
Save the document.
Open a new Excel® workbook and save it as School
Figures.xlsx.
Name Sheet 1 Hardware, create a worksheet that contains
information about the hardware you believe should be
purchased, and the price of each item. For example, you could
create a worksheet that appears like the one shown below:
Quantity
Machine
Unit Cost
Total
20
Laptops
$1,200.00
$24,000.00
3
Color Printers
$400.00
$1,200.00
2
Network Hubs
$2,000.00
$4,000.00
Total
$29,200.00
Name Sheet 2 Software, and create a worksheet that contains
information about the software you believe should be purchased
and the price of each item. For example, you could list the
Microsoft® Office 2010 suite.
Name Sheet 3 Training and create a worksheet that contains
your hourly rate and an estimate of the cost of training a single
full-semester class.
Save the workbook.
Open a new PowerPoint® presentation and save it as School
Presentation.pptx.
Apply the presentation design of your choice then create a title
slide.
Import the document School Outline.docx into the presentation.
Copy the appropriate cells from each worksheet in School
Figures.xlsx into its own slide. Do not create links between
Excel® and PowerPoint®. Size and position the copied cells
attractively on each slide.
On each slide containing copied cells, double-click the cells
then fill the first row with the shading color of your choice.
Optional: Add artwork, transitions, and builds into the slides
that you consider appropriate.
Save the file as part of the zipped folder to be uploaded to
iBoard.
P O P U L A T I O N A N D D E V E L O P M E N T R E V I
E W 4 0 ( 3 ) : 5 2 7 – 5 4 4 ( S E P T E M B E R 2 0 1 4 ) 5
2 7
©2014 The Population Council, Inc.
N O T E S A N D C O M M E N TA R Y
A Population Policy
Rationale for the
Twenty-First Century
Wolfgang lutz
In the twenty-first century most countries will have ended the
phase of
rapid population growth and will see their populations stabilize
and often
decline. What, then, should be the role of population policy?
Should the goal
be long-term constancy of population size, probably calling for
pronatalist or
pro-immigration policies? Or should policies seek to influence
the size of the
labor force or the composition of the population with respect to
age or other
demographic dimensions such as place of residence, level of
education, or
health status? And if we can settle on a goal, do we have the
means to attain
it? These are the questions I take up in this article.
My premise is that governments in the future will see
significant enough
externalities from changing population size and structure to
warrant policy
engagement. Currently, many governments, particularly in
Eastern Europe
and Eastern Asia, are faced with rapidly aging and, soon to
come, shrinking
populations. Yet population researchers have little advice to
offer on what
can or should be done under such conditions beyond some fairly
inconclusive
discussion of pronatalist policies. My hope is to stimulate more
systematic
thinking about the goals and modalities of aggregate-level
population poli-
cies in this century.
I should note two matters bearing on the content of my
discussion.
First, I am concerned with populations and population issues as
ordinarily
construed in demography. These are distinct from individual
human rights
issues such as those related to reproductive rights and health.
Whether or
not any policy that may affect aggregate population trends is
consistent with
individual human rights is a crucial question, but it is not a
“population” is-
sue to be studied in demographic terms. Second, population
composition as
considered here is not just characterized by age and sex, or by
geographic
location. Other dimensions can be added based on their
contribution to
5 2 8 A P o P u l A t i o n P o l i c y r A t i o n A l e f o r t h
e t w e n t y - f i r s t c e n t u r y
heterogeneity in aggregate-level population dynamics and their
substantive
relevance for the study of social and economic development.
One such di-
mension, educational attainment, turns out to be the single most
important
source of observable population heterogeneity after age and sex
(Lutz and KC
2011). Hence in discussions of population structure below I will
consistently
refer to age, sex, and highest level of educational attainment.
This can also
be seen as introducing the “quality” dimension into population
modeling.
Put in a nutshell, I propose that the primary goal of twenty-
first-century
population policies should be to strengthen the human resource
base for
national and global sustainable development. Population
policies under this
rationale could be viewed as public human resource
management—by anal-
ogy with human resource management in the private sector.
They would not
identify any particular population size, growth rate, fertility
rate, or age struc-
ture as a goal in its own right. This approach is thus in line with
the often-
praised decision made at the 1994 International Conference on
Population
and Development (ICPD) to dispense with demographic targets.
Population
policies, I argue, should instead try to efficiently and flexibly
manage human
resources with respect to achieving the highest long-term
wellbeing of current
and future generations while fully respecting human rights.
Before setting out and developing this approach, I will discuss
what I
see as the shortcomings of the three rationales that currently
figure most
prominently as a basis for population policy: acceptance of
replacement-level
fertility as a demographic goal; realizing a “demographic
dividend” from the
changing age structure; and filling the “unmet need” for family
planning.
Replacement-level fertility: Not a meaningful
policy goal
The notion that replacement-level fertility would be an optimal
demographic
condition seems to be ubiquitous. When asked what would be a
desirable
fertility level, most politicians, journalists, and even
demographers would
answer slightly above two children per woman; many would
mention the
precise level of the total fertility rate (TFR): 2.1. This number
represents
replacement-level fertility under low mortality. Yet the notion
of replace-
ment level only makes sense in the highly stylized theoretical
model of a
stationary population. It has little to do with actually
maintaining the size of
a population in contemporary societies, which have irregular
age structures
and experience migration and mortality changes. Given these
realities, the
fertility levels that would result in constant population size will
have to vary
over time and can be significantly different from 2.1.
Two recent research projects have independently concluded that
for
most countries there are economic reasons why long-term
fertility at levels
somewhat below replacement would be preferable to
replacement level. The
first, a study by Lee and Mason (2012) drawing on the approach
of their
w o l f g A n g l u t z 5 2 9
multi-country National Transfer Accounts (NTA) project, shows
that the capi-
tal/output ratio increases under population decline, hence that a
moderate
shrinking of the population yields higher average consumption.
While from
a pure fiscal/public finance point of view their analysis shows
that fertility
should be significantly above replacement, combining this view
with the goal
of maximizing consumption yields a much lower desirable long-
term TFR:
1.24 for low-income countries, 1.50 for the middle-income
group, and 1.79
for the high-income group.
A different line of research, taking account of the heterogeneity
of the
population with respect to education and the fact that educated
persons require
costly investment early in life but are more productive later,
arrives at very
similar conclusions. Striessnig and Lutz (2013, 2014) explore
the implications
of alternative long-term fertility levels on education-weighted
support ratios.
In these support ratios, the working-age population in the
denominator is
weighted by a set of assumed education-specific productivity
weights, and in
the numerator children are weighted by education costs and the
elderly by
pension costs. Extensive simulations performed for the
European Union show
the level of fertility that would minimize the education-
weighted dependency
ratio. Under this model the long-term “optimal” fertility level,
defined as the
level that minimizes the dependency burden, is well below
replacement level.
This is the case for a population assumed to be closed to
migration and with life
expectancy gradually increasing; if migration gains were
included in the model,
the optimal fertility level would fall even further below
replacement. At least
in the terms of this model, current fertility levels in Europe
(after adjusting for
downward tempo distortions) do not appear to be far from the
optimum levels,
provided that the productivity gains from education continue.
Demographic dividend—trumped by education
The effect of changes in age structure on economic growth has
been widely
studied in demography and population economics. The
beneficial effect of
changes in age structure after a decrease in fertility has become
known as the
demographic dividend. Yet the possibility that the beneficial
effect in question
might owe more to a changing educational structure than to a
changing age
structure has only recently been considered. Improving
educational attain-
ment of the adult population can affect economic growth
through various
channels. Higher skill levels of the labor force can directly
translate into higher
productivity and into better and faster uptake of new
technologies (Mankiw,
Romer, and Weil 1992). Education is also a catalyst for
innovation and tech-
nology adoption (Benhabib and Spiegel 1994, 2005). Economic
growth is
affected not only by the rate of accumulation of human capital,
but also by
its stock. Yet in the demographic dividend literature, the
treatment of educa-
tion is marginal. The pioneering article by Bloom and
Williamson (1998) is
representative: it found education to be a significant factor in
income growth,
5 3 0 A P o P u l A t i o n P o l i c y r A t i o n A l e f o r t h
e t w e n t y - f i r s t c e n t u r y
notably in East Asia, but did not discuss in depth its role as a
contribution to
the East Asian “economic miracle.” While many of the key
studies include
education in their model specifications—typically by treating it
as an enabling
factor—the demographic dividend, as the term is commonly
used, refers only
to changes in age-dependency ratios. Over the course of
demographic tran-
sition, these changes supposedly result in a demographic
window that first
opens under low-dependency conditions and then closes in a
predictable way
as the old-age dependency ratio starts to increase.
A systematic consideration of the effects of a changing
education struc-
ture in addition to a changing age structure is taken up in a
recent article by
Crespo Cuaresma, Lutz, and Sanderson (2013). The article
assesses the em-
pirical evidence with respect to the relative effects of changes
in age structure
as compared to those in education structure. Using new data that
provide a
consistent reconstruction of educational attainment distributions
by age and
sex, the authors reassess the empirical evidence on the
associations among
economic growth, changes in age structure, labor force
participation, and edu-
cational attainment. Using a panel of 105 countries for the
period 1980–2005,
they find that once the effect of human capital dynamics is
controlled for,
there is no evidence that changes in age structure affect labor
productivity. In
other words, educational attainment expansions are able to
account for the
sizable productivity effects that other writers had assumed to be
caused by
age-structure changes. Since increases in female education,
declines in fertil-
ity, and economic growth tend to happen around the same time,
the effects
are difficult to disentangle. The authors show that, in a proper
multivariate
statistical analysis, controlling for the expansion of education
largely elimi-
nates the age-structure effect. The age-structure dividend found
in the new
analysis is reduced to a modest accounting effect, whose size is
significantly
smaller than that of the productivity changes resulting from the
investment
in education. If, instead of GDP per capita, economic growth is
measured in
terms of total GDP, as is often done in international
comparisons, then even
the accounting effect disappears. The conclusion is that
improvements in
education, rather than fertility declines, are the main driver of
subsequent
economic growth.
These results call into question the notion of a demographic
window
opening and closing. If human capital is the key driver of
productivity and
there is continued improvement in skills, healthy life
expectancy continues
to increase, and there is some flexibility in the ages at
retirement, then there
is no need to fear a closing window.
Modest effect of family planning programs
on unmet need and fertility
“Meeting the unmet need” for reproductive health and family
planning
has over the past 20 years become one of the most prominent
goals of the
w o l f g A n g l u t z 5 3 1
international population community. It has been seen as helping
to consoli-
date the ICPD concern with human rights by respecting
individually desired
family-size decisions, while still tacitly pursuing the pre-Cairo
aggregate-level
aim of reducing fertility levels in high-fertility countries. Today
the phrase
is widely used for advocacy in reproductive health and family
planning pro-
grams. Sometimes quantitative information on the prevalence of
unmet need
in developing countries is presented together with hypothetical
calculations
showing how much lower fertility levels in those countries
would be if the
unmet need were met (Bradley et al. 2012). This approach is
based on the
strong assumption that programs that improve the supply of
contraceptives
and lower their cost would lead to a near elimination of unmet
need.
Women with an unmet need for contraception, by the official
WHO
definition, are sexually active, want to stop or delay
childbearing, but are not
currently using contraception. Estimates of the proportions in
this category
are typically derived from Demographic and Health Survey
(DHS) data. Es-
timates may be affected by inclusion of women at low risk of
pregnancy for
reasons such as spousal separation—more than 20 percent of
married women
in African DHS surveys were reportedly not using contraception
because of
lack of exposure—but in most countries removing that
component has only
a minor effect on proportions with unmet need. Recent DHS
surveys have
included specific questions asking women classified as having
an unmet need
what were the obstacles or reasons for not using contraception.
Table 1 shows
unweighted averages of proportions citing particular reasons
among female
respondents in recent African surveys, tabulated by level of
educational at-
tainment.
In addition to lack of exposure, the most important reasons cited
by
women at all levels of education are health concerns about the
possible nega-
tive effects or side effects of using contraception. It is unclear
to what degree
these answers reflect actual negative experience or are based on
unfounded
rumors. Next in line among obstacles to contraceptive use is
opposition to
family planning. This includes both opposition by the woman
herself and
opposition by her husband or extended family—factors not
immune to pro-
gram influence but likely to be resistant. Surprisingly, the
obstacles that are
most directly addressed by the provision of reproductive health
services, the
access to and cost of contraceptive supplies and services, seem
to be of only
minor importance. According to the DHS data, of all African
women who
are classified as having an unmet need for contraception less
than 3 percent
cite lack of access and less than 6 percent cite cost as important
reasons for
not using contraception. Among the more educated the
proportions are still
lower. Yet in the international discussion these supply reasons
are often taken
as the main sources of unmet need (Bradley et al. 2012). One
can reasonably
be skeptical of the size of direct effects on fertility of programs
that primarily
aim at improving access to contraception and reducing its cost,
at least in the
African context.
5 3 2 A P o P u l A t i o n P o l i c y r A t i o n A l e f o r t h
e t w e n t y - f i r s t c e n t u r y
Stronger evidence on program effects should come from
experimental
designs, either with formal controls or through natural
experiments. Unfortu-
nately, few such studies have been undertaken. The classic
Matlab experiment
in Bangladesh in the 1970s is the best known—yielding a 1.5-
birth impact
on total fertility during the first two decades of the experiment
(Bongaarts et
al. 2012). Other quasi-experiments have led to reported TFR
declines in the
range 0.5–1.0, results that are attributed both to direct program
effects and
to the indirect effect on desired fertility. In countries with high
fertility, that
is a distinct if modest positive outcome.
On the other hand, there is no doubt about the association of
girls’
education with greater contraceptive use and lower fertility.
There is mas-
sive empirical evidence supporting this link, ranging from the
early compre-
hensive assessment by Cochrane (1979) to the most recent
global survey by
Lutz, Butz, and KC (2014). This evidence is also succinctly
summarized by
Bongaarts (2010), who shows for 30 DHS countries not only
that desired
family size is significantly lower for more-educated women but
also that “as
education rises, fertility is lower at a given level of
contraceptive use, con-
traceptive use is higher at a given level of demand, and demand
is higher at
a given level of desired family size” (p. 31). Figure 1 illustrates
the relation-
ship between female education and contraceptive use for DHS
countries in
West Africa. Of course, within educational categories there is
still substantial
fertility variation: in the Figure 1 countries for women with
secondary or
higher education, for example, the most recent DHS estimates
of fertility
range from 2.9 for Senegal to 4.9 for Niger. On the other hand,
there are also
community-level effects of the average level of education on
fertility. It can
be inferred that fertility depends not only on individual-level
education but
also on many contextual factors.
TABLE 1 Obstacles to using contraception cited by women
classified
as having an unmet need for limiting fertility by level of
education,
recent DHS surveys in Africa, unweighted averages (percent)
No Secondary
Cited reason education Primary and above
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Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx
Low Fertility in the Twenty-First Century 589Demography, V.docx

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