February 10, 2000
socy 3012 class notes.
 

Class web page: www.colorado.edu/IBS/PP/menken

        -click on SOCY 3012 - Women, Development and Fertility

         -click on Course Syllabus
           within the syllabus are links to some readings, resources

This Week’s Readings

Handout - has faststats on teenbirths and contraceptive use
                                    -look at links for more info has Demographic and Health Survey Charts

Mauldin, Parker, Ross: Family Planning Programs
                        (jstor, library feb8 & feb29)
                        understand how countries differ in family planning programs, how family planning
                        programs affect fertility

Menken, Rahman: "Understanding Fertility"
                        (class web site: click on Feb 3, will be in library)
                        short reading that has good overview of her recent lectures

Additional Readings:

*Menken: Age and Fertility: How Late Can You Wait?
                        (library, jstor, web page syllabus will take you to jstor)

Menken, Trussell, and Watkins: The Nutrition-Fertility Link
                        (will be in the library under Feb. 8th)

Male Contraception

Male Only Methods: Condom, Withdrawl, Sterilization

Information on the Web: Websearch

Male Contraception Information Project
        http://www.gumption.org/mcip/

Non-hormonal Male Contraception
        Vas-based Methods
                No-scalpel Vasectomy
                Percutaneous Injection
                        Permanent Chemical Injection
                        Injectable Plugs
                        SMA - (temporary) injection
                "Shug" - non-injectable silicone plug
Heat Methods
                Wet Heat
                Insulated Underwear
                Ultrasound (10min = 6 months)

Planned Parenthood Women's Center
http://birch.palni.edu/~planned/links/male_con.htm

Hormonal
        Testosterone Injections
        Pill - testosterone and progestin
 


Contraceptive Failure Rates continued

Condom                     typical                  perfect
                    Male -    14                         3
                    Female - 21                         5
Sterilization
                    Male -    0.15                     0.10
                    Female - 0.5                       0.5

Combination of methods more effective than using one

Emergency Contraception
                    Reduces Risk of Pregnancy by at least 75%
                    if initiated within 72 hours

Lactation Amenorrhea (Breastfeeding)
        Highly effective until:
                menstruation resumes
                frequency or duration of breastfeeding reduced
                bottle feeds introduced
            or baby reaches age 6 months
 


Long-term Probability of Avoiding Pregnancy

Age 30-45: 15 consecutive years

Even with contraception with .001 monthly failure rate
        38% chance of avoiding pregnancy for 15 yrs
        62% chance of having an unintended pregnancy
 
With the Pill - 5% failure rate per year
        46% chance of avoiding pregnancy for 15 yrs
        Over half have one unintended pregnancy

Effects of Proximate Determinants of Fertility on TF’s
       1970 - Bongaarts Indices

Ci - Postpartum infecundity: when the average postpartum period is taken into account, the remaining
       proportion of  potential fertility (TF).

CC - Contraception: after the effects of postpartum infecundity are adjusted for, the remaining proportion
       of the potential fertility after contraceptive use is considered.

Cm - Marriage: proportion of TF after the first factors are taken into consideration remaining when the
       particular marriage or sexual union pattern is considered.

Developing Countries - Fertility Potential (TF) reduced primarily by breast feeding, long postpartum periods.
       Contraceptive use had little impact.

Europe - Fertility reduced by late marriage and high levels of non-marriage.

Developed Countries - Marriage index on average far lower than developing countries. By 1970, fertility in all
       developed countries was reduced by contraceptive use to no more than 30% of its potential.
 

1998 - Stover’s indices

Sexual Activity (women)
Infecundity (sexually active women)
Contraceptive Use (actual use by non-postpartum amenorrhea women believed to be fecund)

Latin America: Two main factors producing lower fertility are:
        -low participation in sexual activity
        -high contraceptive use

Africa:
        -Higher participation in sexual activity and low contraceptive use.
        -Postpartum infecundity reduces fertility by 40%
        -Larger effect of infecundity (up to 20% in Niger).


Films

Day of Six Billion: A Global Youth Perspective
Population Transition in Italy

Fertility - how much of a choice is it?

    -Social influences on desired family size
    -Economic influences on fertility
    -The influence of women’s status on fertility
    -Differences between factors in developed & developing countries