The effects of breastfeeding and contraception on the natural rate of increase: Are there compensating effects?

Alberto Palloni, George Kephart

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

5 Citas (Scopus)

Resumen

The prevalence of intentional control of reproduction increases in developing countries in which there is rapid modernization, and there are also important changes in breastfeeding practices. The effects of increased contraception and reduced breastfeeding on the pace and level of fertility and on the patterns and levels of infant and early childhood mortality are in opposite directions. In this paper we propose a technique to estimate the net effects of such changes on the natural rate of increase, and to assess the gross contribution of the various components of change. Applications of the technique to Latin American countries indicate that changes in fertility due to higher contraceptive prevalence are dominant, but that they are partially offset by the indirect effects on fertility of changes in breastfeeding. Likewise, changes in breastfeeding have the strongest direct impact on infant mortality, but are partially offset by the beneficial effects of a more favourable pace of childbearing induced by higher contraceptive prevalence.

Idioma originalEnglish
Páginas (desde-hasta)455-478
Número de páginas24
PublicaciónPopulation Studies
Volumen43
N.º3
DOI
EstadoPublished - nov. 1 1989
Publicado de forma externa

Nota bibliográfica

Funding Information:
With a handful of exceptions, demographers and planners have paid little attention to the quantification of the net effects of fertility limitation or health programmes.1 More recently the problem has been reintroduced in an important controversy over the nature is an abbreviated and revised version of Working Series Paper No. 87-46, Center for Demography and Ecology, University of Wisconsin. The information used here was obtained by A. Palloni and S. Millman (NIH Grant No. R01HDI8474) and by A. Palloni with the collaboration of J. Marcotte (NIH Grant No. ROHD15982). All the calculations performed to obtain that information and the estimates presented in this paper were carried out with the support of Center Grant HD-5876 from the National Institute for Child and Human Development. We thank Larry Bumpass and James Trussell for helpful comments on earlier versions of this paper. We are also grateful to John Casterline who generously shared with us his alternative estimates of inhibiting effects.

ASJC Scopus Subject Areas

  • Demography
  • History

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