This volume examines two distinct low fertility scenarios that have emerged in economically advanced countries since the turn of the 20th century: one in which fertility is at or near replacement-level and the other where fertility is well below replacement. It explores the way various institutions, histories and cultures influence fertility in a diverse range of countries in Asia, Europe, North America and Australia. The book features invited papers from the Conference on Low Fertility, Population Aging and Population Policy, held December 2013 and co-sponsored by the East-West Center and the Korea Institute for Health and Social Affairs (KIHASA). It first presents an overview of the demographic and policy implications of the two low fertility scenarios. Next, the book explores five countries currently experiencing low fertility rates: China, Hong Kong, Japan, Singapore and South Korea. It then examines three countries that have close to replacement-level fertility: Australia, the Netherlands and the United States. Each country is featured in a separate chapter written by a demographer with expert knowledge in the area. Very low fertility is linked to a number of conditions countries face, including a declining population size. At the same time, low fertility and its effect on the age structure, threatens social welfare policies. This book goes beyond the technical to examine the core institutional, policy and cultural factors behind this increasingly important issue. It helps readers to make cross-country comparisons and gain insight into how diverse institutions, policies and culture shape fertility levels and patterns.

This volume examines ten economically advanced countries in Europe and Asia that have experienced different levels of fertility decline. It offers readers a cross-country perspective on the causes and consequences of low birth rates and the different policy responses to this worrying trend. The countries examined are not only diverse geographically, historically, and culturally, but also have different policies and institutions in place. They include six very-low-fertility countries (Austria, Czech Republic, Hungary, Italy, Spain, and Taiwan) and four that have close to replacement-level fertility (United Kingdom, Norway, Canada, and France). Although fertility has gone down in all these countries over the past 50 years, the chapters examine the institutional, policy, and cultural factors that have led some countries to have much lower fertility rates than others. In addition, the final chapter provides a cross-country comparison of individual perceptions about obs tacles to fertility, based on survey data, and government support for families. This broad overview, along with a general introduction, helps put the specific country papers in context. As birth rates continue to decline, there is increasing concern about the fate of social welfare systems, including healthcare and programs for the elderly. This book will help readers to better understand the root causes of such problems with its insightful discussion on how a country’s institutions, policies, and culture shape fertility trends and levels.

This volume examines ten economically advanced countries in Europe and Asia that have experienced different levels of fertility decline. It offers readers a cross-country perspective on the causes and consequences of low birth rates and the different policy responses to this worrying trend. The countries examined are not only diverse geographically, historically, and culturally, but also have different policies and institutions in place. They include six very-low-fertility countries (Austria, Czech Republic, Hungary, Italy, Spain, and Taiwan) and four that have close to replacement-level fertility (United Kingdom, Norway, Canada, and France). Although fertility has gone down in all these countries over the past 50 years, the chapters examine the institutional, policy, and cultural factors that have led some countries to have much lower fertility rates than others. In addition, the final chapter provides a cross-country comparison of individual perceptions about obs tacles to fertility, based on survey data, and government support for families. This broad overview, along with a general introduction, helps put the specific country papers in context. As birth rates continue to decline, there is increasing concern about the fate of social welfare systems, including healthcare and programs for the elderly. This book will help readers to better understand the root causes of such problems with its insightful discussion on how a country’s institutions, policies, and culture shape fertility trends and levels.

This book provides a unique blend of social and biomedical sciences in the field of low fertility and reproductive health. It offers a significant contribution to understanding the determinants of low fertility mostly in East Asia, including an assessment of the effectiveness of policies that aim to raise fertility. It introduces new analytical tools and methods and shares application of innovative approaches to analyzing cross-sectional and longitudinal survey data and macro socioeconomic data to shed light on changing mechanisms of low fertility in the context of reproductive health. The volume introduces the demographic dividend into the study of fertility, analyzes possible impact of population ageing on the amount of resources allocated to child rearing, i.e. the so called "crowding effect" in social care and public spending between the elderly and children. The book also tests the Low Fertility Trap (LFT) hypothesis, a new important theory regarding fertility trends. The book focuses on East Asia which is numerically large but relatively under-researched with regard to issues covered in various chapters. The relevance of the volume, however, goes beyond countries in East Asia. The book breaks new grounds and reveals little known facts regarding the influence of endocrine disruptors on male fertility through falling sperm counts, the phenomenon of marital sexlessness and about the sexual behavior of adolescents in East Asia.

Despite recent declines in infant mortality, the rates of low birthweight deliveries in the United States continue to be high. Part I of this volume defines the significance of the problems, presents current data on risk factors and etiology, and reviews recent state and national trends in the incidence of low birthweight among various groups. Part II describes the preventive approaches found most desirable and considers their costs. Research needs are discussed throughout the volume.