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.

The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

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 book explores how low fertility levels could fundamentally change a country's population and society. It analyzes the profound effects below average birthrates have on virtually all aspects of society, from the economy to religion, from marriage to gender roles. An introduction written by Dudley L. Poston Jr. provides a general overview of this relatively new phenomenon that has already impacted nearly one-half of the countries of the world today. Poston also discusses the broad implications of the changes that these societies are currently experiencing and the ones that they will soon confront. Next, each of the 12 essays collected in this volume look into how a low fertility level affects a particular demographic or societal structure or process. In addition, case studies offer an in-depth portrait of these changes in the United States and China. Coverage includes the dynamics of low and lowest-low (where the birthrate is well below average) fertility, high and increasing life expectancies in the United States, the implications of native-born fertility and other socio-demographic changes for less-skilled U.S. immigration, ageing and age dependency in post-industrial societies, good mothering and gender roles in China, the increasing prevalence of voluntary childlessness, how low fertility and prolonged longevity could result in slow economic growth, the decreasing relevance of traditional religious systems, and more. The emergence and persistence of population decline produced by low fertility levels has the potential to greatly alter key aspects of society as well as individual lives. Containing insightful analysis from some of the top minds in demography today, this book will arm readers with the knowledge they need to fully understand these transformations.

This report summarizes presentations and discussions at the Workshop on the Social Processes Underlying Fertility Change in Developing Countries, organized by the Committee on Population of the National Research Council (NRC) in Washington, D.C., January 29-30, 1998. Fourteen papers were presented at the workshop; they represented both theoretical and empirical perspectives and shed new light on the role that diffusion processes may play in fertility transition. These papers served as the basis for the discussion that is summarized in this report.

This examination of changes in adolescent fertility emphasizes the changing social context within which adolescent childbearing takes place.