Identifying emerging reproductive vulnerability: an approach to decompose differences in total fertility |
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| Affiliation: | 1. Risks, Prevention, and Health Promotion Axis, University of Montreal Hospital Research Centre, Montreal, Quebec, Canada;2. Bureau d''information et d''études en santé des populations, Institut national de santé publique du Québec, Montreal, Quebec, Canada;3. Department of Anthropology, McGill University, Montreal, Quebec, Canada;1. Department of Sociology, University of Minnesota, Minneapolis;2. NORC at the University of Chicago, Chicago, IL;3. Texas Higher Education Coordinating Board, Austin;4. Department of Sociology, University of Texas-Austin, Austin;5. Department of Sociology, University of Wisconsin-Madison, Madison;1. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran;2. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran;3. Students'' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran;4. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;5. Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran;6. Digestive Diseases Research Institute (DDRI), Tehran University of Medical Sciences, Tehran, Iran;7. Complementary and Chinese Medicine, Persian and Complementary Medicine Faculty, Mashhad University of Medical Sciences, Mashhad, Iran;8. Department of Pharmacology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran;1. School of Public Health, University of California, Berkeley;2. Department of Diagnostic, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, Modena, Italy;3. School of Medicine, University of California, Irvine;1. Department of Human Science, Georgetown University Medical Center, Washington, DC;2. Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA;1. Department of Orthopaedic Surgery and Rehabilitation, William Beaumont Army Medical Center, El Paso, Texas, U.S.A;2. The John A. Feagin Jr. Sports Medicine Fellowship, Keller Army Hospital, US Military Academy, West Point, New York, U.S.A;3. Walter Reed Military Medical Center, Bethesda, Maryland, U.S.A;1. Department of Medicine, University of British Columbia, St Paul''s Hospital, Vancouver, BC, Canada;2. Center on Child Protection at the University of Indonesia, Gedung Nusantara II (Ex PAU Ekonomi) FISIP, Kampus UI, Depok, Indonesia;3. Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, NY 10032, USA |
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| Abstract: | PurposeWe introduce a method to partition the difference in total fertility between two groups.MethodsWe computed the total fertility rate for Francophones and Anglophones of Quebec, Canada, between 1989–1993 and 2004–2008. We partitioned the difference in excess fertility for one group relative to the other into the number of children contributed by maternal age, origin, material deprivation, education, and offspring birth order. We calculated the change in total fertility over time and the factors that contributed.ResultsThe total fertility rate was higher by 0.18 children for Francophones in 1989–1993, but the gap reversed in 2004–2008, with total fertility higher for Anglophones by 0.12 children. Francophones had higher fertility in 1989–1993 due mainly to women who were Canadian born, aged 15–29 years, without secondary diploma, or living in socioeconomic deprivation. The reversal in 2004–2008 was caused by a reduction in fertility for Francophones aged 15–29 years and an increase in the contribution of Anglophones who were foreign born, aged 30–49 years or socioeconomically disadvantaged.ConclusionsThrough decomposition of differences in total fertility, we identified populations with emerging reproductive vulnerability in a large Canadian province. Socioeconomically disadvantaged Anglophones in Quebec have increasing fertility, a potential sign of increasing reproductive risk. |
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| Keywords: | Birth rate Cultural deprivation Decomposition Language Socioeconomic factors Total fertility rate |
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