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  • Title: Determinants of individual fertility and contraceptive use: a review and synthesis of the literature.
    Author: Card JJ, Wood WJ, Jayme EB.
    Journal: Philipp Sociol Rev; 1979 Jul; 27(3):211-34. PubMed ID: 12339682.
    Abstract:
    This discussion, which reviews the fertility determinants literature from a sociopsychological or individual perspective, summarizes literature addressing the determinants of individual fertility, i.e., an individual's decision to use or not use an effective contraceptive method. Complete or definite answers about fertility determinants do not exist, but enough is known to provide an overview. From the 259 articles, monographs, and books examined and classified, 6 main classes of determinants were formed and analyzed: demographic; sociopsychological; experiential or behavioral; informational, including knowledge about reproduction and birth control; husband and wife interaction; and environmental. Gaps in the existing literature about these determinants are identified and a sociopsychological model integrating existing knowledge is proposed. In general, the following groups of individuals have relatively high fertility and/or relatively low or ineffective contraceptive use: low socioeconomic status, adolescents and people aged 40 and older, Catholics and highly religious, rural, many siblings, unemployed women or working women who do not attach great importance to their careers; and ethnic minorities. Sociopsychological determinants of fertility and contraceptive use have been classified into 2 groups: personality traits and values and attitudes. In general, the evidence linking values and attitudes to fertility-related behavior is stronger than personality traits, but some promising work in the personality area is being conducted. In general an early age at 1st marriage related to higher fertility, and duration of marriage positively associated with fertility as is a younger age at 1st birth. In general, there is a positive correlation between contraceptive knowledge and contraceptive behavior. Certain aspects of the husband/wife relationship, including the allocation of roles and responsibilities between husband and wife and the scope and frequency of their communication--are related to their fertility and contraceptive use. The extent to which family planning programs contribute to fertility decline, over and above the effects due to modernization and development, remains unanswered empirically. The following gaps in the literature were observed: the need for more research on the role of the male partner in determining fertility and contraceptive use, the experiential or behavioral determinants of fertility and contraceptive use, employment history, environmental aspects, and integration of the area into theoretical framework(s) capable of empirical verification.
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