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Contraceptive use dynamics in China

Contraceptive use dynamics in China
Contraceptive use dynamics in China

With a population in 1991 of 1,134 million, 22% of the world total, China is the most populous country in the world. The prospect of massive population growth prompted the Chinese government to adopt, in 1979, the now famous one-child policy. The one-child policy has proved problematic and has not been as successful in implementation as initially hoped and the projected population for the year 2000 has had to be revised upward from an initial target of 1.2 billion to 1.3 billion. In order to cast some light on the operation of the policy and on fertility determinants in contemporary China, this thesis investigates contraceptive use dynamics after the one-child policy by means of a 10% sample of the Two-per-Thousand Fertility Survey carried out in 1988.

The thesis first reviews the studies of contraceptive use dynamics and the applications of event history methods, and concludes that it is not only necessary but possible to study the contraceptive use dynamics by event history analysis. A description of the patterns of contraceptive use, choice, failure and its subsequent outcome is given at the first stage of the analysis. The investigation is then deepened by three separate event history analyses of use dynamics: determinants of contraceptive failure and its outcome by a two-stage event history method; characteristics of IUD discontinuation by five reasons (failure, expulsion, switching, side-effects and other non-method related reasons) by a discrete-time competing risk event history model; IUD use duration with long-term users by a mixture model which combines a proportional hazard model with a logistic regression.

The results of the study show that some socio-economic, demographic, and programmatic forces have influences on women's contraceptive behaviour such as contraceptive use, choice, failure and its subsequent outcome, and IUD discontinuation and long-term use.

University of Southampton
Wang, Duolao
deae0e52-e682-47d6-af54-4aa41afbc386
Wang, Duolao
deae0e52-e682-47d6-af54-4aa41afbc386

Wang, Duolao (1994) Contraceptive use dynamics in China. University of Southampton, Doctoral Thesis.

Record type: Thesis (Doctoral)

Abstract

With a population in 1991 of 1,134 million, 22% of the world total, China is the most populous country in the world. The prospect of massive population growth prompted the Chinese government to adopt, in 1979, the now famous one-child policy. The one-child policy has proved problematic and has not been as successful in implementation as initially hoped and the projected population for the year 2000 has had to be revised upward from an initial target of 1.2 billion to 1.3 billion. In order to cast some light on the operation of the policy and on fertility determinants in contemporary China, this thesis investigates contraceptive use dynamics after the one-child policy by means of a 10% sample of the Two-per-Thousand Fertility Survey carried out in 1988.

The thesis first reviews the studies of contraceptive use dynamics and the applications of event history methods, and concludes that it is not only necessary but possible to study the contraceptive use dynamics by event history analysis. A description of the patterns of contraceptive use, choice, failure and its subsequent outcome is given at the first stage of the analysis. The investigation is then deepened by three separate event history analyses of use dynamics: determinants of contraceptive failure and its outcome by a two-stage event history method; characteristics of IUD discontinuation by five reasons (failure, expulsion, switching, side-effects and other non-method related reasons) by a discrete-time competing risk event history model; IUD use duration with long-term users by a mixture model which combines a proportional hazard model with a logistic regression.

The results of the study show that some socio-economic, demographic, and programmatic forces have influences on women's contraceptive behaviour such as contraceptive use, choice, failure and its subsequent outcome, and IUD discontinuation and long-term use.

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Published date: 1994

Identifiers

Local EPrints ID: 458589
URI: http://eprints.soton.ac.uk/id/eprint/458589
PURE UUID: fea1199b-523e-4ab5-9a41-b5c90c664624

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Date deposited: 04 Jul 2022 16:52
Last modified: 23 Jul 2022 00:21

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Contributors

Author: Duolao Wang

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