Abstract: BACKGROUND: Several regions such as Zambia in sub-Saharan Africa experience very high levels of sterility. Current explanations for high levels of sterility in Zambia have focused on biological determinants and have paid little attention to the plausible effects of social determinants of sterility. AIM: This study has two objectives. The first objective is to examine the extent of sterility in Zambia during 1980 and 1990. The second objective is to assess the contribution of selected social determinants to the current levels of sterility in Zambia. Subjects and methods: Sterility among women in Zambia is calculated for two periods in 1980 and 1990 using census data. The study used parity progression ratios for the calculation of sterility rates. Selected social determinants of Zambian sterility were obtained from the Demographic Health Survey (ZDHS). Net effects of selected social determinants were examined using logistic regression. RESULTS: High sterility levels were found in a few Zambian Provinces. During 1980 and 1990, the rates for North Western, Eastern and Western provinces remained considerably higher than for other Zambian provinces. It was found that social level variables remained strong and significant even after controlling for the effects of incidence of biological factors such as sexually transmitted diseases (STDs). CONCLUSIONS: The findings of the study support the importance of developing social policies for eradicating sterility. The argument that sterility is biological and that it is not amenable to social interventions perhaps needs revision in the light of the findings of this study.
Abstract: This study examined the relationship between interpersonal skills and sexual activity among female adolescents in Zambia. Data from 390 females in seven schools were analyzed. Results indicated that the inability to say no was associated with coital and noncoital sexual activity. The findings suggest that family planning programs should consider the role of interpersonal skills in controlling adolescent fertility.
Abstract: This study investigates the relationship between some support factors and the well-being of the elderly in China. The analytical models identify and compare the effects of each type of factor on the sense of well-being of elderly Chinese across rural and urban settings. Pension, health care, size of family, and living arrangements are the factors found to be significantly related to the perception of happiness among aged people in general. The strength of the effects of children and living arrangements varies depending on places of residency. The findings indicate the continuous role of the family support, and the increasingly important role of state support in promoting a sense of well-being among elderly Chinese.
Abstract: The relationship between teenage fertility and infant mortality has been a controversial issue for some time. From a policy point of view, it is crucial to understand the nature of this relationship given that pregnancy among teenagers is on the rise globally. This study conducted a meta-analysis of the relationship between maternal age and infant mortality. Two important determinants, race and age, were considered; no evidence of a systematic relationship between age and infant mortality rates was found. The policy implications of this finding are considered.
Abstract: This paper proposes a causal model of sexual activity among a randomly selected sample of 305 Junio secondary school girls in Zambia. The results indicate that liberal sexual attitudes influence romantic involvement with boys. Emotional involvement is likely to result in sexual activity. Traditional courtship forms are slowly being replaced by modern patterns of courtship behaviour. Policy and programme implications are discussed.
Abstract: This study examines the relationships between age at menarche and two fertility related variables, expected age at marriage and expected number of children. The random sample consists of 525 secondary school-going females in the age range 13-21 years from the Copperbelt and Lusaka Central Provinces in Zambia. It was found that the age of menarche ranged from 10 to 18 years with a mean of 14.2 + 1.4 (mean + SD) years. The association between age at menarche and expected age at marriage was found to be weak but positive. Furthermore, the association of age at menarche with expected number of children was found to be weak but in the negative direction.
Abstract: This paper examines the sociodemographic factors which influence familiarity with methods of family planning among 85 males holding low paying jobs in the University of Zambia, Lusaka. The results showed that wife's education had a significant and positive effect on husband's familiarity with family planning methods. In the longer term, female education is likely to emerge as an important factor in the onset of fertility decline in Zambia.
Abstract: Data from a study of teenage sexual activity among secondary school girls show the need for a sex education policy as a first step in controlling teenage fertility in Zambia. A large proportion of teenage females enter into close relationships with males at young ages and a high proportion of young females have engaged in sexual intercourse. Most of these sexually active females do not use family planning methods even though a large proportion of them have heard of modern methods. The teenagers receive very little sex education from their parents and a modern institutional sex education programme is needed.
Abstract: This paper develops a conceptual framework for examining the process of immunisation and explores the sociodemographic determinants of vaccination in Zambia. About 300 mothers with children under 3 years of age were interviewed in urban Lusaka. The analyses suggest that sociostructural, as well as cultural, processes influence the attrition process and immunisation programmes should focus on the uniqueness of each stage. In addition, programmes to improve women's education and to reduce male gender preferences are needed.
