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Birth planning and sterilization in China
Population Studies
|October 20, 2001
Summary
Sterilization is common in China. Weaker birth planning policies correlate with higher sterilization rates, suggesting less control over contraception for couples with more family-building flexibility.
Area of Science:
- Reproductive Health
- Demography
- Public Health Policy
Background:
- Sterilization is the predominant contraceptive method in China, with about half of reproductive-aged women or their partners sterilized.
- This study examines sterilization patterns in eight Chinese provinces using data from the China Health and Nutrition Survey.
- The research investigates the relationship between local birth planning policies and sterilization risk.
Observation:
- A discrete-time event history model was employed to analyze the data.
- Factors analyzed include local birth planning policy strength, exceptions to the one-child policy, woman's age, parity, and having a son.
Findings:
- Sterilization risk is highest in areas with less stringent birth planning policies, indicated by more exceptions to the one-child policy.
- After controlling for parity, weaker policies are linked to increased sterilization.
- Woman's age, parity, and having a son also significantly affect sterilization risk.
Implications:
- Couples with greater flexibility in family size may have reduced control over contraceptive choices.
- Understanding these dynamics is crucial for evaluating the impact of one-child policy modifications.
- Reproductive behavior assessment requires consideration of multiple factors beyond policy strength.
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