Family Planning Perspectives | |
|
Effects of Sex Preference on Contraceptive Use,
Abortion and Fertility in Matlab, Bangladesh |
| Table 1. Percentage of women using contraceptives, by parity and number of sons, according to year, Matlab project area, Bangladesh | ||||||
| Parity and number of sons | 1983 | 1988 | 1993 | |||
| N | % using | N | % using | N | % using | |
| All | 12,283 | 40.0 | 13,442 | 54.0 | 16,410 | 63.9 |
| Parity 0 | 907 | 7.2 | 659 | 10.2 | 1,162 | 14.9 |
| Parity 1 | 2,276 | 25.4 | 2,401 | 39.9 | 2,993 | 49.7 |
| 0 | 1,100 | 23.8 | 1,164 | 40.1 | 1,445 | 46.4 |
| 1 | 1,176 | 26.8 | 1,237 | 39.8 | 1,548 | 52.8 |
| Parity 2 | 2,207 | 34.7 | 2,594 | 50.3 | 3,263 | 61.1 |
| 0 | 461 | 28.4 | 552 | 41.1 | 636 | 50.3 |
| 1 | 1,113 | 35.0 | 1,293 | 50.7 | 1,677 | 64.2 |
| 2 | 633 | 38.9 | 749 | 56.3 | 950 | 63.1 |
| Parity 3 | 1,954 | 44.5 | 2,507 | 57.6 | 3,231 | 72.7 |
| 0 | 204 | 26.0 | 229 | 36.7 | 313 | 59.1 |
| 1 | 672 | 41.8 | 829 | 53.4 | 1,096 | 67.2 |
| 2 | 830 | 51.7 | 1,126 | 65.3 | 1,438 | 80.4 |
| 3 | 248 | 43.1 | 323 | 56.3 | 384 | 70.8 |
| Parity 4 | 1,761 | 50.2 | 2,115 | 65.5 | 2,665 | 77.9 |
| 0 | 89 | 21.3 | 102 | 37.3 | 123 | 48.8 |
| 1 | 407 | 44.0 | 490 | 62.7 | 602 | 72.4 |
| 2 | 672 | 53.6 | 834 | 67.6 | 1,050 | 81.0 |
| 3 | 479 | 55.5 | 553 | 70.7 | 713 | 83.6 |
| 4 | 114 | 52.6 | 136 | 62.5 | 177 | 75.1 |
| Parity >=5 | 3,178 | 55.2 | 3,166 | 66.4 | 3,096 | 77.9 |
| 0 | 100 | 55.0 | 87 | 55.2 | 87 | 59.8 |
| 1 | 355 | 48.7 | 362 | 63.0 | 405 | 73.6 |
| 2 | 732 | 56.8 | 799 | 67.3 | 811 | 79.0 |
| 3 | 894 | 56.8 | 902 | 68.8 | 874 | 82.3 |
| 4 | 664 | 55.7 | 608 | 70.2 | 591 | 77.5 |
| >=5 | 433 | 53.3 | 408 | 59.1 | 328 | 74.7 |
| Table 2. Number of live births and abortion ratio in Matlab comparison and project areas during three periods, by parity and number of living sons | ||||||||||||
| Parity and no. of sons | Comparison area | Project area | ||||||||||
| 1982-1986 | 1987-1991 | 1992-1995 | 1982-1986 | 1987-1991 | 1992-1995 | |||||||
| No. of live births | Abortion ratio | No. of live births | Abortion ratio | No. of live births | Abortion ratio | No. of live births | Abortion | No. of live births | Abortion ratio | No. of live births | Abortion ratio | |
| births | ratio | births | ratio | births | ratio | births | ratio | births | ratio | births | ratio | |
| All | 17,803 | 21 | 18,431 | 39 | 11,884 | 51 | 15,018 | 16 | 15,092 | 25 | 10,604 | 24 |
| Parity 0 | 4,352 | 16 | 4,518 | 21 | 3,450 | 22 | 4,270 | 12 | 4,509 | 16 | 3,591 | 11 |
| Parity 1 | 3,720 | 9 | 3,859 | 20 | 2,721 | 20 | 3,513 | 9 | 3,652 | 15 | 2,704 | 11 |
| 0 | 1,857 | 11 | 1,943 | 21 | 1,364 | 16 | 1,736 | 7 | 1,799 | 15 | 1,320 | 8 |
| 1 | 1,863 | 8 | 1,916 | 19 | 1,357 | 24 | 1,777 | 11 | 1,853 | 15 | 1,384 | 14 |
| Parity 2 | 3,122 | 17 | 3,376 | 24 | 2,112 | 30 | 2,635 | 9 | 2,900 | 19 | 1,994 | 16 |
| 0 | 715 | 4 | 847 | 21 | 589 | 15 | 629 | 10 | 781 | 14 | 568 | 9 |
| 1 | 1,532 | 18 | 1,690 | 20 | 1,008 | 37 | 1,317 | 8 | 1,415 | 18 | 919 | 22 |
| 2 | 875 | 25 | 839 | 35 | 515 | 33 | 689 | 10 | 704 | 27 | 507 | 12 |
| Parity 3 | 2,346 | 21 | 2,666 | 34 | 1,586 | 52 | 1,866 | 13 | 1,898 | 32 | 1,227 | 34 |
| 0 | 246 | 4 | 337 | 18 | 243 | 33 | 246 | 4 | 290 | 14 | 216 | 9 |
| 1 | 884 | 21 | 997 | 28 | 639 | 52 | 710 | 13 | 749 | 27 | 489 | 18 |
| 2 | 909 | 25 | 963 | 44 | 504 | 69 | 677 | 18 | 613 | 47 | 354 | 68 |
| 3 | 307 | 23 | 369 | 41 | 200 | 30 | 233 | 9 | 246 | 28 | 168 | 42 |
| Parity 4 | 1,754 | 43 | 1,761 | 62 | 1,001 | 107 | 1,258 | 24 | 1,035 | 43 | 646 | 68 |
| 0 | 116 | 9 | 120 | 8 | 70 | 43 | 120 | 0 | 102 | 0 | 93 | 22 |
| 1 | 437 | 32 | 470 | 51 | 316 | 57 | 334 | 12 | 282 | 18 | 178 | 45 |
| 2 | 643 | 48 | 627 | 73 | 324 | 120 | 432 | 32 | 338 | 53 | 211 | 76 |
| 3 | 437 | 59 | 408 | 64 | 212 | 160 | 287 | 31 | 232 | 78 | 121 | 132 |
| 4 | 121 | 33 | 136 | 88 | 79 | 165 | 85 | 35 | 81 | 37 | 43 | 47 |
| Parity >=5 | 2,509 | 68 | 2,251 | 121 | 1,014 | 222 | 1,476 | 51 | 1,098 | 82 | 442 | 152 |
| 0 | 62 | 0 | 64 | 47 | 44 | 23 | 45 | 22 | 46 | 0 | 30 | 67 |
| 1 | 60 | 31 | 243 | 82 | 142 | 134 | 208 | 38 | 165 | 55 | 79 | 89 |
| 2 | 609 | 71 | 565 | 108 | 246 | 183 | 367 | 38 | 310 | 55 | 115 | 165 |
| 3 | 701 | 57 | 641 | 117 | 259 | 251 | 411 | 73 | 268 | 104 | 113 | 186 |
| 4 | 529 | 83 | 427 | 129 | 205 | 268 | 287 | 45 | 188 | 112 | 70 | 143 |
| >=5 | 348 | 106 | 311 | 190 | 118 | 339 | 158 | 57 | 121 | 123 | 35 | 229 |
| Table 3. Number of women and percentage giving birth in Matlab comparison and project areas during three periods, by parity and number of sons immediately before period | ||||||||||||
| Parity and no. of sons | Comparison area | Project area | ||||||||||
| 1984-1986 | 1989-1991 | 1994-1995 | 1984-1986 | 1989-1991 | 1994-1995 | |||||||
| No. of women | % giving birth | No. of women | % giving birth | No. of women | % giving birth | No. of women | % giving birth | No. of women | % giving birth | No. of women | % giving birth | |
| All | 14,219 | 58 | 15,155 | 50 | 17,350 | 27 | 13,701 | 47 | 16,112 | 36 | 18,576 | 23 |
| Parity 0 | 1,609 | 82 | 962 | 72 | 1,618 | 55 | 1,083 | 80 | 892 | 72 | 1,447 | 60 |
| Parity 1 | 2,437 | 80 | 2,522 | 78 | 2,800 | 47 | 2,462 | 74 | 2,865 | 65 | 3,380 | 39 |
| 0 | 1,206 | 82 | 1,226 | 80 | 1,358 | 47 | 1,186 | 77 | 1,390 | 67 | 1,625 | 40 |
| 1 | 1,231 | 78 | 1,296 | 75 | 1,442 | 46 | 1,276 | 72 | 1,475 | 64 | 1,755 | 39 |
| Parity 2 | 2,171 | 76 | 2,408 | 69 | 2,717 | 36 | 2,348 | 62 | 2,976 | 50 | 3,537 | 28 |
| 0 | 478 | 81 | 558 | 73 | 604 | 42 | 494 | 73 | 635 | 63 | 687 | 28 |
| 1 | 1,113 | 73 | 1,237 | 68 | 1,414 | 34 | 1,182 | 61 | 1,500 | 48 | 1,825 | 26 |
| 2 | 580 | 75 | 613 | 68 | 699 | 36 | 672 | 58 | 841 | 43 | 1,025 | 25 |
| Parity 3 | 1,989 | 61 | 2,446 | 55 | 2,821 | 26 | 2,093 | 47 | 2,837 | 34 | 3,476 | 17 |
| 0 | 195 | 70 | 251 | 68 | 308 | 40 | 227 | 61 | 266 | 55 | 336 | 33 |
| 1 | 701 | 64 | 851 | 59 | 947 | 30 | 721 | 53 | 937 | 40 | 1,179 | 20 |
| 2 | 814 | 57 | 1,007 | 47 | 1,227 | 20 | 886 | 39 | 1,265 | 25 | 1,547 | 10 |
| 3 | 279 | 60 | 337 | 59 | 339 | 27 | 259 | 47 | 369 | 34 | 414 | 19 |
| Parity 4 | 1,845 | 50 | 2,219 | 40 | 2,673 | 17 | 1,905 | 35 | 2,429 | 21 | 2,930 | 10 |
| 0 | 100 | 55 | 112 | 59 | 124 | 24 | 100 | 59 | 129 | 43 | 139 | 32 |
| 1 | 416 | 56 | 487 | 48 | 594 | 22 | 441 | 39 | 581 | 25 | 668 | 11 |
| 2 | 683 | 50 | 858 | 38 | 1,084 | 15 | 719 | 32 | 940 | 17 | 1,155 | 8 |
| 3 | 515 | 42 | 609 | 31 | 712 | 12 | 520 | 29 | 622 | 17 | 776 | 7 |
| 4 | 131 | 50 | 153 | 46 | 159 | 20 | 125 | 38 | 157 | 30 | 192 | 12 |
| Parity >=5 | 4,168 | 31 | 4,598 | 24 | 4,721 | 9 | 3,810 | 20 | 4,113 | 12 | 3,806 | 5 |
| 0 | 114 | 24 | 101 | 35 | 85 | 25 | 153 | 18 | 131 | 17 | 106 | 11 |
| 1 | 422 | 34 | 436 | 28 | 502 | 15 | 438 | 25 | 472 | 17 | 483 | 5 |
| 2 | 886 | 37 | 1,032 | 28 | 1,107 | 9 | 844 | 22 | 992 | 13 | 976 | 7 |
| 3 | 1,106 | 32 | 1,279 | 23 | 1,353 | 8 | 1,042 | 19 | 1,154 | 11 | 1,072 | 5 |
| 4 | 944 | 29 | 996 | 20 | 989 | 7 | 794 | 19 | 816 | 9 | 728 | 4 |
| >=5 | 696 | 25 | 754 | 18 | 685 | 7 | 539 | 14 | 548 | 10 | 441 | 2 |
| Table 4. Observed and expected contraceptive prevalence and effect of sex preference on prevalence in Matlab project area, by year | |||
| Prevalence | 1983 | 1988 | 1993 |
| Observed | 40.0 | 54.0 | 63.9 |
| Expected | 43.4 | 58.4 | 67.6 |
| Effect* | -8.5 | -8.2 | -5.8 |
| *Calculated as ([Observed prevalence - Expected prevalence]/Observed prevalence) x 100. | |||
| Table 5. Observed and expected abortion ratio and effect of sex preference on the abortion ratio in Matlab comparison and project areas, by period | ||||||
| Ratio and effect | Comparison area | Project area | ||||
| 1982-1986 | 1987-1991 | 1992-1995 | 1982-1986 | 1987-1991 | 1992-1995 | |
| Observed | 20.9 | 39.5 | 51.1 | 15.6 | 24.8 | 23.8 |
| Expected | 28.5 | 53.9 | 70.5 | 19.9 | 33.8 | 36.9 |
| Effect* | -36.0 | -36.5 | -38.0 | -27.4 | -36.3 | -55.0 |
| *Calculated as ([Observed ratio - Expected ratio]/Observed ratio) x 100. | ||||||
| Table 6. Observed and expected percentage of women giving birth, effect of sex preference on fertility, and TFR in Matlab comparison and project areas, by period | ||||||
| %, effect and TFR | Comparison area | Project area | ||||
| 1984-1986 | 1989-1991 | 1994-1995 | 1984-1986 | 1989-1991 | 1994-1995 | |
| Observed | 58.1 | 49.6 | 27.2 | 47.3 | 36.4 | 22.7 |
| Expected | 54.3 | 45.4 | 24.9 | 43.1 | 32.6 | 19.9 |
| Effect* | 6.5 | 8.3 | 8.6 | 9.0 | 10.4 | 12.3 |
| TFR | 5.5 | 4.7 | 3.8 | 4.3 | 3.3 | 3.0 |
| *Calculated as ([Observed percentage - Expected percentage]/Observed percentage) x 100. | ||||||
| © copyright 2001, The Alan Guttmacher Institute. |