Objectives-To assess trends in fertility and infant mortality rates (IMR) in Le6n, Nicaragua, and to examine the effect of women's education on these trends during 1964-1993, a period of rapid social change.
Design-Cross sectional survey, based on random cluster sampling.
A retrospective questionnaire on reproductive events was used.
Setting-The municipality of Le6n, which is the second largest city in Nicaragua, with a total population of 195 000 inhabitants.
Subjects-10 867 women aged 15-49 years, corresponding to 176 281 person years of reproductive life.
Their children contributed 22 899 person years under 12 months of age to the IMR analysis.
Main outcome measures-Fertility rate (number of pregnancies per 1000 person years) for specific age groups and calendar periods, total fertility rate, and IMR.
Fertility rates and IMR declined in parallel, especially during the 1980s.
However, education specific fertility rates did not decline, but the proportion of educated young women increased from 20% to 46%. This had also an impact on the overall IMR decline, although IMR reduction mainly took place among infants of women without formal education, decreasing from 118 to 69 per 1000 during the observation period.
Conclusions-In this demographic transition over three decades, fertility and IMR declined simultaneously. (...)
Mots-clés Pascal : Nicaragua, Amérique Centrale, Amérique, Fertilité, Mortalité, Périnatal, Homme, Femelle, Evaluation, Tendance, Statut social, Statut culturel, Etude transversale, Questionnaire, Etat sanitaire, Facteur sociodémographique
Mots-clés Pascal anglais : Nicaragua, Central America, America, Fertility, Mortality, Perinatal, Human, Female, Evaluation, Trend, Social status, Cultural status, Cross sectional study, Questionnaire, Health status, Sociodemographic factor
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0168557
Code Inist : 002B30A03C. Création : 16/11/1999.