Indirect techniques are applied to estimate the current level of fertility and mortality among Kuwaiti nationals in Kuwait during 1980–85. The various methods discussed provide estimates in the vicinity of 45 per thousand for birth rate and 8 per thousand for death rate. While child spacing by birth order in Kuwait is about 2 years, the proportion of childlessness is very low (1%). As a consequence of lower mortality and stable high fertility, the Kuwaiti population remains young.

Data from 157 men in Nepal who had vasectomy reversal are analysed. Most sought reversal within 5 years of vasectomy. Half of the men sought reversal because of the death of a male child, and about one-fourth because of the loss of a female child. Re-marriage was the primary reason for only 10% of the men. Those having reversal because of the loss of a male child were generally younger, and for almost half of this group, the age of their last child at the time of their vasectomy was under 2 years. The results suggest that the demand for reversal could be considerably reduced by more careful screening of the potential vasectomy acceptors.

Between 1981 and 1982 the Royal College of Obstetricians and Gynaecologists undertook a national survey of late abortion practice in England and Wales. The study was based on a confidential enquiry, specifically authorized by the Chief Medical Officers of the DHSS and the Welsh Office, which used the notification system as the means of identifying cases. All abortions notified as carried out at 20 weeks gestational age or more were selected during the year, together with varying proportions of cases from other gestational groups. Data on avoidable and unavoidable causes of delay were obtained by questionnaire from notifying doctors, and a comparison was made of the subjectively attributed delay with any that was found through objective measures derived from both questionnaire and notification data. This paper presents results on delay associated specifically with abortions carried out at a gestational age of 20 weeks or more to residents of the United Kingdom only.

Data on fertility in a white Australian population based upon the vital records of the nineteenth century for two districts in Tasmania are presented. Mean family size was apparently low (3·2) and reproductive period short. However, when allowance was made for the truncation of birth records of migrant families, family size increased (4·9) markedly. Social class is shown to have a consistent effect on fertility levels in the larger community with low fertility associated with inferior economic status. Owing to the paucity of information contained within the vital records, it was impossible to investigate either age structure or migration effects on fertility. There is also evidence to suggest inbreeding is associated with higher, not lower, fertility.

In a survey in Ankole (Uganda) in 1985, 1664 women in samples of the three socioeconomic groups (pastoralists, cultivators and mixed farmers) were asked questions on their reproductive history, and 1029 men questions on educational and wedding costs and their expectations of help from relatives and obligations to help relatives. It is shown that the extended family system allows a great deal of mutual support, while the power of the elders allows them to influence younger married relatives to follow the pronatalist traditions of the society.

Data from a sample interview survey conducted in Accra in 1982 show that there is a very high level of knowledge of contraceptive methods among mothers aged 25–39 years (92%). However, only about 41% of the women had ever used any form of contraception, and only 18% were using modern methods at the time of the study. This is low for a city where an official family planning programme has been in operation for 15 years, even when the confounding effects of availability and accessibility of services have been controlled for. Suggestions are made for increasing the effectiveness of such programmes.

When assessing the effects of a programme one must first consider its objectives. When applied to the improvement of health, the word programme implies an intervention which is sustained, complex, dealing with more than a single aspect of one disease and usually going beyond simple provision of fixed curative facilities. How a programme is assessed will vary with the different components and the underlying purpose of the assessment. It is important to ask just what information is needed and whether or not it needs to be collected on a longitudinal basis.

When the first Eugenics Society Symposium (Meade & Parkes, 1965) was held in 1964, its final session, on ‘Aspects of Fertility Control’, included two papers (Peberdy, 1965; Morgan, 1965) describing experimental family planning services, which offered advice and treatment in their own homes to the ‘problem parents’ of large families in the lower working class. These two projects, established from 1959 onwards in Newcastle and Southampton, together with a similar service pioneered in York by Dr Dronfield, have been used as models for subsequent ‘domiciliary family planning services’, and an account of one (Brittan, 1964) has been reprinted by the FPA as an information leaflet.

Data from a survey of 349 fertile married women are used to examine the significance of cultural context for contraceptive behaviour in a traditional Indian village. While sterilization was widely sanctioned, other methods were little known, favoured or used. Relationship with modernization indicators also varied for different contraceptive techniques.

Traditional respondents were as favourable towards sterilization as modern women, but modern women were significantly more likely to accept other methods. These results are attributed to differential government efforts which have placed almost exclusive emphasis upon sterilization. It is argued that an expanded family planning programme would overcome the inertia of tradition concerning non-terminal contraception.

The increasing prevalence of obesity in children and adolescents has become one of the most important public health issues around the world. Lack of physical activity is a risk factor for obesity, while being obese could reduce the likelihood of participating in physical activity. Failing to account for the endogeneity between obesity and physical activity would result in biased estimation. This study investigates the relationship between overweight and physical activity by taking endogeneity into consideration. It develops an endogenous bivariate probit model estimated by the maximum likelihood method. The data included 4008 boys and 4197 girls in the 5th–9th grades in Taiwan in 2007–2008. The relationship between overweight and physical activity is significantly negative in the endogenous model, but insignificant in the comparative exogenous model. This endogenous relationship presents a vicious circle in which lower levels of physical activity lead to overweight, while those who are already overweight engage in less physical activity. The results not only reveal the importance of endogenous treatment, but also demonstrate the robust negative relationship between these two factors. An emphasis should be put on overweight and obese children and adolescents in order to break the vicious circle. Promotion of physical activity by appropriate counselling programmes and peer support could be effective in reducing the prevalence of obesity in children and adolescents.

Family planning practices were reported by 491 married women, aged 15-49, who applied to the Family Planning Centre in Isparta, Turkey. Eighty-four percent of the women used contraception, the IUD being used most frequently. Almost half of the women married before age 18 years.

The secondary sex ratio (the ratio of boys to girls at birth) may demonstrate a decline following community stress-inducing major destructive events. This study aims to investigate whether or not moderate adverse life events, in conjunction with endogenous psychological characteristics, can induce sufficient community stress to affect the sex ratio. From April 3rd to May 8th 2006 a moderate sized earthquake sequence occurred offshore the Greek island of Zakynthos, which had been hit by a destructive earthquake half a century earlier. The monthly sex ratio after the earthquake sequence was estimated and compared with that of previous and following years. Eleven months after the onset of the earthquakes the sex ratio fell to 1.000, and during the next two months (March and April) it declined further to 0.612. The sex ratio one year before its decline was 1.158 and over a total 6-year period, 3 years before and 3 years after the sequence, it was 1.063; the March–April decline in male births is significant (OR=0.53, 95% CI=0.32–0.86, p=0.013, and OR=0.57, 95% CI=0.36–0.91, p=0.023, respectively). Also, the number of boys relative to girls in March–April 2007 was significantly lower than during the same months 3 years before and after the sequence (OR=0.50, 95% CI=0.31–0.82, p=0.007). The findings suggest that basic biological characteristics, such as the sex ratio, can be affected by psychological stressors interwoven with the pertaining psychology of the population.

This paper reports the development of a short scale (ten items) entitled ‘Social Relationships to Prevent Obesity’ (SRPO), which examines how social relationships support the continuous and conscious endeavour to lose weight. The construct and criterion validity of this scale were ascertained in this study. Factor structure and reliability were examined using data from a randomized controlled trial. A confirmatory factor analysis of the SRPO revealed three relevant factors. The results suggest that the SRPO has both validity and clinical utility and can thus be used as a screening tool in weight-loss interventions and to assess the degree of, and trends in, self-control for weight loss in individuals. The scale can also be used to examine the environmental and self-control problems faced by obese people – factors that should be considered when conducting weight-loss interventions.

In the Kingdom of Tonga, migration to overseas developed countries has prevailed. To elucidate the effects of migration on population dynamics, an interview survey was conducted in the migrant-sending community of Kolovai, in the outer region of Tongatapu Island. All births, deaths, marriages and in- and out-migrations that took place between 1983 and 2002 were recorded for all members of the ‘Kolovai population’, consisting of persons who had lived in this community for at least a one-year period during this 20 years. The ‘Kolovai population’ members, numbering 1184 (564 males and 620 females), were divided into three groups based on residence at the end of each year, i.e. Kolovai (called KK), other places in Tonga (KT) or overseas countries (KO). The KK population decreased from 774 in 1982 to 570 in 2002, owing mostly to an increase of 167 persons as the natural balance and a decrease of 324 persons as the balance of international migration. Comparison of total fertility rate (TFR) between KK and KO women revealed that the mean TFR of the former decreased from 3·460 in the earlier 10-year period (1983–1992) to 2·240 in the later 10-year period (1993–2002), while that of the latter was more than 3·5 in both 10-year periods. This difference was largely due to the decrease in the proportion married among KK women. If the current trends of international migration and fertility continue, the population of Kolovai will be reduced and its age composition will become cylinder-shaped in the near future.

International comparisons of the effectiveness of coronavirus disease 2019 (COVID-19) non-pharmaceutical interventions (NPIs) based on national case and mortality data are fraught with underestimated complexity. This article calls for stronger attention to just how extensive is the multifactorial nature of national case and mortality data, and argues that, unless a globally consistent benchmark of measurement can be devised, such comparisons are facile, if not misleading. This can lead to policy decisions and public support for the adoption of potentially harmful NPIs that are ineffective in combating the COVID-19 pandemic and damaging to mental health, social cohesion, human rights and economic development. The unscientific use of international comparisons of case and mortality data in public discourse, media reporting and policymaking on NPI effectiveness should be subject to greater scrutiny.

The inbreeding coefficient of a population, estimated from ecclesiastical Roman Catholic dispensations, results from the relative contribution of different degrees of relationships (uncle–niece, first cousin, etc.). The interpopulation comparisons of consanguinity patterns may be obscured by the fact that in 1918 the Roman Catholic Church norm regulating the closest marriageable kinship was modified, limiting the application for an ecclesiastical dispensation to relatives of third degree (second cousins) or closer. Depending on the length of the period before or after the change of regulation, coefficients and rates may differ. Deviation of frequencies for multiple marriages may also occur. The aim of the present paper is to determine how the chosen procedure based on ecclesiastical dispensations may affect results, regarding the inbreeding coefficient, the consanguinity rate, the structure of consanguinity and the close/remote kinship ratio. As a sample case, information from the Gredos mountain range (central Spain) has been used.