The relationship between female age and infertility is examined using a single-island Micronesian population case. Demographic data, derived primarily from reproductive history interviews, show that a significant age-associated decline in marital reproductive performance is absent before women reach their late thirties in this population but a substantial decline is present once women reach their forties. Ethnographic data support the demographic inference that couples are maintaining relatively high levels of conjugal coital activity with both advancing female age and increasing marital duration. Thus coital activity levels appear to be an important factor in the maintenance of fertility in this group before the mid-thirties but decreases in fecundability after this age are due primarily to reductions in fecundity, not to declines in coital activity. The description of the Butaritari case lends support to Underwood's (1990) suggestion that a "Micronesian pattern" of reproductive performance may exist for the region's atoll-based populations and underscores the promise of further investigations of these special cases in the fields of demography and reproductive ecology. :The aim of this study of infertility was to describe demographic patterns of infertility by age and their link with age-associated behavior changes, such as coital activity, on the Butaritari Atoll north of Tungaru in the Republic of Kiribati. The population is relatively circumscribed on this high-population-density island; there were high rates of nuptiality, minimal premarital exposure to pregnancy risk, low contraceptive usage, and an absence of sexually transmitted diseases that cause infertility. The population in 1990 was 3800, of which almost 50% were aged 15 years. Fertility was high, at a mean of 4.5 births for ever married women (N=791) and a completed fertility of 7.14 for ever married postmenopausal women. Almost all men and women marry. Primary infertility levels were only 1.29% of ever married postmenopausal women (N=231). Data on reproductive histories were collected from 87.1% (N=203) of all women aged 15 years in the village in 1990/91 and supplemented with other archival records. A subsample of 34 women were interviewed for a detailed analysis of life course changes in reproductive and sexual behavior. Census data from 1990 were also collected and checked against vital registration records. The following measures were examined: infertility in relation to marriage duration, current reproductive status of women in relation to age, infertility in relation to parity, infertility in relation to age, pregnancy failure in relation to age, and ethnographic factors. The findings indicated that infertility rarely occurred before the late 30s because of the low levels of subfecundity, no age variation in breast feeding patterns, no significant increase in reported fetal death rates before the 40s, and sustained coital frequency with increasing marriage duration. Coital frequency declined after the age of 40 years, as did fecundity. The coital patterns were found to be similar to the Micronesian region; women produce as many children at later ages as they do at earlier ages.

译文

:使用单岛密克​​罗尼西亚人口案例研究了女性年龄与不孕之间的关系。主要从生殖史访谈中获得的人口统计数据表明,在该年龄段的女性中,在三十岁以下之前,与婚姻相关的生殖性能没有明显的年龄相关性下降,但是,一旦女性达到40岁,则存在显着下降。人种学数据支持人口统计学推断,即随着女性年龄的增长和婚姻持续时间的延长,夫妻保持着较高的夫妻性交活动。因此,在三十多岁之前,性交活动水平似乎是维持该组生育能力的重要因素,但在这个年龄之后,生育能力下降主要是由于生育力下降,而不是交往活动下降。对Butaritari案的描述为Underwood(1990)的建议提供了支持,该建议认为该地区环礁地区的人口可能存在生殖活动的“密克罗尼西亚模式”,并强调了在人口统计学和生殖领域进一步研究这些特殊情况的希望。生态。
:这项不育研究的目的是描述基里巴斯共和国北部通加鲁北部的Butaritari环礁按年龄划分的人口统计学特征及其与与年龄相关的行为变化(如性活动)的联系。在这个人口稠密的岛屿上,人口相对有限。婚内率高,婚前极少有怀孕风险,避孕药具使用率低以及没有引起不育的性传播疾病。 1990年的人口为3800,其中将近50%的年龄为15岁。生育能力高,已婚妇女平均生育4.5胎(N = 791),已婚绝经妇女平均生育力7.14。几乎所有男人和女人都结婚。原发性不育水平仅是已婚绝经后妇女的1.29%(N = 231)。 1990/91年该村所有15岁妇女的87.1%(N = 203)收集了生殖史数据,并附加了其他档案记录。采访了34位女性的子样本,以详细分析生殖和性行为中生命过程的变化。还收集了1990年的人口普查数据,并对照人口动态登记记录进行了核对。检查了以下措施:与婚姻持续时间有关的不育,与年龄有关的妇女目前的生殖状况,与性别有关的不育,与年龄有关的不育,与年龄有关的妊娠失败和人种学因素。研究结果表明,不孕症在30年代末之前很少发生,这是因为生育力低下,母乳喂养的年龄没有年龄变化,40年代之前报告的胎儿死亡率没有显着增加以及随着婚姻持续时间的增加而持续的性交频率。 40岁以后,性行为频率和生殖力都下降了。发现其性交方式与密克罗尼西亚地区相似。妇女在较晚年龄生育的子女与在较早年龄的子女一样多。

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