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101 Cards in this Set

  • Front
  • Back
What are the 3 main types of sources of demographic data?
Vita registration, census, survey
Why was 1790 census of USA not a census by the definition?
Not universal (slaves weren't counted)
Name one survey done regularly in the USA
Demographic and Health Surveys
From what data is the "wealth index" constructed?
Assets owned, source of drinking water
Why do surveys typically have better data quality than censuses?
Stratified sampling
What does GDP stand for?
Gross Domestic Product

the total market value of all goods/services produced in the country
Name 2 dynamic aspects of population change studied by demographers
Births, Deaths
Why might study of cemetery records give a biased picture of mortality in the past?
Not everyone had grave markers; biased towards wealthy
In what region do most of the ppl in the world live?
Asia
Which region has the highest pop growth rate?
Sub-Saharan Africa
What is the world pop size in 2012?
7.1 billion
About how many ppl are added to the planet each yr?
82 million
What is the bookkeeping equation of pop change?
Pt = Po + B - D + I - O

(B = birth, D = death, I = immigrants, O = out migrants)
What is the simple rule to find doubling time given the rate of growth?
Rule of 70
What is the Rule of 70?
A 1% growth rate will double the pop in 70 years
(0.5% = 140 years
2% = 35 years)
Name 2 countries in top 10 with highest rate of natural increase
Niger, Uganda
Name 2 countries in top 10 with lowest rate of natural increase
Ukraine, Bulgaria
Approximately how much is the US pop growing each yr?
3 million
About what proportion of US growth is due to immigration?
33% (1 million)
What are the 4 stages of demographic transition?
1. High birth and death rates
zero/low growth
2. Death rates declining, birth rates still high
high growth rate
3. Death rates and birth rates declining
declining growth rate
4. Birth and death rates low
low growth rate
Population momentum
The ratio of ultimate pop size to current pop size if fertility immediately declines to replacement level
Why is pop momentum an important concept for countries concerned about pop growth in the future?
1
Name 2 largest cities in the world in 1950. In 2010?
NYC, Paris
Tokyo, Shanghai
Describe the epidemiological transition
Shift in age structure of the mortality

Change in patterns of mortality/morbidity; from infectious diseases to non-communicable diseases
What is the def of the maternal mortality ratio
the number of women who die during pregnancy and childbirth, per 100,000 live births

(# maternal deaths in yr*100,000)/(# live births in yr)
2 major causes of death in children under 5 in the world
Diarrhea
Pneumonia
Infant mortality rate
(# infant deaths in year * 1000)/(# live births in yr)

units: deaths per 1,000 live births
Neonatal mortality rate
(# deaths of newborns in first month of life * 1000)/(# births)

units: deaths per 1,000 live births
Post-neonatal mortality rate
(# deaths children 1-11 months)/(# births)
Name one continent where polio has been eradicated
North America
How is malaria transmitted from human to human?
Mosquitoes
What is a simple low-cost treatment for diarrhea?
Oral rehydration therapy
Definition for expectation of life at birth
Expected yrs a newborn will live if s/he survives according to survival rates given by current lvls of mortality by age in the pop
Why is malnutrition very important even though it's rarely a cause of death in children?
Leads to susceptibility of death through other causes
Why is CDR a poor measure to compare the health of pop?
CDR = crude death rate
CDR is affected by pop age structure.

LDCs with young pop will often have lower CDR than MDCs even though overall health conditions are poorer.

--> must be stratified by age
Name one way to prevent malaria
Mosquito nets
What is the intervention that prevents polio and measles?
Vaccination
The sum of cause-specific death rates in a pop gives what rate?
Crude death rate
Intermediate/proximate fertility variabe
VS
Distal
Biological determinants

Underlying determinants of fertility (socioeconomic, cultural. Health)
Name 3 intermediate fertility variables
Married/in union
Contraception
Induced abortion
TFR Definition
Total fertility rate
The sum of age-specific fertility rates (must multily by 5 if 5-year age groups for ASFR)

# of children a woman age 15 would have if she had children according to current fertility rates by age and survived to the end of reproductive yrs
ASFR
Age Specific Fertility Rate

(# Live births * 1000)/(# women in age categ)
(live births/1000 women
Fecundability
Probability a women will conceive during a menstrual cycle
Parity
# children born alive to a woman
Gravidity
# pregnancies a woman has had
Fecundity
Physiological capacity to conceive
Model of Fertility Change
Distal --> Proximate --> Fertility Outcome

Distal = Education, Wealth, Place of Residence

Proximate = Married, Contraception, Induced abortion
What is the most important intermediate determinant of fertility?
Contraceptives
What is the most important distal determinant of fertility?
Female education
Replacement fertility
# births/woman so the pop exactly replaces itself in the long run
What % of the world pop lives in countries with at/below replacement fertility?
48% in 2010
Postpartum amenorrhea
the time period between the end of pregnancy and the resumption of menstruation after delivery
Postpartum insusceptibility
interval of time postpartum when woman is not at risk of conception either due to postpartum amenorrhea or postpartum abstinence
Why is the duration of postpartum amenorrhea associated with the duration of breastfeeding?
Duration and frequency of breast-feeding were positively related to length of postpartum amenorrhea
What 5 yr age group of women typically has the highest fertility?
20-24
What are the 2 types of unintended pregnancy
Mistimed
Unwanted
What are the most popular contraceptive methods in the world?
Female sterilization
IUD
Approx how many sperm are in one ejaculate?
150-300 million
Where is the epididymis located?
above the testis
Where do fertilization usually occur?
Fallopian tube
What are the 2 phases of the menstrual cycle?
Follicular (estradiol)
--> Ovulation <--
Luteal (progesterone)
What is the problem with oil lubricants and condoms?
Allergic reactions, dulls the sensation of sex
What contraceptive method is believed to have been responsible for the fertility decline in France in the early 1800s?
Withdrawal
In what region is under-5 mortality the highest?
Sub-Saharan Africa
What is the single most important direct cause of death for children worldwide?
Malnutrition
Name one micronutrient deficiency that contributes to child mortality
Vitamin A deficiency (23% of deaths in children)
In what region is malnutrition the greatest?
Sub-Saharan Africa and South Asia
Why is it important to begin breastfeeding within 30 min or 1 hour of birth?
Your baby starts to receive the immunological effects of colostrum (has antibodies and nutrients)

i.e. Diarrhoea incidence dramatically less
Define exclusive breastfeeding
the infant only receives breast milk without any additional food or drink, not even water
What immunization is important for the mother to receive before or during pregnancy?
Hepatitis B
Name 2 important vaccines for children
Hepaptitis B
Influenza
What is ORS?
Oral Rehydration Solution - use of modest amounts of sugar and salt added to water in order to prevent and/or treat dehydration

(for use in oral rehydration therapy)
Name 2 preventive interventions for child mortality
Breastfeeding
Water, Sanitation, Hygeine
Name 2 therapeutic interventions for child mortality
Oral Rehydration therapy
Antibiotics for pneumonia
In what region is contraceptive use the lowest?
Sub-Saharan Africa
Name 3 reproductive health components
Infertility
Contraception
Abortion
Do abortion rates typically go up or down as contraceptive prevalence rises?
Down
What is the rationale for the statement “development is the best contraceptive?”
Social development had a role in reducing the fertility rate at this time by creating a more conducive environment.

Although some developing countries can cover their own contraceptive costs, most lack the capacity to meet their own needs
What is the difference between a horizontal and a vertical health program?
Vertical = one intervention (attacking one/a few health problems)

Horizontal = integrated interventions
Advantages of vertical health program
One-off and done
There's a focus so easier for training/supervision
Relatively inexpensive
No need to improve local health infrastructure
In what decade was the contraceptive pill first marketed?
1960s
What is the “Mexico City” policy?
Prohibits USAID from funding foreign NGOs that provide abortion services, legal or illegal, or that promote the its legalization, even if they use their own funds for these activities
Female Sterilization
Cauterize fallopian tubes
Male Sterilization
Cauterize vas deferens
Exponential growth rate equation
Pt = Po * e^(rt)
Linear equation for population change
P(t) = P(o) + k*t

k = number added per year
Age-Specific Death Rate Equation
M(a) = D(a) * 1000/P(a)

M = mortality, D = number of deaths in time period, P = midpoint population

# deaths/1000 people of a specific age group
Probability of becoming pregnant equation
Probability(conceive in n months) = 1 – (1-p)^n

p = failure rate of contraception

i.e. Periodic Abstinence for 5 years
Failure rate = 25%
1-(1-0.25)^5 = 76% of women will be come pregnant in 5 years using periodic abstinence method
Total Fertility Rate Equation
TFR = k*Sum(ASFR(a))

ASFR(a) = B(a)/W(a) and B = number of births to women of age a; W = midpoint number of women of age a. If age is in single years, k=1; if groups of 5 years then k=5.
Death
Disappearance of life at any time after LIVE BIRTH
Census Essential features
Individual enumeration
Universality
Simultaneity
Periodicity
Globally, a higher rate of pop growth is associated with a lower rate of economic growth
1
Rate of natural increase
1000*(B-D)/P
Neonatal Tetanus
bacteria
Babies develop arched back and convulsions

Immunize with shot
Polio
highly contagious
paralysis and death

vaccine
ASFR between less and more developed regions
Less dev have higher younger fertility rate
More dev have higher middle-age fertility rate
Pneumonia treatment
antibiotics
Iodized Salt and Vitamin A
Important supplements
IUD
T-shaped device inserted into uterus
It suppresses growth of endometrium
Amount world population grows each year
82 million
Name a state in which euthanasia is permitted
Washington