Publication Abstract

Ghimire, Dirgha J., and Lynette F. Hoelter. 2007. “Land Use and First Birth Timing in an Agricultural Setting.” Population and Environment 28(6):289-320.

The dramatic changes in the earth’s landscape have prompted increased interest in the links between population, land use, and land cover. Previous research emphasized the notion of population pressure (population pressure increases demands on natural resources causing changes in land use), overlooking the potentially important effects of changes in land use on humans. Using multiple data sets from the Chitwan Valley Family Study in Nepal, we test competing hypotheses about the impact of land use on first birth timing. We argue that while agricultural land should encourage early childbearing, land area devoted to public infrastructure should discourage it. The results show that individuals from neighborhoods with larger proportions of land under agriculture experienced first birth at rates higher than those from neighborhoods with smaller proportions. On the other hand, individuals from neighborhoods with larger proportions of land under public infrastructure experienced first birth at rates lower than those from neighborhoods with smaller proportions. However, the effects of public infrastructure are not as strong as the land area devoted to agriculture.

DOI: 10.1007/s11111-007-0056-3

Publication Abstract

Brauner-Otto, Sarah R., William G. Axinn, and Dirgha J. Ghimire. 2007. “The Spread of Health Services and Fertility Transition.” Demography 44(4):747-770.

We use detailed measures of social change over time, increased availability of various health services, and couples’ fertility behaviors to document the independent effects of health services on fertility limitation. Our investigation focuses on a setting in rural Nepal that experienced a transition from virtually no use of birth control in 1945 to the widespread use of birth control by 1995 to limit fertility. Changes in the availability of many different dimensions of health services provide the means to evaluate their independent influences on contraceptive use to limit childbearing. Findings show that family planning as well as maternal and child health services have independent effects on the rate of ending childbearing. For example, the provision of child immunization services increases the rate of contraceptive use to limit fertility independently of family planning services. Additionally, new Geographic Information System (GIS)-based measures also allow us to test many alternative models of the spatial distribution of services. These tests reveal that complex, geographically defined measures of all health service providers outperform more simple measures. These results provide new information about the consequences of maternal and child health services and the importance of these services in shaping fertility transitions.

DOI: 10.1353/dem.2007.0041

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