CCPR Seminar

Live Births and Fertility amidst the Zika Virus Epidemic in Brazil

Abstract: In late 2015, the Brazilian Ministry of Health classified the increase in congenital malformations associated with the Zika Virus (ZIKV) a public health emergency. The risk of ZIKV-related congenital syndrome posed an exogenous threat to reproductive outcomes that could result in declining numbers of live births and potentially fertility. Using 2014-2016 monthly microdata on live births from the Brazilian Information System on Live Births, in this talk I examine live births and fertility trends amidst the ZIKV epidemic in Brazil. Findings suggest a decline in live births that is stratified across socioeconomic status and geographic lines, especially nine months after the call for pregnancy postponement. While declines in total fertility rates were small, fertility trends estimated by age and socioeconomic status suggest important differences in how Zika might have impacted Brazil’s fertility structure. Further findings using monthly data by municipality suggest that the epidemic resulted in a significant decline in fertility even when controlling for characteristics of the municipality. The findings highlight the importance of understanding how exposure to the risk of a health threat directed at fetuses has led to declines in fertility.

Please join us to hear our residents interesting research and give feedback for their upcoming PAA presentations. Presenters: Amanda Gonzalez, "Do You Need to Pay for Quality Care? Exploring Associations Between Bribes and Out-of-Pocket Expenditures on Quality of Labor and Delivery Care in High Volume Public Health Facilities in Uttar Pradesh, India" Mary Robbins, "A […]

Understanding China's Low Fertility in a Gender and Development Approach

Without a surge of new born babies after the Chinese government relaxed the 40-year-long strict one-child family planning policy in 2013 and 2015, the focus of debates regarding China’s declining fertility has shifted from policy to economic and social forces. Different from the mainstream demographers in China, we propose a gender and development approach to understand low fertility in post-reform China. During China's transition from the socialist planned economy to market economy, the old danwei system collapsed and the public and private spheres are increasingly separating, resulting in women's intensified work-family conflicts. Emphasizing on women's dual roles regarding material production and social reproduction, we argue that sustainable fertility, gender equality and economic development can either create a virtuous circle or be trapped in a vicious circle.

With a certain degree of gender equality in both the labor market and the private families, adult women can fully exert their talents at work which can both contribute to economic growth, and also empower them at home. This can help them realize their fertility desires. With unsatisfying or uneven gender equality in the two spheres, either some Chinese women can be pushed out of the labor market to have a second child, or young women may choose to focus on personal development, and postpone or forgo marriage/fertility. We also propose a multi-party-participation social mechanism to address the long term low fertility in China, encouraging individual men and women, family, business and government to all share the duty of social reproduction.

Leveraging big data to assess health effects of changes in physical and social environments, and policy and program implementation

In the era of big data there are opportunities to answer policy-relevant health questions in ways that are timely and cost-efficient. This talk will describe coordination of health data resources for health monitoring and to address questions about the health effects of policies in California. Examples of health effect assessments, including those related to gun shows and the Mental Health Services Act (MHSA), will be presented.