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Bangkok, Thailand, United Nations, Economic and Social Commission for Asia and the Pacific [ESCAP], 1987. 10 p. (Population Research Leads No. 25)The Asian and Pacific region's decline in fertility and mortality over the past 2 decades has resulted in large shifts in the age composition of national populations, which affects planning in nearly every social and economic sector. For the region as a whole, the crude birthrate is estimated to have remained at 40/1000 population until about 1970, declining to 27/1000 in the 1980-85 period. This rapid decline in fertility has complicated population policy formulation and the integration of population factors into development planning. The demonstration that government programs could alter demographic trends meant that population no longer could be treated simply as an exogenous variable in development planning. The combination of previously high fertility and declining mortality, which particularly affected the survival rates of infants and children, resulted in a small increase in the proportion of the population of the region below age 15, from 37% in 1950 to 41% in 1970. By 1985, the latter proportion dropped to 35% because of declining fertility. Due to the previously high fertility and more recent declines, the proportion of the population in working-age groups increased from 56% in 1975 to 61% in 1985 and is projected to reach 65% by 2000. Providing employment for this rapidly increasing population of labor-force age is a major challenge for countries of the region over the next several decades. For those few countries in the Asian and Pacific regions who had low birth and death rates by 1960, the current issue is demographic aging. As the rate of population growth per se decreases in importance as a planning goal, other aspects of population, such as spatial distribution, take on more significance. The rising marriage age and organized family planning programs were the primary causes of fertility decline in the region, although the decline was limited in South Asia where large pockets of high fertility (a total fertility rate in the range of 5-7) remain. The contribution of rising marriage age to further fertility decline is approaching the limit, except in the countries of South Asia where the marriage age continues to be below 20 years. In most of the countries of the region, the potential also exists for a 2nd generation "baby boom" resulting from a changing age structure. This would in turn slow down the pace of fertility decline unless compensated by a rapid fall in fertility of younger married women caused by successful implementation of family planning programs and other associated socioeconomic changes. Aside from the straightforward implications of demographic change, changes in age structure also imply changes in consumption patterns. Thus, planning for production, consumption, investment, and distribution always should incorporate changes in age structure.
Revue Francaise Des Affaires Sociales. 1984 Jun; 38 Suppl:103-25.The relationship between demographic variables and the costs of health care in France is examined from a macroeconomic perspective. Factors discussed include age and sex structure and family size. (ANNOTATION)