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In: Demographic trends in the European region: health and social implications, edited by Alan D. Lopez and Robert L. Cliquet. Copenhagen, World Health Organization, Regional Office for Europe, 1984. 5-67. (WHO Regional Publications, European Series No. 17; Project RMI/79/P05)This chapter presents an overview of recent demographic trends in Europe and discusses the implications of these trends for health and social services. The discussion is based on reports received from 15 of the 33 Member States of the European Region of the World Health Organization. The components of demographic change analyzed included population growth and structure, family formation, fertility, mortality, and population movement. Increases in the number and proportion of the elderly were noted and the traditional excess of births over deaths is expected to change in future years. Population aging is expected to continue to be a principal concern for the social services sector. The increasing emphasis on caring for rather than attempting to cure chronic illnesses among the aged suggests a need for more nursing homes and home-help services. Anticipation of future morbidity and mortality patterns implies a need to focus on specific risk groups, e.g. migrants, adult males, and those from lower socioeconomic groupings. With regard to fertility, adolescent sexual activity and the low use levels of contraception among teenagers comprise areas where greater service provision is necessary. In addition, there is a need for more vocational training for women, improved child care facilities, and full-time employment opportunities better suited to the needs of workers with dependent children. As a result of smaller families, increased divorce rates, the discrepancy between male and female survival, and greater regional mobility, markedly higher numbers of single individuals can be expected. Rapidly evolving changes in family formation, social norms, and underlying demographic trends will continue to alter European societies in the years ahead. The interrelationships between health and demographic phenomenon must continue to be probed to form a basis for future health and social planning.
Population trends and issues, statement made at the Meeting of the Netherlands Association of Demographers, The Hague, Netherlands, 14 September, 1983.
New York, N.Y., UNFPA, . 7 p. (Speech Series No. 97)If world population is to stabilize by the end of the next century, it will be necessary to strengthen and sustain the downward trend in fertility already begun in most developing countries. Whatever reductions have been achieved in the rate of population growth are the result of fertility declines accompanied by moderate reduction in mortality. Added to the challenge of high birth, mortality and growth rates in some parts of the developing world, a number of issues of equal importance have emerged since the United Nations World Population Conference held in Bucharest in 1974. There are, for example, issues relating to aging, international and local migration, including urbanization, and the interrelationships between population, resources, the environment and development. Most of these problems have national as well as international dimensions. The Government of the Netherlands has taken important steps to alleviate some of these problems. For example, it considers that social and economic policy should constantly take in requirements resulting from changes in the age structure of the population. The Government has been a major donor to the United Nations Fund for Population Activities (UNFPA) since its inception and has contributed nearly US$105 million in 14 years.