Unwanted fertility in Mexico

Data from the 1987 National Health and Fertility Survey were used to explore trends and differentials in unwanted fertility in Mexico. Women were classified in three educational categories: illiterate or incomplete primary, complete primary or some secondary, and complete secondary or more. The four urbanization categories were: under 2500; 2500 to 19,999; 20,000 and more; and metropolitan areas. The place of primary socialization was the place of residence until age 12. Two categories of employment of household head were included, agricultural or nonagricultural. The categories for mother's employment considered employment until the union and employment between the time of union and the birth of the first child. The proportion of births that were unwanted was estimated by calculating the total fertility rate for the year before the survey and comparing it to desired family size. The "total desired family size" was 2.4 for the entire sample. In other words, nearly 37% of the total fertility rate was undesired. The greatest differentials in percentages of undesired fertility were found in educational categories. 40.7% of the total fertility rate in the least educated groups vs. 13.6% in the most educated groups was undesired. Differentials in the other categories ranged from 1.9 for a history of employment before the birth of the first child to 8.8 for agricultural or nonagricultural employment of the household head. When effects of education were controlled, the percentage of undesired fertility declined as educational level increased for all rural or urban residence categories, places of socialization, and employment groups except women who worked before the first child was born. Women with more education, urban residence, and with histories of employment had the lowest levels of undesired fertility.     

Doctors under the knife

With Bill Clinton's new reforms only a month away, the health-care system is on the operating table--and the doctors are under the knife. Americans have a love-hate relationship with physicians: they like the care that doctors provide but hold them to blame for the nation's health-care mess. NEWSWEEK looks at how the culture of medicine may change, assesses doctors' fears--and examines the brave new world of HMOs.     

Book reviews

Transcaucasian Boundaries John F. Wright, Suzanne Goldenberg and Richard Schofield (editors) London: UCL Press, 1996, 248pp, £40 and £14.95

The Russian Policy Debate on Central Asia Irina Zviagelskaia London: Royal Institute of International Affairs, 1995, X, 41 pp, £12.50

CIS Integration Trends: Russia and the Former Soviet South Mark Webber London: Royal Institute of International Affairs, 1997, IX, 72 pp, £12.50 Both distributed by Plimbridge Distributors Ltd, Estover Road, Plymouth. Devon PL6 7PZ, and in North America by the Brookings Institutional Press, Washington DC.

Russia and Azerbaijan: A Borderland in Transition Tadeusz Swietochowski New York: Columbia University Press, 1995, xvi, 290 pp, $34.95

The Soviet Socialist Republic of Iran, 1920–1921 Cosroe Chaqueri Pittsburgh, Pa: University of Pittsburgh Press, 1995, xvii, 649 pp, $75.00

Bibliography of Islamic Central Asia Yuri Bregel (editor and compiler) Bloomington, Indiana: Research Institute for Inner Asian Studies, Indiana University, 1995, in three volumes: Pt. I, LXXTV+773 pp; Pt. II, XLIII+774–1512 pp; Pt. III, XXXII+1513–2276 pp, $299

Mohieddin Alempour. A Tajik Visionary Baqer Moin (editor) London: BBC Persian Service, Bush House, 1997, illus, 140 pp, £20

Tatar Costume M. Zavyalova Kazan: Zaman Publishers Fund Turan, 1996, illus, 252 pp, $50