Birth rate= The total number of babies per thousand people born in a given year.
Death Rate= The total number of deaths per thousand people in a given year.
Infant mortality rate= The total number of children who die before their first birthday per thousand live births in a given year.
Child-centeredness = The way in which society and the family has become more focused on the needs of the child rather than the needs of the adult.
Economic liability = Children are a net-drain on their parent's income and produce no goods or services of value in return.
Birth rates have fallen over time, but tend to fluctuate.
Decline in the IMR
If fewer children die then parents won't have more children to replace those they lost; a fall in the IMF leads to a fall in birth rates and vice versa.
Better nutritional information, improved housing and sanitation, improvements in hygiene, medicine and technology, child welfare provisions and natal and anti-natal clinics have all contributed.
Explanations for the changes in death rates
Improved nutrition
Medical improvements
smoking and lifestyle choices
Social policies and public health measures
Improved nutrition
McKeown(1972) argues improved nutrition accounts for a reduction in fifty percent of the death rates.
Better nutrition improves health and quality of life, and increases the likelihood of survival from illnesses and disease.
Medical Improvements
Antibiotics, immunisation and vaccinations, maternity services, blood transfusions, improved medication etc.
Smoking and lifestyle choices
The falling rate of the number of people smoking has been a key factor in the falling death rate.
Obesity, however, has now replaces smoking as the primary health concern and main lifestyle epidemic.
Although obesity has increased dramatically deaths from obesity remain relatively low.
Social policies and public health measures
Improvements in social housing, clean Air Act 1956, improved drinking water, pasteurisation of milk and food adulteration have all contributed.
Social changes:
Decline of dangerous manual labour occupations.
Smaller family sizes reduces transmission of infections.