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Environmental Problems, Their Causes, and Sustainability 1

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Extremely EffectiveTotal abstinenceSterilizationVaginal ringHighly EffectiveIUD with slow-releasehormonesIUD plus spermicideVaginal pouch(“female condom”)IUDCondom (good br<strong>and</strong>)plus spermicideOral contraceptive100%99.6%98–99%98%98%97%95%95%93%smaller number of children because fewer children dieat an early age.Average age at marriage (or, more precisely, the averageage at which women have their first child) alsoplays a role. Women normally have fewer childrenwhen their average age at marriage is 25 or older.Birth rates <strong>and</strong> TFRs are also affected by the availabilityof legal abortions. Each year about 190 millionwomen become pregnant. The United Nations <strong>and</strong> theWorld Bank estimate that about 46 million of thesewomen get abortions: 26 million of them legal <strong>and</strong>20 million illegal (<strong>and</strong> often unsafe).The availability of reliable birth control methods (Figure10-12) allows women to control the number <strong>and</strong>spacing of the children they have. Religious beliefs, traditions,<strong>and</strong> cultural norms also play a role. In some countries,these factors favor large families <strong>and</strong> strongly opposeabortion <strong>and</strong> some forms of birth control.EffectiveCervical capCondom (good br<strong>and</strong>)Diaphragm plusspermicideRhythm method (Billings,Sympto-Thermal)Vaginal sponge impregnatedwith spermicideSpermicide (foam)Moderately EffectiveSpermicide (creams,jellies, suppositories)Rhythm method (dailytemperature readings)WithdrawalCondom (cheap br<strong>and</strong>)UnreliableDoucheChance (no method)10%40%75%74%74%70%86%84%83%82%89%84%Figure 10-12 Typical effectiveness rates of birth control methodsin the United States. Percentages are based on the numberof undesired pregnancies per 100 couples using a specificmethod as their sole form of birth control for a year. For example,an effectiveness rating of 93% for oral contraceptivesmeans that for every 100 women using the pill regularly for ayear, 7 will get pregnant. Effectiveness rates tend to be lower indeveloping countries, primarily because of lack of education.Globally about 39% of the world’s people using contraceptionrely on sterilization (32% of females <strong>and</strong> 7% of males), followedby IUDs (22%), the pill (14%), <strong>and</strong> male condoms (7%). Preferencesin the United States are female sterilization (26%), the pill(25%), male condoms (19%), <strong>and</strong> male sterilization (10%).(Data from Alan Guttmacher Institute, Henry J. Kaiser FamilyFoundation, <strong>and</strong> the United Nations Population Division)What Factors Affect Death Rates? ReducingDeathsDeath rates have declined because of increased foodsupplies, better nutrition, advances in medicine, improvedsanitation, <strong>and</strong> safer water supplies.The rapid growth of the world’s population over thepast 100 years was not caused by a rise in the crudebirth rate. Instead, it was caused largely by a decline incrude death rates, especially in developing countries.More people started living longer <strong>and</strong> fewer infantsdied because of increased food supplies <strong>and</strong> distribution,better nutrition, medical advances such asvaccines <strong>and</strong> antibiotics, improved sanitation, <strong>and</strong>safer water supplies (which curtailed the spread ofmany infectious diseases).Two useful indicators of overall health of peoplein a country or region are life expectancy (the averagenumber of years a newborn infant can expect to live)<strong>and</strong> the infant mortality rate (the number of babies outof every 1,000 born who die before their first birthday).Great news. The global life expectancy at birth increasedfrom 48 years to 67 years (76 years in developedcountries <strong>and</strong> 65 years in developing countries)between 1955 <strong>and</strong> 2004. It is projected to reach 74 indeveloping countries by 2050. Between 1900 <strong>and</strong> 2004,life expectancy in the United States increased from 47to 77 years <strong>and</strong> is projected to reach 82 years by 2050.Bad news. In the world’s poorest <strong>and</strong> least developedcountries, mainly in Africa, life expectancy is 49years or less. In many African countries life expectancyis expected to fall further because of more deaths fromAIDS.Infant mortality is viewed as the best single measureof a society’s quality of life because it reflects acountry’s general level of nutrition <strong>and</strong> health care. Ahigh infant mortality rate usually indicates insufficientfood (undernutrition), poor nutrition (malnutrition),182 CHAPTER 10 Applying Population Ecology: The Human Population

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