This news brief reports findings from a 1996 survey of contraceptive accessibility and service quality in Shanghai, China. Surveys were administered among 100 attendants from 58 drug stores in 5 districts and counties in Shanghai. Drug stores are a primary source of supply of contraception. Findings indicate that 80% of respondents in Nanshi, 85% in Putuo, 45% in Baoshan, 80% in Qingpu, and 70% in Fengxian were satisfied with drug stores as a source of supply of contraception. The mean score on knowledge of contraception among attendants was 68.4; the range was 85.5-27.6. The mean score of ever trained attendants was higher (72.4), compared to 65.8 among untrained attendants. 80% of attendants served customers with consideration and answered questions willingly. Attendants were not able to provide adequate answers to some questions about contraceptives due to deficits in their own knowledge relative to contraception.
Although 10,676 people were officially reported to be infected with HIV on China's mainland by the end of June 1998, experts estimate that more than 300,000 Chinese are actually infected with HIV in China. They also believe HIV continues to spread in alarming fashion. Two thirds of reported HIV infection cases live in rural China, and nearly one third of the 301 people diagnosed as having AIDS have died. About 10% of all HIV infections occurred among teenagers under age 19 years old, with most infected through IV drug use. 60% of teens who responded to a survey in 1997 did not possess correct basic knowledge about AIDS, and 21% did not know how to protect themselves from contracting HIV.
This news brief focuses on the sex ratio at birth (SRB) in China, its causes, and remedial efforts. A SRB has been evident since the 1980s. The SRB increased from 108.48 male/100 female births to 116.30 male/100 female births during 1981-94. A normal SRB in China during 1940-94 would have been 107 male/100 female births. The SRB rose every year after 1985, with the exception of 1988. Male births increased, while female births decreased. SRB declined with age. The sex ratio in 1991, was 112.3 for children aged 0-4 years, 108.38 for children aged 5-9 years, and 106.56 for children aged 10-14 years. SRB values were higher in more populous provinces and lower in less populous provinces. SRB values were lower in northwestern China than in southeastern China. SRB values of minorities were lower than the Han ethnic group. A high SRB will increase the proportion single in later years. In 1990, 7.86 million people aged 30-40 years were single, of whom 94.32% were males. The SRB is caused by second, third, or higher birth orders. In 1993, sex ratios were 105.60 for first births, 130.22 for second births, and 126.12 for third births. The imbalance is attributed to a preference for sons as inheritors of blood ties and as family physical laborers. The imbalance is due to strict birth control and people's refusal to report female births. There is a need to increase awareness of the consequences, to increase old-age pensions and social security, to increase women's status, and to prohibit sex determination of a fetus. The family structure should emphasize its consumptive capacity rather than its function as a production unit.
This brief article discusses fertility decline and increased proportions of elderly in Shanghai, China. By 1996, Shanghai had 14.19 million permanent population and 13.05 million resident population. The natural population growth rate was 1.4/1000. The birth rate was 5.6/1000 and the death rate was 7/1000. 5.6084 million were engaged in urban employment by the end of 1996, which was 0.5% fewer employed people than in the preceding year. 3.8 million worked in state-owned or collectively owned enterprises. Unemployment was 2.8%. The gross domestic product per capita was 22,086 yuan (US$2661). The average annual wage was 10,572 yuan/year among urban workers. Rural and suburban households earned an average of 4846 yuan/year. The proportion of women of childbearing age continues to decline, while the proportion of elderly increases. 17.1% of total population were children aged 0-14 years in 1995 compared to 18.2% in 1990. The proportion of elderly increased from 9.4% in 1990 to 11.4% in 1995. The median age of population was 37.3 years. Life expectancy was 74.07 years for men and 78.21 years for women.
This brief article discusses findings from a study by the Shanghai Population Information Center on marriage, fertility, and family planning among mentally handicapped adults in Shanghai, China, and population dynamics. The sample included 184 mentally handicapped persons aged 20-49 years (79 men and 116 women). 47 people had mild, 92 had moderate, and 45 had severe mental deficiencies. The mean age was 33 years. About 29% were married or ever married. 49 were married or ever married women. 6 spouses were mentally deficient. About 70% of the married or ever married had children. 43 had ever used contraception. The most commonly used method was the IUD. Several people had the approval of family members and were sterilized. Only 3 women were prevented from use of contraceptive services by family. 38% of the unmarried women's parents or relatives wanted their mentally deficient family members to be married before old age. 48% discouraged marriage because of the mental deficiency.
