Abstract

For twenty years Puerto Rico has had the world’s highest prevalence of sterilization. From the 1982 Puerto Rico Fertility and Family Planning Assessment we examine whether the probability of obtaining sterilization is changing and what impact sterilization has on fertility, finding that the use of contraceptive sterilization has not declined and will probably continue to increase in Puerto Rico. Nonuse rather than temporary methods of contraception is the second most likely circumstance after sterilization. We also find that sterilization has reduced the total marital fertility rate by over 33 percent, thus having a significant effect on reducing the rate of natural increase; by all indications, it will have a greater effect in the future.

Family Planning, Female Sterilization, Sterilization Rate, Marriage Duration, Simple Proportion
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References

Clapp and Mayne, Inc. 1974. Report on a Puerto Rican Survey of the Attitudes Toward Population and Family Planning (preliminary report), San Juan, Puerto Rico, October 1974.
Hatt, P. K. (
1952
).
Backgrounds of Human Fertility in Puerto Rico
.
Princeton
:
Princeton University Press
.
Google Scholar
 
Hill, R., Stycos, J. M., & Back, K. W. (
1959
).
The Family and Population Control
.
Chapel Hill
:
University of North Carolina Press
.
Google Scholar
 
Liskin, L., Rinehart, W., Blackburn, R., & Rutledge, A. H. (
1985
).
Minilaparotomy and Laparoscopy: Safe, Effective, and Widely Used
.
Baltimore
:
Johns Hopkins University
.
Google Scholar
 
London, K. A., Cushing, J., Rutstein, S. O., Cleland, J., Anderson, J. E., Morris, L., & Moore, S. H. (
1985
).
Fertility and Family Planning Surveys: An Update
.
Baltimore
:
Johns Hopkins University
.
Google Scholar
 
Morris, L. 1984.Data for commentary on voluntary surgical contraception in Latin America. Presented at Mexican Academy of Medical Demography, Mexico City.
Pratt, W. F., W. D. Mosher, C. A. Bachrach, and M. C. Horn. 1984. Understanding U.S. Fertility: Findings From the National Survey of Family Growth, Cycle Ill. Population Bulletin, Vol. 39, No.5. Population Reference Bureau.
Presser, H. B. (
1973
).
Sterilization and Fertility Decline in Puerto Rico
.
Berkeley
:
University of California Press
.
Google Scholar
 
Presser, H. B. (
1980
).
Puerto Rico: Recent trends in fertility and sterilization
.
International Family Planning Perspectives
,
6
,
21
–
25
. 10.2307/2947965
Google Scholar
 
Ramirez de Arellano, A. B., & Seipp, C. (
1983
).
Colonialism, Catholicism, and Contraception
.
Chapel Hill
:
University of North Carolina Press
.
Google Scholar
 
Ross, J. A., Hong, S., & Huber, D. H. (
1985
).
Voluntary Sterilization: An International Fact Book
.
New York, N.Y.
:
Association for Voluntary Sterilization
.
Google Scholar
 
Shah, B. V. (
1974
).
SESUDAAN: Standard errors program for computing of standardized rates from sample survey data
.
Research Triangle Park, N.C.
:
Research Triangle Institute
.
Google Scholar
 
Vazquez Calzada, J. L. 1970. Female sterilization in Puerto Rico (unpublished manuscript).
Vazquez Calzada, J. L., & Morales del Valle, Z. (
1982
).
Female sterilization in Puerto Rico and its demographic effectiveness
.
Puerto Rico Health Sciences Journal
,
1
(
2
),
68
–
79
.
Google Scholar
 
Warren, C. W. 1986. An Analysis of the Quality of Data in the 1982 Puerto Rico Fertility and Family Planning Assessment. Pp. 355-357 in Proceedings of the Survey Research Methods Section, Annual Meeting of the American Statistical Association.
Westoff, C. F., J. McCarthy, N. Goldman, and F. Mascarin. 1979. Illustrative analysis: Contraceptive sterilization and births averted in Panama. World Fertility Survey, Scientific Reports, No.4.
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