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TOPICS

Results for Topics : "Fertility"


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Laporan fertility at the crossroad-children now, later or never
Item Type: Research Report
Author: 
National Population and Family Development Board, Malaysia,  and
Author: 
National Population and Family Development Board, Malaysia and
Editor: 
Year:  00/00/2018
Abstract:  This study was to identify the socio-economic and psychological factors that influence the decision of women working in the public and private sectors to want to have children now, postpone pregnancy or do not want to have another child/children. It also to identify forms of support that can be provided by employers in an effort to create a family -friendly work environment. Nowadays, the issue of declining fertility rates is becoming a global issue, not just in among developed countries even in developing countries. Most countries have experienced fertility decline since the 1970s. United Nations Projections (UN) indicates most countries in the Asia Pacific region will experience a decline total fertility rate (TFR) until 2015-2030. Countries like China, Japan and Singapore have achieved TFR below the substitution level for decades ago. Rapid socio -economic development in Malaysia over the past five decades has resulted in a decrease in births and deaths as well as an increase in migration. Malaysia is currently in the second phase of a demographic transition where fertility rates are increasing decreased while the percentage of the elderly population increased. Decrease in rate mortality and fertility are closely linked to improved quality of life giving significant impact on the growth and size of the Malaysian population.
 
 
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The socioeconomic factors in constructing women fertility index: a Malaysian case study
Item Type: Article
Author: 
Wan Abd Jalil, Wan Aznie Fatihah and
Sharif, Shamshuritawati and
Mahmud, Adzmel and
Author: 
Editor: 
Year:  01/06/2017
Abstract:  Women fertility is rated by the average number of children a woman will have during her childbearing years. Malaysia is now facing a population crisis and the fertility rate continues to decline. This situation will have implications for the age structure of the population. Malaysia is expected to reach aging population status by the year 2035. As the aging population has a very long average life expectancy, the government needs to spend a lot on medical costs for senior citizens and need to increase budgets for pensions. The government may be required to increase tax revenues to support the growing older population. The falling fertility rate requires proper control by relevant authorities, especially through planning and implementation of strategic and effective measures. Hence, this paper aims to develop a fertility index using correlation and Shannon's entropy method. There are two main results from this analysis which are the factor rank and fertility index for each state. The three most important factors that influence fertility in Malaysia based on correlation method listed the number of females living in urban areas, number of females employed, and family planning methods while Shannon's entropy method listed female tertiary education attainments, number of divorces, and family planning methods. Next, the fertility index show that Selangor, Johor, and Sarawak are among the states with the highest values. On the other end of the spectrum, Terengganu, W.P. Labuan, and Perlis are ranked in the last positions. As a summary, the weighted calculation based on the correlation and entropy give different results in terms of rank the factors influencing the fertility. However, the results of both methods show that Selangor has the highest fertility index. From this study, the government may design the appropriate policies to mitigate dwindling fertility rates among Malaysian women.
 
 
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Effects of socio-demographic, lifestyle and environmental factors on semen quality of men attending the sub fertility clinic in National Population and Family Development Board
Item Type: Research Report
Author: 
National Population and Family Development Board, Malaysia,  and
Author: 
Editor: 
Year:  02/01/2017
Abstract:  Couples are considered infertile if they are unable to conceive after one year of regular unprotected sex. The impact of lifestyle and environment on human fertility may vary depending on aetiology, demographic characteristics, genetic variation and other factors. As used by previous researchers, semen parameters were used to measure male infertility. Therefore, a decrease in semen quality is considered as a major factor in male infertility (http://en.wikipedia.org/wiki/Semen_quality). Previous studies (Kidd et al.2001,Eskenazi et al.2003, de La Rochebrochard and Thonneau 2003) have found that older men tend to have lower semen quality than younger ones. Testicular hyperthermia (elevated temperature) also has been known to affect male fertility. Men who like taking hot baths or sit in a sedentary position for a long time are at risk of having infertility. The objectives of this study are to identify the relationship between socio-demographic profile, lifestyle and environmental factors and semen quality, and to identify risk factors of poor semen quality among men attending the National Population and Family Development Board's (NPFDB) Subfertility Clinic. This study was done in Andrology Laboratory, NPFDB. Five hundred men from couples having their first infertility consultation between September 2010 abd June 2011 were recruited. Each patient was required to register, deposit semen and fill in the quesstionnaire. Sperm concentration, morphology and motility from semen analysis were used to study the relationship between semen quality and independent variables. Reference limits used were 15 cells x 10'6/ml, 4% and 40 %, respectively (World Health Organization, 2010). For statistical analysis, descriptive statistic, t test and ANOVA were used; 0.05 alpha value was chosen. Results showed that one-third of the study population were between 26 to 30 years of age and another one third were aged between 31 to 35 years old; mean age was 33.2. majority were Malays (71.2%), resided in Selangor (64.3%) and professionals (41.6%). Semen quality showed a negative relationship (p<0.05) with age. Meanwhile, sperm motility varied significantly for different ethnic group. Chinese (57.75%) had the highest motile-sperm compared to Malays (53.44%) and Indians (46.60%). Among lifestyles variables, frequency of sexual intercourse had a posive relationship (p<0.05) with sperm motility, whilst sedentary position had negative relationship (p<0.05) with the latter. Regression analysis was used to predict the risk factors of poor semen quality. This study found that men above 30 years old were two times more likely to have low sperm motility than men in the twenties. Moreover, less frequent sexual activity between couples was more likely (p<0.05) to have abnormal sperm compared to those who had sexual intercourse more frequently. In conclusion, this study suggested that age over 30 years and infrequent sexual activity were the risk factors to lower semen quality. Even though not regarded as a risk factor, sedentary work position had a negative impact on sperm motility. These factors may affect male fertility and cause difficulty in conception. Public awareness through advocacy programs and talks on infertility and its risk factors should be carried out regularly. Public education should be carried out to advice men to practice a healthy lifestyle and work life balance. This study has shown encouraging results, and should be replicated in the general population in Malaysia
 
 
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