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The impact of family planning program activity on fertility.


 This study seeks to determine through multivariate areal analysis whether higher family planning program enrollment rates in local areas are associated with lower us fertility rates in 1980, when other factors are controlled statistically. The analyses do support the conclusion that programs have had an impact on aggregate fertility levels. Other data, taken from program records and from surveys of individual women, also indicate that the impact of the programs has been felt by large numbers of women have visited clinics and obtained contraceptive services. The areal analysis, made possible by the existence of data from the decennial census, suggests that this impact has been translated into measurably lower fertility rates among women, including poor women and teenagers, across the US. Higher enrollment rates were associated with lower fertility in every model in which prior fertility was controlled. Because the dispersion of the black population among counties is limited, the statistical power in areal analysis is much less for this segment of the population than for whites and for the total population. The strongest predictor of program enrollment in 1978 was the level of program activity, as measured by the number of family planning program sites.
