Abstract

ALFONSO FRAGA, Juan Carlos. The decrease of fertility in Cuba: from the first to the second transition. Rev Cubana Salud Pública [online]. 2006, vol.32, n.1. ISSN 0864-3466.

Ferltility in Cuba is the variable inciding the most on the increase of its population. The reduction experienced by it since the middle of the 1960s persists at present and it is an example of an interrelation between population and development, where the advances attained in education, in health, in general, and in reproductive health, in particular, and in social security and assistance, together with the deep changes occurred in women's conditions, explain a new process in the context of the developing countries and, specially, in our region, where no country has descended from the replacement levels in its transition of fertility (less than a child per woman). For some of them, it is a very advanced pattern of behavior that outlines some elements of what has been called the second demographic transition, which has also been accompanied for some years with a high fertility in the adolescence, a structure of contraceptive methods that is not completely favorable, a reccurrence of abortion above the desired, and other aspects, that are analyzed as a whole in this paper. The main stages of this decrease and behavior , their impact on the low growth and on the increasing aging of the population, and the perspectives of this evolution that tend to intensify it are also dealt with

Keywords : Sexual and reproductive health; fertility; demographic transition; population aging; Cuba.

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