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Research ArticleOriginal Article
Open Access

The influence of social, demographic and economic factors on fertility trends in Gulf Cooperation Council countries

A longitudinal time trend analysis-1980-2021

Sultan A. Meo, Narmeen Shaikh and Anusha S. Meo
Saudi Medical Journal September 2024, 45 (9) 935-944; DOI: https://doi.org/10.15537/smj.2024.45.9.20240437
Sultan A. Meo
From the Department of Physiology (S. Meo), College of Medicine, King Saud University; from the College of Medicine (Shaikh), King Saud University, Riyadh, Kingdom of Saudi Arabial; and from the School of Medicin (A. Meo), Medical Sciences & Nutrition, University of Aberdeen, Scotland, United Kingdom.
MBBS, PhD
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  • For correspondence: [email protected]
Narmeen Shaikh
From the Department of Physiology (S. Meo), College of Medicine, King Saud University; from the College of Medicine (Shaikh), King Saud University, Riyadh, Kingdom of Saudi Arabial; and from the School of Medicin (A. Meo), Medical Sciences & Nutrition, University of Aberdeen, Scotland, United Kingdom.
MBBS
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Anusha S. Meo
From the Department of Physiology (S. Meo), College of Medicine, King Saud University; from the College of Medicine (Shaikh), King Saud University, Riyadh, Kingdom of Saudi Arabial; and from the School of Medicin (A. Meo), Medical Sciences & Nutrition, University of Aberdeen, Scotland, United Kingdom.
MBBS, MPH
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    Figure 1

    - Summary of the demographic, social, and economic factors.

  • Figure 2
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    Figure 2

    - Total fertility rate from 1980-2021 for Gulf Cooperation Council countries.

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    Figure 3

    - Total fertility rate from 1980-2021 for Gulf Cooperation Council countries.

Tables

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    Table 1

    - The demographic, social, and economic factors.

    Demographic FactorsSource / References
    Total fertility rate (TFR) births per womanWorld Bank Database9
    Total populationWorld Bank Database10
    Life Expectancy at Birth (years)World Bank Database11
    Crude death rate (CDR) (per 1000)Our World in Data12
    Social factors
    Human development index (HDI)United Nations Development Program13
    Literacy rate (%)Our World in Data14
    Female Labor Force (%)World Bank Database15
    Unemployment (% of the total labor force)World Bank Database16
    Economic factors
    Gross domestic product (GDP) (US Dollars)World Bank Database17
    Inflation, consumer prices (annual %)World Bank Database18
    Urbanization (%)World Bank Database19
    • View popup
    Table 2

    - Summary of descriptive analysis of total fertility rate and sociodemographic variables.

    VariablesCountryMean±Standard deviationPercentage change
    1980-20002001-20211980 to 2021
    Total fertility rate (births per woman)Bahrain3.73 ±0.652.22±0.30-62.28%
    Kuwait3.69 ±0.882.34±0.23-60.86%
    Oman6.39 ± 1.462.98±0.26-67.60%
    Qatar4.21±0.742.21±0.44-67.33
    Saudi Arabia5.78±1.022.94±0.422-66.22%
    UAE4.34±1.051.83±0.42-75.45%
    Total populationBahrain525646 ±1094211174661±261470303.55%
    Kuwait1771250± 2110773199362±883259184.50%
    Oman1753902±4539723407556±901898344.29%
    Qatar444746±1049921785051±785418868.91%
    Saudi Arabia15907586±361262129560402±4741773253.44%
    UAE1969123±6869777248666±2258096823.54%
    Crude death rate (per 1000)Bahrain3.17 ± 0.352.15±0.22-35.48%
    Kuwait5.50 ± 2.382.68±0.44-64.53%
    Oman2.47±0.321.45±0.45-59.65%
    Qatar2.38±0.462.01±0.38-17.18%
    Saudi Arabia5.23±1.482.73±0.30-65.49%
    UAE2.84±0.461.31±0.41-52.11%
    Life expectancy (years)Bahrain72.95±1.2978.33±1.3311.20%
    Kuwait74.22±1.8978.14±1.2011.84%
    Oman68.71±3.9475.72±1.7620.01%
    Qatar73.38±1.3178.31±1.9411.96%
    Saudi Arabia68.47±2.9975.71±1.3722.71%
    UAE71.68±1.5177.95±1.5114.86%
    Literacy rate (%)Bahrain76.88±10.0889.42±4.07--
    Kuwait73.47±5.5194.90±1.20--
    Oman--89.86±5.79--
    Qatar79.45±5.3995.04±2.77--
    Saudi Arabia75.09±6.0392.55±6.59--
    UAE--95.31±4.58--
    Unemployment (% of the total labor force)Bahrain1.14±0.081.19±0.17--
    Kuwait0.76±0.081.97±0.65--
    Oman4.28±0.093.61±0.91--
    Qatar0.87±0.000.44±0.31--
    Saudi Arabia5.96±1.155.76±0.56--
    UAE1.92±.192.62±0.58--
    Urbanization (%)Bahrain87.73±0.7988.81±0.404.09%
    Kuwait97.74±1.0299.99±0.025.51%
    Oman63.64±8.4377.75±5.4583.01%
    Qatar92.71±2.5198.28±0.9111.09%
    Saudi Arabia75.21±4.3382.30±1.3728.31%
    UAE79.45±0.7484.26±2.078.16%
    Labor force – females (%)Bahrain31.88 ±2.0241.54±2.61--
    Kuwait42.76 ± 1.3347.36±1.70--
    Oman22.95±0.5927.39±2.46--
    Qatar46.87±1.0552.51±4.97--
    Saudi Arabia15.13±0.8020.80±4.44--
    UAE31.55±1.3044.78±7.74--
    GDP per capita (current USD)Bahrain8933.25±1202.3921344.66±4492.20216.84%
    Kuwait13679.24±3339.1335251.04±10901.4968.61%
    Oman6348.25±792.6817451.38±5348.95231.84%
    Qatar18595.82±4867.3563374.19±21315.62136.93%
    Saudi Arabia8876.70±3136.8218138.50±5537.2550.31%
    UAE29162.98±6505.0640582.13±5628.263.11%
    InflationBahrain1.69±3.501.57±1.64-115.79%
    Kuwait3.53±3.822.87±1.68-50.72%
    Oman1.60±4.282.07±2.93-85.00%
    Qatar3.37±2.253.22±5.24-66.18%
    Saudi Arabia0.64±2.332.43±2.74-29.55%
    UAE4.20±2.423.20±3.79-98.02%
    Human development index (HDI)Bahrain0.74±0.020.83±0.04--
    Kuwait0.74±0.040.81±0.02--
    Oman0.70±0.000.79±0.04--
    Qatar0.78±0.010.84±0.02--
    Saudi Arabia0.72±0.010.81±0.04--
    UAE0.75±0.020.85±0.05--

    NB: “Unemployment (%),” “Literacy rate,” “Labor force – females (%)’ and “Human development index” have unavailable/missing data from 1980-1990 and therefore data for the 40-year percent change from 1980 to 2021 could not be calculated. The literacy rate for Oman had no data available before 2003, and for United Arab Emirates (UAE), only one value was available from 1980-2000; therefore, no mean was calculated for 1980-2000 for both countries. USD: United States Dollars

      • View popup
      Table 3

      - The correlation between fertility rates and sociodemographic variables.

      CountryTFR rate x VariableCorrelation coefficient2-tailed significance level
      BahrainTFR x Total population-0.989**<0.001
      TFR x Crude death rate0.932**<0.001
      TFR x Life expectancy-0.973**<0.001
      TFR x Literacy rate-1.000**<0.001
      TFR x Unemployment-0.434**0.012
      TFR x Urbanization (%)-0.944**<0.001
      TFR x Labor force - Female-0.980**<0.001
      TFR x GDP per capita-0.909**<0.001
      TFR x Inflation0.0540.736
      TFR x Human development index (HDI)-0.964**<0.001
      KuwaitTFR x Total population-0.864**<0.001
      TFR x Crude death rate0.897**<0.001
      TFR x Life expectancy-0.957**<0.001
      TFR x Literacy rate-0.956**<0.001
      TFR x Unemployment-0.934**<0.001
      TFR x Urbanization (%)-0.943**<0.001
      TFR x Labor force - Female-0.921**<0.001
      TFR x GDP per capita-0.811**<0.001
      TFR x Inflation0.0750.639
      TFR x HDI-0.953**<0.001
      OmanTFR x Total population-0.951**<0.001
      TFR x Crude death rate0.905**<0.001
      TFR x Life Expectancy-0.895**<0.001
      TFR x Literacy rate-0.3710.468
      TFR x Unemployment0.526**0.002
      TFR x Urbanization (%)-0.928**<0.001
      TFR x Labor force - Female-0.861**<0.001
      TFR x GDP per capita-0.826**<0.001
      TFR x Inflation-0.0640.688
      TFR x HDI-0.543**0.009
      QatarTFR x Total population-0.996**<0.001
      TFR x Crude death rate0.568**<0.001
      TFR x Life expectancy-0.987**<0.001
      TFR x Literacy rate-1.000**<0.001
      TFR x Unemployment0.909**<0.001
      TFR x Urbanization (%)-0.999**<0.001
      TFR x Labor force - Female-0.829**<0.001
      TFR x GDP per capita-0.775**<0.001
      TFR x Inflation0.306*0.049
      TFR x HDI-0.982**<0.001
      Saudi ArabiaTFR x Total population-1.000**<0.001
      TFR x Crude death rate0.927**<0.001
      TFR x Life Expectancy-0.992**<0.001
      TFR x Literacy rate-1.000**<0.001
      TFR x Unemployment0.0040.983
      TFR x Urbanization (%)-1.000**<0.001
      TFR x Labor Force - Female-0.979**<0.001
      TFR x GDP per capita-0.715**<0.001
      TFR x Inflation-0.2910.062
      TFR x Human development index (HDI)-1.000**<0.001
      United Arab EmiratesTFR x Total population-0.996**<0.001
      TFR x Crude death rate0.908**<0.001
      TFR x Life expectancy-0.997**<0.001
      TFR x Literacy rate-0.8000.200
      TFR x Unemployment-0.361*0.046
      TFR x Urbanization (%)-0.792**<0.001
      TFR x Labor force - Female-0.993**<0.001
      TFR x GDP per capita-0.605**<0.001
      TFR x Inflation0.462**0.002
      TFR x HDI-0.994**<0.001

      A negative/inverse correlation indicates the increase in one variable with a decrease in the other variable. A positive correlation indicates an increase/decrease of both variables in the same direction.

      • ↵** Correlation significant at p=0.01 (2-tailed),

      • ↵* at 0.05 level (2-tailed).

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    Sultan A. Meo, Narmeen Shaikh, Anusha S. Meo
    Saudi Medical Journal Sep 2024, 45 (9) 935-944; DOI: 10.15537/smj.2024.45.9.20240437

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    Sultan A. Meo, Narmeen Shaikh, Anusha S. Meo
    Saudi Medical Journal Sep 2024, 45 (9) 935-944; DOI: 10.15537/smj.2024.45.9.20240437
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