Birth control and the fertility of the U. S. Black population, 1880 to 1980

Black fertility in the U. S. declined sharply in the latter part of the 19th century and continued declining up to 1940. Common expert opinion has held that this decline in fertility was not attributable to an increase in birth control practice. Instead, experts hypothesized that the fertility decline was due almost entirely to deleterious changes in health factors among blacks. The health hypothesis is faulty because those black groups with socioeconomic advantages most conducive to good health were the very groups with the lowest fertility rates. A number of recent fertility studies seem to show fairly widespread use of birth control among blacks during the 60 years up to 1940. This widespread use did not increase precipitously in the 1930s but grew gradually over the previous 1/2 century. Knowledge and acceptance levels of birth control were also high during those years among blacks. Similarly, the experts' beliefs that birth control, even if practiced among blacks, did not have much effect on black fertility because "infective" methods were used, birth control was not practiced "effectively," and blacks started birth control practice too late in their reproductive lives have been shown by studies to have no empirical bases.