Globally, less-economically developed countries in Africa and Asia have the highest growth rates, leading to populations consisting mostly of younger people . Improved health care, beginning in the 1960s, is one of the leading causes of the increased growth rates that created the population explosion. For example, in the Middle East and North Africa, around 65 percent of the population is under the age of 30. These high growth rates lead to the so-called "youth bulge," which some experts believe is a cause of social unrest and economic problems such as high unemployment.