Decomposing the Effect of Women Educational Status on Fertility Across the Six Geo-political Zones in Nigeria: 2003-2018

2020 ◽  
Author(s):  
Tubosun Alex Olowolafe

Abstract Background: High level of fertility has been consistently reported in Nigeria. Women education is often identified as one of the important factors that have contributed to reduction in fertility across countries. It is essential to identify the factors that explain the fertility variation in educational status and know the extent of association of these factors across the regions in Nigeria. Thus, this study aimed to examine the fertility differentials among uneducated and educated women in Nigeria.Methods: A cross-sectional population-based design which involved secondary data analyses of the weighted sample of 2003 (n1=7620), 2008 (n2=33385), 2013 (n3=38948) and 2018 (n4=41821) Nigeria Demographic and Health Survey data sets was used. Fertility was measured from information on the full births history of women aged 15-49 years. Oaxaca-Blinder decomposition was used to identify factors that explain fertility differentials among educated and not educate women (α=0.05).Result: Total fertility rate estimate was higher among uneducated women (6.7) than educated women (4.5) in 2018. The pattern was similar across the regions and survey periods. The mean children ever born among women aged 45-49 years was significantly higher among the uneducated than educated women in each of the survey year. Maternal age at first marriage, wealth index and age at first birth were contributory factors to the dissimilarities found in fertility between the educated and uneducated women. Risk difference (RD) of high fertility between uneducated-educated women was highest in South-East (RD=56.9; 95%CI=49.1-64.8) and least in North-East (RD=15.0; 95%CI=9.9-20.1).Conclusion: The fertility level in Nigeria was high but more prominent among the uneducated than educated. Improving the level of educational enrolment of women of reproductive age will facilitate reduction in the fertility rate in Nigeria.

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Medhin Girmay Reda ◽  
Girma Tenkolu Bune ◽  
Mohammed Feyisso Shaka

Background. High fertility remains one of the most important public health issues hampering the health and welfare of mothers and the survival of their children in developing nations. In Ethiopia, the high fertility rate has been seen for a long historical period with some pocket areas of high fertility still showing poor improvement. Hence, this study was aimed at determining the magnitude of high fertility status (number of children ever born alive≥5) and associated factors among women of the reproductive age group in Wonago district. Methods. A community-based cross-sectional study was conducted on randomly selected 512 women in Wonago district. Data were collected using a pretested structured interviewer administered questionnaire. Data was entered into EpiData version 3.1 and then analyzed by SPSS version 25. Logistic regression was used to analyze the data, and the adjusted odds ratio with the 95% confidence interval was computed, and a significant association was declared at p value ≤ 0.05. Result. This study revealed that 354 (69.1%) of the respondents have high fertility. High fertility is independently associated with residing in rural area [AOR=4.88, 95% CI: 3.21, 7.86], desire for children [AOR=6.97, 95% CI: 3.24, 11.40], history of under-five child mortality [AOR =5.32, 95% CI: 2.59, 8.43], poor knowledge of contraception [AOR=2.67, 95% CI: 1.66, 4.04], and low wealth tertile [AOR=2.21, 95% CI: 1.51, 3.58]. On the other hand, women with age at first birth above 18 years [AOR=0.34, 95% CI: 0.17, 0.68] and those with birth interval≥24 months [AOR=0, 26, 95% CI: 0.14, 0.49] were less likely to have high fertility. Conclusion and Recommendation. The substantial number of women in the study area has high fertility status far away from the country’s costed implementation plan of reducing the total fertility rate to 3.0. Considering these, much is needed to be done among poor, rural residents, who have not yet attained their desired number of children, and on enhancing the knowledge of mothers towards contraceptive methods.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jude Otim

Abstract Background Contraceptive nonuse has diverse effects on women, such as unintended pregnancies and births that result in high fertility and poor maternal health outcomes. In Uganda, knowledge on contraceptive use is high, amidst undesirably high contraceptive nonuse and scarce literature on predictors of contraceptive nonuse across regions. This study assessed factors associated with contraceptive nonuse among women of reproductive age across regions in Uganda. Method This study used data from a cross-sectional 2016 Uganda demographic and heath survey that had 18,506 women of reproductive age. The relationship between contraceptive nonuse and socio-economic and demographic factors across regions were assessed using a binary multivariable logistic regression model. Results In Uganda, contraceptive nonuse is estimated at 40%. Northern region (55%) had the highest prevalence of contraceptive nonuse compared to Central region (35%) with the lowest. Across regions, wealth index, number of living children, educational level, and children born in the last 5 years prior to the demographic survey differently predicted contraceptive nonuse. Conversely, age, religion, age at first marriage, sexual autonomy, age at first birth, desire for children, listening to radio, and employment status were only predictors of contraceptive nonuse in particular regions amidst variations. Residence, perception of distance to health facility, watching television, and reading newspapers or magazines did not predict contraceptive nonuse. Conclusions The study findings propose the need to appreciate regional-variations in effect of contraceptive nonuse predictors and therefore, efforts should be directed towards addressing regional-variations so as to attain high contraceptive usage across regions, and thus reduce on unwanted pregnancies and births.


Author(s):  
Shivraj More ◽  
Sujatha P. ◽  
Karthiga Karthiga

Background: Menopause is an inevitable milestone in the reproductive life of every woman. The objective is to investigate menopausal knowledge, attitude, symptoms and management among the participants, to identify the differences according to their educational status and to examine correlations of knowledge, attitude and symptoms pertaining to menopause.Methods: This cross-sectional study was conducted for a period of 10 months in postmenopausal women attending a tertiary care center in Pondicherry, India with a structured questionnaire developed on the basis of the objective of the study.Results: 330 postmenopausal women were recruited, and all were aware of their postmenopausal status. Mean age at menopause was 45.91±2.66 years. 54.5% were aware about what menopause was while 5.5% were unaware. 12.1% had proper knowledge about cause of menopause, whereas 3.6% said it is due to god’s decision / turning point. Most prevalent symptoms were tiredness (89.6%) followed by vasomotor symptoms like hot flushes (88.5%) and night sweats (80.3%). Only 2.1% had used HRT for menopausal symptoms.Conclusions: Depth of knowledge is more important when concern is about greater health disrupter which tends to be imperceptible for a long time such as bone health and cardiovascular risk profile. Thus, the government could concentrate on providing health services to women in post reproductive age group also besides women in the reproductive age.


BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e024680 ◽  
Author(s):  
Rajat Das Gupta ◽  
Ibrahim Hossain Sajal ◽  
Mehedi Hasan ◽  
Ipsita Sutradhar ◽  
Mohammad Rifat Haider ◽  
...  

ObjectivesThis study aimed to discern the association between the frequency of television viewing and overweight and obesity among reproductive age women of Myanmar.DesignThis was a cross-sectional study.SettingThis study used Myanmar Demographic and Health Survey (2015–2016) data.ParticipantsTotal of 12 021 women both aged 15–49 years and also not pregnant or did not deliver a child within the 2 months prior to the survey were included.Primary and secondary outcome measuresThe primary outcome was overweight (23.0 kg/m2to <27.5 kg/m2) and obesity (≥27.5 kg/m2), which was measured using the Asian body mass index cut-off. Ordered logistic regression analysis was conducted to find the association between the explanatory and outcome variables. The potential confounders controlled in the multivariable analyses were age, place of residence, region of residence, highest educational status, current employment status, wealth index, parity and number of household members.ResultsThe prevalence of overweight was 26.5% and obesity was 12.2% among the study participants. The odds of being overweight and obese were 20% higher (adjusted OR (AOR) 1.16, 95% CI 1.02 to 1.32; p=0.023) among those who watched television at least once a week compared with those who did not watch television at all. Rural women who watched television at least once a week were 1.2 times more likely to be obese (AOR 1.16, 95% CI 1.01 to 1.34; p=0.040) compared with those who did not watch television at all.ConclusionsFrequent television watching was associated with obesity among rural women of reproductive age in Myanmar.


2014 ◽  
Vol 5 (1) ◽  
pp. 14-18
Author(s):  
Md Atiqur Rahman ◽  
Md Mahfuzar Rahman ◽  
Sazia Huq ◽  
Sardar Mahmud Hossain

Bangladesh is a country having high density of population in the world. Its fertility rate ranges from 4.1 to 5.49 and life expectancy is 66years while the total fertility rate of Asia is 2.2 and life expectancy 70 years. This descriptive type of cross sectional survey was carried out among 240 married women of reproductive age from July to December, 2012 in some villages of Keranigonj, Upazila, Dhaka. 73(31%) were practicing some methods of contraception, while 167 (69%) were not using it. OCP (Oral Contraceptive Pill) was the commonest method of contraception followed by Condoms 12(5%), Injectable 12(5%), Implant 12(5%) & Tubectomy 6(3%). None was found using IUCD and Traditional method ( withdrawal, rhythm method ) and emergency contraceptive method. The use of contraceptive was more common in grand multipara (p<0.01), >35 years old ladies (p<0.05). Non users of contraceptives in this study were 167 (69%) and the major reason for the non use was intention to have more children 53(31.46%) followed by pressure from the husband 21(12.35%), prohibition by the religion 18 (10.9%) and desire for son 17 (10.11%). Among the 73 contraceptive users 38 (52%) experienced side effects with the use of contraceptives. The commonest side effects were menstrual irregularities 17(23.8%) followed by change in body weight 8(11.19%). Frequency of contraceptive use was found comparatively low among rural married women despite high level of awareness. Desire for larger family, religious concerns and fear of side effects were the main factors responsible for non users. Religious scholars must play their role in clarifying many aspects regarding contraceptives. DOI: http://dx.doi.org/10.3329/akmmcj.v5i1.18767 Anwer Khan Modern Medical College Journal Vol. 5, No. 1: January 2014, Pages 14-18


Demography ◽  
2021 ◽  
Vol 58 (1) ◽  
pp. 321-344
Author(s):  
Ryohei Mogi ◽  
Jessica Nisén ◽  
Vladimir Canudas-Romo

Abstract Increases in the average age at first birth and in the proportion of women remaining childless have extended the total number of years that women spend childless during their reproductive lifetime in several countries. To quantify the number of years that reproductive-age women live without children, we introduce the cross-sectional average length of life childless (CALC). This measure includes all the age-specific first-birth information available for the cohorts present at time t; it is a period measure based on cohort data. Using the Human Fertility Database, CALC is calculated for the year 2015 for all countries with long enough histories of fertility available. Results show that women in the majority of the studied countries spend, on average, more than half of their reproductive lives childless. Furthermore, the difference between CALCs in two countries can be decomposed to give a clear visualization of how each cohort contributes to the difference in the duration of the length of childless life in those populations. Our illustration of the decomposition shows that (1) in recent years, female cohorts in Japan and Spain at increasingly younger ages have been contributing to more years of childless life compared with those in Sweden, (2) the United States continues to represent an exception among the high-income countries with a low expectation for childless life of women, and (3) Hungary experienced a strong period effect of the recent Great Recession. These examples show that CALC and its decomposition can provide insights into first-birth patterns.


1979 ◽  
Vol 11 (1) ◽  
pp. 27-37 ◽  
Author(s):  
Hiroshi Kashiwazaki

SummaryFertility variation in Japanese agricultural immigrant women in Bolivia is examined by birth cohort, educational status, religious affiliation, the agricultural system of their households, and prefectural origin in Japan. Only the place of origin in Japan makes a singnificant contribution to variations in fertiligy; higher fertility was found among the women from the Nagasaki prefecture. The results suggest that fertility differentials in this community represent the survival of different fertility norms from the area of origin, which are not due to educational and religious differences.


2017 ◽  
Vol 6 (11) ◽  
pp. 5525
Author(s):  
Vijayasree L.

Family planning is an important pillar for safe motherhood and good reproductive health and is influenced by number of socio-demographic factors. Since fertility in India is primarily marital this study was planned among married women. A community based cross-sectional study was conducted among 402 women of reproductive age group. Details regarding various socio-demographic factors with special emphasis on education and occupation of husband and wife and their socio-economic status and its relation to contraceptive usage were studied. Prevalence of contraception was found to be 61.7%. Contraceptive usage had a significantly positive relation with literacy status of women, socio economic status of the couple. On the other hand husband’s educational status, occupation of women, husband’s occupation did not have any relation with contraceptive usage.


2020 ◽  
Vol 11 (1) ◽  
pp. 37-57
Author(s):  
Kalyan Sundar SOM ◽  
◽  
Ramesh P. MISHRA ◽  

This study analyses the impact of four prominent factors (education, caste, occupation and development) on fertility in India. The study has also analysed the spatial variations of TFR in India. This spatial analysis also helps in identifying the impact of fertility on Development in India. Present study estimates fertility from census that covers all the reproductive age-women, and it does not allow any chance of sample error; this method has also adopted by UNFPA. Logistic regression analysis used to understand the impact of education, caste and occupation on fertility. Co-relation matrix and regression analysis used to determine the relation between TFR, IMR and Development. In India, West Bengal (2.41) state has the least fertility rate while Jammu and Kashmir (4.70) has highest one. Southern states have lower fertility along with Eastern states while North-east and central states have recorded high fertility. Women who have passed above secondary school of education give a prominent impact on fertility reduction in comparison to illiterate, primary and middle school passed. Marginal workers have very high fertility compare to main workers due to their feeling of insecurity in earnings and they increase number of child counted as gross family income.


2016 ◽  
Vol 27 (2) ◽  
pp. 33-36 ◽  
Author(s):  
Kazi Shahnaz Begum ◽  
Shah Alam ◽  
Tahmina Tamanna

Family planning is an essential tool for reducing fertility rate. An increase in contraceptive prevalence rate results in reduction of population growth, which in turn contributes significantly to the improvement of people's health. This is a cross-sectional, descriptive type of study carried out among the married women attending in the gynaeout patient department of MARKS Medical College and Hospital. This study was conducted from 1st June 2013 to 31st May 2014. Sample size was 250 which were selected purposively.Reproductive history was used as research instrument for data collection. Data was collected by face to face interview using structured questionnaire. Among 250 married women 156(62%) women practicing contraceptives. Majority 45.6% of the respondents were in the age group of 25-29 yrs. Among the respondents housewives 36%, service holder 64% and 38.4% were educated. About 42.8% respondents had 2 child followed by 3 children 36% & only 1.6% had 4 children. 100% respondents had knowledge about oral pill and barrier method. Among the contraceptive users 35.8% respondents accepted OCP followed by barrier method 33.3%, IUCD users were 16.7%, 7.7% respondents used injectables, 6.4% were natural method user and only 1.2% used emergency pills. Maximum 59% respondents were using contraceptives for less than one year, only 4.5% were using contraceptive of different methods for 10 years. Fertility rate, menstruation regulation is lower among servicing women. Education, empowerment and social position of women help to reduce fertility.Medicine Today 2015 Vol.27(2): 33-36


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