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尼日利亚与低生育和多胎生育相关的孕产妇社会人口学因素。

Maternal socio-demographic factors associated with low parity and grand multiparity in Nigeria.

作者信息

Solanke Bola Lukman

机构信息

a Department of Demography and Social Statistics , Obafemi Awolowo University , Ile-Ife , Nigeria.

出版信息

Women Health. 2019 Aug;59(7):730-747. doi: 10.1080/03630242.2018.1553815. Epub 2019 Jan 7.

DOI:10.1080/03630242.2018.1553815
PMID:30615577
Abstract

Parity may be categorized as low parity (one or two births), multiparity (three or four births), and grand multiparity (five or more births). In Nigeria, studies have examined factors associated with parity among women. However, these studies have focused on the associated factors of grand multiparity with near exclusion of associated factors of low parity. This study addressed this knowledge gap by examining maternal socio-demographic factors associated with both low parity and grand multiparity in Nigeria. The study analyzed secondary data from 2013 Nigeria Demographic and Health Survey (NDHS). The weighted sample size was 25,852 women. With the use of Stata (version 14), analyses were performed at three levels. Multinomial logistic regression was applied at the multivariate level. Results showed that many of the studied maternal characteristics were significantly associated with either low parity or grand multiparity. Results further showed that while late age at first marriage, improved education, never experiencing child mortality, and polygyny increased the likelihood of low parity, improved education, polygyny, never experiencing child mortality, late age at first marriage, and higher household wealth reduced the likelihood of grand multiparity. These factors should be given prominence in population and women-centered programs in the country.

摘要

产次可分为低产次(一至两次生育)、多产次(三至四次生育)和极高产次(五次及以上生育)。在尼日利亚,已有研究探讨了与女性产次相关的因素。然而,这些研究主要聚焦于极高产次的相关因素,几乎排除了低产次的相关因素。本研究通过调查尼日利亚与低产次和极高产次均相关的孕产妇社会人口学因素,填补了这一知识空白。该研究分析了2013年尼日利亚人口与健康调查(NDHS)的二手数据。加权样本量为25,852名女性。使用Stata(版本14)软件在三个层面进行了分析。在多变量层面应用了多项逻辑回归。结果显示,许多所研究的孕产妇特征与低产次或极高产次均显著相关。结果还表明,初婚年龄较晚、教育水平提高、从未经历过儿童死亡以及一夫多妻制会增加低产次的可能性,而教育水平提高、一夫多妻制、从未经历过儿童死亡、初婚年龄较晚以及家庭财富增加则会降低极高产次的可能性。在该国以人口和妇女为中心的项目中,应重视这些因素。

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