Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Demography and Population Studies Programme, Schools of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Reprod Health. 2021 Sep 20;18(1):186. doi: 10.1186/s12978-021-01237-1.
Reduction in ideal number of children has been suggested as a necessary precursor for fertility decline especially in high fertility countries of Western and Central Africa. In this study, we explored the social contexts of fertility desires by documenting the effects of individual, household as well as contextual characteristics among young men and women in Nigeria.
Data source was the male and female recode file of 2018 Nigeria Demographic and Health Survey. Analytical sample comprised 2674 males and 9637 females aged 15-24 years. The main outcome variable was desire for large family size (DLFS) defined as ideal number of children greater than four. Analysis involved use of descriptive statistics and random-effect logit models fitted in four stages.
DLFS was 71% among young men and 53% in women. Individual-level factors associated with DLFS among men includes Islam religion (OR = 3.95, CI 2.68-5.83), household size (OR = 1.05) and richer (OR = 0.47, CI 0.29-0.75) or richest wealth index (OR = 0.28, CI 0.16-0.75). Geo-political region and high level of negative attitude to family planning (OR = 1.72, CI 1.23-2.40) were the main contextual factors associated with DLFS. For women, individual-level correlates were education, religion, ethnicity, marital status, household size, and wealth index. Contextual factors include geo-political region, community education (OR = 0.68, CI 0.52-0.89), child mortality experience (OR = 1.29, CI 1.11-1.51) and negative attitude to family planning (OR = 1.36, CI 1.13-1.65). The influence of religion, household wealth and attitude to family planning differ between young men and women.
Active communication and programmatic interventions are needed so that desire for large family size by young men and women do not become a clog for fertility transition in Nigeria.
减少理想子女数量被认为是生育率下降的必要前提,尤其是在西非和中非高生育率国家。在这项研究中,我们通过记录尼日利亚年轻男性和女性的个人、家庭和背景特征的影响,探讨了生育意愿的社会背景。
数据来源是 2018 年尼日利亚人口与健康调查的男性和女性重编码文件。分析样本包括 15-24 岁的 2674 名男性和 9637 名女性。主要结果变量是大家庭规模的愿望(DLFS),定义为理想子女数量大于 4。分析包括使用描述性统计和随机效应逻辑模型进行四阶段拟合。
年轻男性的 DLFS 为 71%,女性为 53%。与男性的 DLFS 相关的个体因素包括伊斯兰教(OR=3.95,CI 2.68-5.83)、家庭规模(OR=1.05)、较富裕(OR=0.47,CI 0.29-0.75)或最富裕的财富指数(OR=0.28,CI 0.16-0.75)。地缘政治区域和对计划生育的高度负面态度(OR=1.72,CI 1.23-2.40)是与 DLFS 相关的主要背景因素。对于女性,个体水平的相关性是教育、宗教、种族、婚姻状况、家庭规模和财富指数。背景因素包括地缘政治区域、社区教育(OR=0.68,CI 0.52-0.89)、儿童死亡率经历(OR=1.29,CI 1.11-1.51)和对计划生育的负面态度(OR=1.36,CI 1.13-1.65)。宗教、家庭财富和计划生育态度对男女青年的影响不同。
需要积极沟通和计划干预,以避免尼日利亚年轻男性和女性对大家庭的愿望成为生育率转变的障碍。