尼日利亚育龄妇女中首次生育时年龄较小的预测因素。
Predictors of young maternal age at first birth among women of reproductive age in Nigeria.
机构信息
Department of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
Institute for Advanced Studies in the Humanities, University of Edinburgh, Edinburgh, United Kingdom.
出版信息
PLoS One. 2023 Jan 13;18(1):e0279404. doi: 10.1371/journal.pone.0279404. eCollection 2023.
BACKGROUND
Adverse obstetric outcomes have been commonly associated with early childbearing in many low-and middle-income countries. Despite this evidence, scholarly information on early childbearing in the sub-Saharan African region, especially Nigeria, is limited. This study examines the predictors of young maternal age at first birth among women of reproductive age in Nigeria using multi-level analysis.
METHODS
Data from the most recent Nigeria Demographic and Health Survey conducted in 2018 were analyzed. A total of 29,949 women of reproductive age (15-49 years) were considered for the study. Descriptive statistics using weighted percentage and chi-square test of independence (χ2) were first used to describe the variables of interest. This procedure was followed by a multilevel analysis of factors associated with young maternal age at first birth in Nigeria at p<0.05 level of significance.
RESULTS
Approximately 36.80% of the sample population had their first birth before the age of 18. Mothers residing in the North-East region [aOR = 1.26; 95% (CI = 1.13-1.42)] and practicing Islam [aOR = 1.17; 95% (CI = 1.05-1.29] were more likely to have their first birth before the age of 18 than those in the North-Central region and those practicing Christianity. Living in communities with medium literacy level [aOR = 0.90; 95% (CI = 0.82-0.99)] and high literacy level [aOR = 0.71; 95% (CI = 0.62-0.81)], being within richest wealth index [aOR = 0.61; 95% (CI = 0.53-0.71)] and being Yoruba [aOR = 0.46; 95% (CI = 0.39-0.56)] were associated with lower odds of young maternal age at first birth.
CONCLUSION
More than one-third of women of reproductive age in Nigeria had given birth to their first child before 18 years. Thus, there is a need for the Nigerian government and other stakeholders, including Non-Governmental Organisations and Civil Society Organisations to formulate and implement policy interventions targeted at reducing early childbearing among women of reproductive age in Nigeria.
背景
在许多中低收入国家，不良的产科结局通常与早育有关。尽管有这方面的证据，但撒哈拉以南非洲地区，尤其是尼日利亚，关于早育的学术信息有限。本研究使用多水平分析检查了尼日利亚育龄妇女中首次生育年龄较小的预测因素。
方法
分析了 2018 年进行的最近一次尼日利亚人口与健康调查的数据。共有 29949 名育龄妇女（15-49 岁）被纳入研究。首先使用加权百分比和独立性卡方检验（χ2）进行描述性统计，以描述感兴趣的变量。然后在 p<0.05 的显著性水平下，对与尼日利亚年轻母亲首次生育年龄相关的因素进行多水平分析。
结果
约有 36.80%的样本人口在 18 岁之前生育了第一胎。居住在东北部地区的母亲[aOR=1.26；95%置信区间（CI）=1.13-1.42]和信仰伊斯兰教的母亲[aOR=1.17；95%置信区间（CI）=1.05-1.29]比居住在中北部地区和信仰基督教的母亲更有可能在 18 岁之前生育第一胎。生活在中等识字水平社区[aOR=0.90；95%置信区间（CI）=0.82-0.99]和高识字水平社区[aOR=0.71；95%置信区间（CI）=0.62-0.81]、处于最富有财富指数范围内[aOR=0.61；95%置信区间（CI）=0.53-0.71]和属于约鲁巴族[aOR=0.46；95%置信区间（CI）=0.39-0.56]的女性首次生育年龄较小的可能性较低。
结论
尼日利亚超过三分之一的育龄妇女在 18 岁之前生育了第一胎。因此，尼日利亚政府和其他利益攸关方，包括非政府组织和民间社会组织，需要制定和实施政策干预措施，以减少尼日利亚育龄妇女的早育现象。
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