埃塞俄比亚女性初育年龄的多水平生存分析

Multilevel survival analysis of the age at first birth among women in Ethiopia.

作者信息

Hussen Nuru Mohammed, Arega Gezachew Gebeyehu, Shibeshi Abdu Hailu, Habtie Getnet Mamo, Kassa Tigabu Hailu, Getaneh Arge Kassaye

机构信息

Department of Statistics, Samara University, Semera, Ethiopia.

出版信息

Front Reprod Health. 2024 Oct 9;6:1419537. doi: 10.3389/frph.2024.1419537. eCollection 2024.

DOI:10.3389/frph.2024.1419537

PMID:39444418

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11496270/

Abstract

INTRODUCTION

The age at first birth refers to the age at which a woman has her first child. It can significantly influence the demographic behavior of women and the general community. Moreover, teenage childbearing is a serious public health and social problem. The main objective of this study was to identify factors associated with age at first birth among women in Ethiopia.

METHODS

Secondary data on women were obtained from the 2019 Ethiopia Mini Demographic and Health Survey (EMDHS). These population-based cross-sectional data were downloaded from the Measure Demographic and Health Survey website (http://www.measuredhs.com). The study included a random sample of 8,885 women aged 15-49 years from 305 enumeration areas. A multilevel survival analysis was employed to identify the factors associated with teenage childbearing among women in Ethiopia.

RESULTS

The majority (67.7%) of randomly sampled women were subjected to teenage childbearing. Women being rural dwellers [hazard ratio (HR) = 1.27, 95% CI: 1.05, 1.54]; women from middle-income families (HR = 1.43, 95% CI: 1.18, 1.74); and women from higher-income families (HR = 1.40, 95% CI: 1.15, 1.70) were associated with a higher risk of teenage childbearing. Conversely, contraception method users (HR = 0.87, 95% CI: 0.77, 0.99), Muslims (HR = 0.75, 95% CI: 0.64, 0.89), Orthodoxes (HR = 0.68, 95% CI: 0.57, 0.80), women with secondary education (HR = 0.53, 95% CI: 0.43, 0.65), women with higher education (HR = 0.28 (95% CI: 0.22, 0.37), and the higher age of household head (HR = 0.99, 95% CI: 0.98, 0.99) were associated with a lower risk of teenage childbearing among women in Ethiopia.

CONCLUSION

Since the median age of women to have their first child was 18 years old, this study strongly suggests that stakeholders at the federal and regional levels must work closely toward enforcing the legal age of marriage and implementing national adolescents' and youths' targeted sexual and reproductive health programs.

摘要

引言

首次生育年龄是指女性生育第一个孩子时的年龄。它会对女性及整个社会的人口行为产生重大影响。此外，青少年生育是一个严重的公共卫生和社会问题。本研究的主要目的是确定埃塞俄比亚女性首次生育年龄的相关因素。

方法

关于女性的二手数据来自2019年埃塞俄比亚微型人口与健康调查（EMDHS）。这些基于人群的横断面数据从测量人口与健康调查网站（http://www.measuredhs.com）下载。该研究包括来自305个普查区的8885名年龄在15 - 49岁之间的女性随机样本。采用多水平生存分析来确定埃塞俄比亚女性青少年生育的相关因素。

结果

大多数（67.7%）随机抽样的女性经历过青少年生育。农村女性[风险比（HR）= 1.27，95%置信区间：1.05，1.54]；中等收入家庭的女性（HR = 1.43，95%置信区间：1.18，1.74）；以及高收入家庭的女性（HR = 1.40，95%置信区间：1.15，1.70）生育第一个孩子的风险较高。相反，使用避孕方法的女性（HR = 0.87，95%置信区间：0.77，0.99）、穆斯林女性（HR = 0.75，95%置信区间：0.64，0.89）、东正教徒女性（HR = 0.68，95%置信区间：0.57，0.80）、受过中等教育的女性（HR = 0.53，95%置信区间：0.43，0.65）、受过高等教育的女性（HR = 0.28（95%置信区间：0.22，0.37））以及户主年龄较大（HR = 0.99，95%置信区间：0.98，0.99）的女性生育第一个孩子的风险较低。