尼日利亚妇女高风险生育行为的社会经济不平等：一项非实验性基于人群的研究。

Socioeconomic inequalities in high-risk fertility behaviour among Nigerian women: A non-experimental population-based study.

机构信息

Faculty of Science and Health, School of Health and Care Professions, University of Portsmouth, Hampshire, United Kingdom.

出版信息

PLoS One. 2024 Nov 18;19(11):e0312028. doi: 10.1371/journal.pone.0312028. eCollection 2024.

DOI:10.1371/journal.pone.0312028

PMID:39556568

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11573142/

Abstract

BACKGROUND

High-risk fertility behaviour (HRFB) has adverse health, social and economic effects on women. An understanding of socioeconomic inequalities is needed to design effective interventions targeted to lower maternal morbidity and mortality due to HRFB.

OBJECTIVES

The objective was to quantify socioeconomic inequalities in HRFB among Nigerian women.

DESIGN

This was a cross-section study that used population-based data.

METHODS

A sample of 21,792 Nigerian women aged 15-49 years from the 2018 Nigeria Demographic Health Survey was analyzed. Percentage was employed in univariate analysis. In addition, concentration index was used to assess the extent of inequalities in HRFB. This was further decomposed to ascertain the explanatory components' relative contributions to the socioeconomic inequalities in HRFB.

RESULTS

The weighted prevalence of HRFB (63.5%; 95% CI: 62.6-64.4%), included <18 years at childbirth (4.9%; 95% CI:4.5-5.3%), >34 years at childbirth (18.3%; 95% CI: 17.6-19.0%), >3 children birth order (49.6%; 95% CI: 48.7-50.5%) and <24 months at preceding birth interval (17.0% 95% CI: 16.3-17.6%) were estimated. Education (Contri: 50.3997%, Ec: 0.2771), wealth (Contri: 27.2811%, Ec: 0.2665), socioeconomic disadvantaged (Contri: 14.9163%, Ec: -0.0996), religion (Contri: 13.8636%, Ec: -0.0496), region (Contri: 11.1724%, Ec: 0.0711), partner education (Contri: 7.1351%, Ec: 0.2138), media use (Contri: 4.5064%, Ec: 0.1449) and family motility (Contri: 3.7890%, Ec: -0.0281) were positive contributors to HRFBs among Nigerian women. However, age (Contri: -14.6237, Ec: 0.0089) and history of contraceptive use (Contri: -8.7723, Ec: -0.2094) were negative contributors to HRFBs among women of reproductive age in Nigeria.

CONCLUSION

Women who have low socioeconomic level reported higher prevalence of HRFB. Targeted interventions are required to lower HRFB among Nigerian women from poor households and with no formal education. Women should get counselling and assistance from healthcare and educational institutions to help them adopt healthy sexual and reproductive practices.

摘要

背景

高危生育行为（HRFB）对女性的健康、社会和经济都有不良影响。为了降低因 HRFB 导致的产妇发病率和死亡率，需要了解社会经济不平等现象，以便设计有效的干预措施。

目的

本研究旨在量化尼日利亚女性 HRFB 中的社会经济不平等现象。

设计

这是一项基于人群的横断面研究。

方法

分析了 2018 年尼日利亚人口与健康调查中 21792 名 15-49 岁的尼日利亚女性的样本。采用百分比表示未就业情况。此外，还使用集中指数评估 HRFB 中的不平等程度。进一步进行分解，以确定导致 HRFB 社会经济不平等的各个解释因素的相对贡献。

结果

研究估计了 HRFB 的加权流行率（63.5%；95%CI：62.6-64.4%），包括：生育年龄<18 岁（4.9%；95%CI：4.5-5.3%）、生育年龄>34 岁（18.3%；95%CI：17.6-19.0%）、生育子女数>3 个（49.6%；95%CI：48.7-50.5%）和上次分娩间隔<24 个月（17.0%；95%CI：16.3-17.6%）。教育（贡献：50.3997%，Ec：0.2771）、财富（贡献：27.2811%，Ec：0.2665）、社会经济地位不利（贡献：14.9163%，Ec：-0.0996）、宗教信仰（贡献：13.8636%，Ec：-0.0496）、地区（贡献：11.1724%，Ec：0.0711）、伴侣教育程度（贡献：7.1351%，Ec：0.2138）、媒体使用（贡献：4.5064%，Ec：0.1449）和家庭流动性（贡献：3.7890%，Ec：-0.0281）是导致尼日利亚女性 HRFB 的正向贡献因素。然而，年龄（贡献：-14.6237，Ec：0.0089）和避孕使用史（贡献：-8.7723，Ec：-0.2094）是导致尼日利亚育龄女性 HRFB 的负向贡献因素。