Rural–urban disparities in birth interval among women of reproductive age in Nigeria
Abstract Nigeria like most developing nations still faced with a higher rate of short birth interval (SBI), and its associated consequences, such as adverse maternal and child health outcomes. This study aimed to determine the distribution and factors associated with SBI in rural and urban Nigeria....
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-10-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-22142-y |
| _version_ | 1811249906049875968 |
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| author | Anthony Ike Wegbom Adetomi Bademosi Clement Kevin Edet Kinikanwo Innocent Green Leesi Sapira-Ordu Adeniyi Francis Fagbamigbe |
| author_facet | Anthony Ike Wegbom Adetomi Bademosi Clement Kevin Edet Kinikanwo Innocent Green Leesi Sapira-Ordu Adeniyi Francis Fagbamigbe |
| author_sort | Anthony Ike Wegbom |
| collection | DOAJ |
| description | Abstract Nigeria like most developing nations still faced with a higher rate of short birth interval (SBI), and its associated consequences, such as adverse maternal and child health outcomes. This study aimed to determine the distribution and factors associated with SBI in rural and urban Nigeria. The data for this study were extracted from the 2018 Nigeria Demographic and Health Survey (2018 NDHS). Statistical analyses were descriptive analysis and binary logistic model. The proportions of SBI in rural and urban Nigeria were 20.7% and 20.3% respectively. Women’s age, geopolitical region, education level, and the number of children ever born were significantly associated with SBI in rural and urban Nigeria. Maternal Wealth index and antenatal care visits were only significant in rural while working status was only significant in urban Nigeria after controlling for other factors. Higher odds of SBI for middle class women than poor women (AOR = 1.19, 95% CI = 1.06–1.35), and increase in ANC visits reduces the odds of having SBI: 4–7 visits (AOR = 0.87, 95% CI = 0.77–0.98) and > 7visits (AOR = 0.83, 95% CI = 0.69–0.99). There were slight disparities in the prevalence of short birth intervals in rural and urban areas. Wealth index and ANC visits were only significant in rural Nigeria. Public health awareness campaigns should be strengthened to drive the importance of birth spacing techniques such as the utilization of modern contraceptives and breastfeeding in all the geo-political regions and across all age strata. Women particularly those residing in the rural areas should be encouraged to advance their education to at least a secondary level and enlightened on the importance of ANC. |
| first_indexed | 2024-04-12T15:54:41Z |
| format | Article |
| id | doaj.art-0d0d71936914493c9d588bfad3d564a9 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-12T15:54:41Z |
| publishDate | 2022-10-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-0d0d71936914493c9d588bfad3d564a92022-12-22T03:26:23ZengNature PortfolioScientific Reports2045-23222022-10-011211810.1038/s41598-022-22142-yRural–urban disparities in birth interval among women of reproductive age in NigeriaAnthony Ike Wegbom0Adetomi Bademosi1Clement Kevin Edet2Kinikanwo Innocent Green3Leesi Sapira-Ordu4Adeniyi Francis Fagbamigbe5Department of Community Medicine, College of Medical Sciences, Rivers State UniversityDepartment of Community Medicine, College of Medical Sciences, Rivers State UniversityDepartment of Community Medicine, College of Medical Sciences, Rivers State UniversityDepartment of Obstetrics and Gynaecology, University of Port Harcourt Teaching HospitalDepartment of Obstetrics and Gynaecology, College of Medical Sciences, Rivers State UniversityDepartment of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of IbadanAbstract Nigeria like most developing nations still faced with a higher rate of short birth interval (SBI), and its associated consequences, such as adverse maternal and child health outcomes. This study aimed to determine the distribution and factors associated with SBI in rural and urban Nigeria. The data for this study were extracted from the 2018 Nigeria Demographic and Health Survey (2018 NDHS). Statistical analyses were descriptive analysis and binary logistic model. The proportions of SBI in rural and urban Nigeria were 20.7% and 20.3% respectively. Women’s age, geopolitical region, education level, and the number of children ever born were significantly associated with SBI in rural and urban Nigeria. Maternal Wealth index and antenatal care visits were only significant in rural while working status was only significant in urban Nigeria after controlling for other factors. Higher odds of SBI for middle class women than poor women (AOR = 1.19, 95% CI = 1.06–1.35), and increase in ANC visits reduces the odds of having SBI: 4–7 visits (AOR = 0.87, 95% CI = 0.77–0.98) and > 7visits (AOR = 0.83, 95% CI = 0.69–0.99). There were slight disparities in the prevalence of short birth intervals in rural and urban areas. Wealth index and ANC visits were only significant in rural Nigeria. Public health awareness campaigns should be strengthened to drive the importance of birth spacing techniques such as the utilization of modern contraceptives and breastfeeding in all the geo-political regions and across all age strata. Women particularly those residing in the rural areas should be encouraged to advance their education to at least a secondary level and enlightened on the importance of ANC.https://doi.org/10.1038/s41598-022-22142-y |
| spellingShingle | Anthony Ike Wegbom Adetomi Bademosi Clement Kevin Edet Kinikanwo Innocent Green Leesi Sapira-Ordu Adeniyi Francis Fagbamigbe Rural–urban disparities in birth interval among women of reproductive age in Nigeria Scientific Reports |
| title | Rural–urban disparities in birth interval among women of reproductive age in Nigeria |
| title_full | Rural–urban disparities in birth interval among women of reproductive age in Nigeria |
| title_fullStr | Rural–urban disparities in birth interval among women of reproductive age in Nigeria |
| title_full_unstemmed | Rural–urban disparities in birth interval among women of reproductive age in Nigeria |
| title_short | Rural–urban disparities in birth interval among women of reproductive age in Nigeria |
| title_sort | rural urban disparities in birth interval among women of reproductive age in nigeria |
| url | https://doi.org/10.1038/s41598-022-22142-y |
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