Toward sustainable development goals in gender inequality: an analysis of gender preferences among urban pregnant women in a Southeast Asian country

Abstract Background Gender-biased discrimination and preferences are global phenomena, particularly son preferences. However, updated evidence about this issue in Vietnam has not yet been provided. Therefore, this study aimed to examine the gender preferences among pregnant women and identify associ...

Full description

Bibliographic Details
Main Authors: Anh Duy Nguyen, Long Hoang Nguyen, Lam Duc Nguyen, Ly Thi Ninh, Ha Thu Thi Nguyen, Cuong Tat Nguyen, Nila Nathan, Anh Linh Do, Anh Minh Le, Linh Phuong Doan, Son Hoang Nguyen, Thuc Minh Thi Vu, Bach Xuan Tran, Carl A. Latkin, Cyrus S.H. Ho, Roger C.M. Ho
Format: Article
Language:English
Published: BMC 2023-11-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-023-06109-z
_version_ 1797629912761237504
author Anh Duy Nguyen
Long Hoang Nguyen
Lam Duc Nguyen
Ly Thi Ninh
Ha Thu Thi Nguyen
Cuong Tat Nguyen
Nila Nathan
Anh Linh Do
Anh Minh Le
Linh Phuong Doan
Son Hoang Nguyen
Thuc Minh Thi Vu
Bach Xuan Tran
Carl A. Latkin
Cyrus S.H. Ho
Roger C.M. Ho
author_facet Anh Duy Nguyen
Long Hoang Nguyen
Lam Duc Nguyen
Ly Thi Ninh
Ha Thu Thi Nguyen
Cuong Tat Nguyen
Nila Nathan
Anh Linh Do
Anh Minh Le
Linh Phuong Doan
Son Hoang Nguyen
Thuc Minh Thi Vu
Bach Xuan Tran
Carl A. Latkin
Cyrus S.H. Ho
Roger C.M. Ho
author_sort Anh Duy Nguyen
collection DOAJ
description Abstract Background Gender-biased discrimination and preferences are global phenomena, particularly son preferences. However, updated evidence about this issue in Vietnam has not yet been provided. Therefore, this study aimed to examine the gender preferences among pregnant women and identify associated factors of such preferences. Methods A cross-sectional survey was conducted in two hospitals in Vietnam with 732 pregnant women. Gender preferences for their child were asked, along with socio-demographic (e.g., education, occupation) and pregnancy characteristics (e.g., pressure to have a son, gender of first child, the importance to have a son of family members, and information sources on pregnancy care) by using face-to-face interviews and a structured questionnaire. Multinomial logistic regression was performed to determine factors associated with gender preferences. Results About 51.9% of the participants had no gender preference, while, among those who had a gender preference, 26.5% preferred sons, and 21.6% preferred daughters. Only 6.2% had pressure to have a son. Having the first child who was female (OR = 4.16, 95%CI = 1.54–11.25), having the pressure to have a son (OR = 6.77, 95%CI = 2.06–22.26), and higher self-perceived importance to have a son (OR = 3.05, 95%CI = 1.85–5.02) were positively associated with son preference. Otherwise, women having partners with high school education or above (OR = 2.04, 95%CI = 1.06–3.91), living with parents-in-law (OR = 2.33; 95%CI = 1.25–4.34), the higher number of pregnancies, and a higher degree of importance in having a son regarding parents-in-law (OR = 2.15, 95%CI = 1.38–3.35) associated with higher odds of preferring daughter. Conclusion This study showed that gender preference was common among pregnant women, but the pressure to have a son was low. Further education programs and legal institutions should be implemented to improve gender inequality and gender preference in society.
first_indexed 2024-03-11T11:00:27Z
format Article
id doaj.art-b588fa7a9f0d44b0a20e96f32cbeadbc
institution Directory Open Access Journal
issn 1471-2393
language English
last_indexed 2024-03-11T11:00:27Z
publishDate 2023-11-01
publisher BMC
record_format Article
series BMC Pregnancy and Childbirth
spelling doaj.art-b588fa7a9f0d44b0a20e96f32cbeadbc2023-11-12T12:32:53ZengBMCBMC Pregnancy and Childbirth1471-23932023-11-0123111010.1186/s12884-023-06109-zToward sustainable development goals in gender inequality: an analysis of gender preferences among urban pregnant women in a Southeast Asian countryAnh Duy Nguyen0Long Hoang Nguyen1Lam Duc Nguyen2Ly Thi Ninh3Ha Thu Thi Nguyen4Cuong Tat Nguyen5Nila Nathan6Anh Linh Do7Anh Minh Le8Linh Phuong Doan9Son Hoang Nguyen10Thuc Minh Thi Vu11Bach Xuan Tran12Carl A. Latkin13Cyrus S.H. Ho14Roger C.M. Ho15Hanoi Obstetrics and Gynecology HospitalDepartment of Global Public Health, Karolinska InstitutetDepartment of Anesthesiology, Hanoi Medical UniversitySocial Affair Department, Ca Mau Obstetrics & Pediatrics HospitalHanoi Obstetrics and Gynecology HospitalInstitute for Global Health Innovations, Duy Tan UniversityQuantitative Biomedical Sciences, Geisel School of Medicine, Dartmouth CollegeInstitute of Health Economics and TechnologyInstitute of Health Economics and TechnologyInstitute for Global Health Innovations, Duy Tan UniversityCenter of Excellence in Evidence-based Medicine, Nguyen Tat Thanh UniversityInstitute of Health Economics and TechnologyInstitute for Preventive Medicine and Public Health, Hanoi Medical UniversityBloomberg School of Public Health, Johns Hopkins UniversityDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of SingaporeDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of SingaporeAbstract Background Gender-biased discrimination and preferences are global phenomena, particularly son preferences. However, updated evidence about this issue in Vietnam has not yet been provided. Therefore, this study aimed to examine the gender preferences among pregnant women and identify associated factors of such preferences. Methods A cross-sectional survey was conducted in two hospitals in Vietnam with 732 pregnant women. Gender preferences for their child were asked, along with socio-demographic (e.g., education, occupation) and pregnancy characteristics (e.g., pressure to have a son, gender of first child, the importance to have a son of family members, and information sources on pregnancy care) by using face-to-face interviews and a structured questionnaire. Multinomial logistic regression was performed to determine factors associated with gender preferences. Results About 51.9% of the participants had no gender preference, while, among those who had a gender preference, 26.5% preferred sons, and 21.6% preferred daughters. Only 6.2% had pressure to have a son. Having the first child who was female (OR = 4.16, 95%CI = 1.54–11.25), having the pressure to have a son (OR = 6.77, 95%CI = 2.06–22.26), and higher self-perceived importance to have a son (OR = 3.05, 95%CI = 1.85–5.02) were positively associated with son preference. Otherwise, women having partners with high school education or above (OR = 2.04, 95%CI = 1.06–3.91), living with parents-in-law (OR = 2.33; 95%CI = 1.25–4.34), the higher number of pregnancies, and a higher degree of importance in having a son regarding parents-in-law (OR = 2.15, 95%CI = 1.38–3.35) associated with higher odds of preferring daughter. Conclusion This study showed that gender preference was common among pregnant women, but the pressure to have a son was low. Further education programs and legal institutions should be implemented to improve gender inequality and gender preference in society.https://doi.org/10.1186/s12884-023-06109-zGender preferencesPregnant womenSex selectionInequality
spellingShingle Anh Duy Nguyen
Long Hoang Nguyen
Lam Duc Nguyen
Ly Thi Ninh
Ha Thu Thi Nguyen
Cuong Tat Nguyen
Nila Nathan
Anh Linh Do
Anh Minh Le
Linh Phuong Doan
Son Hoang Nguyen
Thuc Minh Thi Vu
Bach Xuan Tran
Carl A. Latkin
Cyrus S.H. Ho
Roger C.M. Ho
Toward sustainable development goals in gender inequality: an analysis of gender preferences among urban pregnant women in a Southeast Asian country
BMC Pregnancy and Childbirth
Gender preferences
Pregnant women
Sex selection
Inequality
title Toward sustainable development goals in gender inequality: an analysis of gender preferences among urban pregnant women in a Southeast Asian country
title_full Toward sustainable development goals in gender inequality: an analysis of gender preferences among urban pregnant women in a Southeast Asian country
title_fullStr Toward sustainable development goals in gender inequality: an analysis of gender preferences among urban pregnant women in a Southeast Asian country
title_full_unstemmed Toward sustainable development goals in gender inequality: an analysis of gender preferences among urban pregnant women in a Southeast Asian country
title_short Toward sustainable development goals in gender inequality: an analysis of gender preferences among urban pregnant women in a Southeast Asian country
title_sort toward sustainable development goals in gender inequality an analysis of gender preferences among urban pregnant women in a southeast asian country
topic Gender preferences
Pregnant women
Sex selection
Inequality
url https://doi.org/10.1186/s12884-023-06109-z
work_keys_str_mv AT anhduynguyen towardsustainabledevelopmentgoalsingenderinequalityananalysisofgenderpreferencesamongurbanpregnantwomeninasoutheastasiancountry
AT longhoangnguyen towardsustainabledevelopmentgoalsingenderinequalityananalysisofgenderpreferencesamongurbanpregnantwomeninasoutheastasiancountry
AT lamducnguyen towardsustainabledevelopmentgoalsingenderinequalityananalysisofgenderpreferencesamongurbanpregnantwomeninasoutheastasiancountry
AT lythininh towardsustainabledevelopmentgoalsingenderinequalityananalysisofgenderpreferencesamongurbanpregnantwomeninasoutheastasiancountry
AT hathuthinguyen towardsustainabledevelopmentgoalsingenderinequalityananalysisofgenderpreferencesamongurbanpregnantwomeninasoutheastasiancountry
AT cuongtatnguyen towardsustainabledevelopmentgoalsingenderinequalityananalysisofgenderpreferencesamongurbanpregnantwomeninasoutheastasiancountry
AT nilanathan towardsustainabledevelopmentgoalsingenderinequalityananalysisofgenderpreferencesamongurbanpregnantwomeninasoutheastasiancountry
AT anhlinhdo towardsustainabledevelopmentgoalsingenderinequalityananalysisofgenderpreferencesamongurbanpregnantwomeninasoutheastasiancountry
AT anhminhle towardsustainabledevelopmentgoalsingenderinequalityananalysisofgenderpreferencesamongurbanpregnantwomeninasoutheastasiancountry
AT linhphuongdoan towardsustainabledevelopmentgoalsingenderinequalityananalysisofgenderpreferencesamongurbanpregnantwomeninasoutheastasiancountry
AT sonhoangnguyen towardsustainabledevelopmentgoalsingenderinequalityananalysisofgenderpreferencesamongurbanpregnantwomeninasoutheastasiancountry
AT thucminhthivu towardsustainabledevelopmentgoalsingenderinequalityananalysisofgenderpreferencesamongurbanpregnantwomeninasoutheastasiancountry
AT bachxuantran towardsustainabledevelopmentgoalsingenderinequalityananalysisofgenderpreferencesamongurbanpregnantwomeninasoutheastasiancountry
AT carlalatkin towardsustainabledevelopmentgoalsingenderinequalityananalysisofgenderpreferencesamongurbanpregnantwomeninasoutheastasiancountry
AT cyrusshho towardsustainabledevelopmentgoalsingenderinequalityananalysisofgenderpreferencesamongurbanpregnantwomeninasoutheastasiancountry
AT rogercmho towardsustainabledevelopmentgoalsingenderinequalityananalysisofgenderpreferencesamongurbanpregnantwomeninasoutheastasiancountry