Multiple high-risk fertility behaviours and children under five mortality survivors among ever-married women of reproductive age in Nigeria
Abstract Background Multiple high-risk fertility behaviours (MHRFBs), including maternal age < 18 or > 34 years old, a birth order 4+, and birth spacing < 24 months, can directly or indirectly affect survival outcomes among under-five children. There is a dearth of available information and...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Archives of Public Health |
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| Online Access: | https://doi.org/10.1186/s13690-023-01192-2 |
| _version_ | 1797577990545080320 |
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| author | Obasanjo Afolabi Bolarinwa Julia Marie Hajjar Oluwatobi Abel Alawode Kobi V. Ajayi Adedoyin Tinuoya Roberts Sanni Yaya |
| author_facet | Obasanjo Afolabi Bolarinwa Julia Marie Hajjar Oluwatobi Abel Alawode Kobi V. Ajayi Adedoyin Tinuoya Roberts Sanni Yaya |
| author_sort | Obasanjo Afolabi Bolarinwa |
| collection | DOAJ |
| description | Abstract Background Multiple high-risk fertility behaviours (MHRFBs), including maternal age < 18 or > 34 years old, a birth order 4+, and birth spacing < 24 months, can directly or indirectly affect survival outcomes among under-five children. There is a dearth of available information and data about these two phenomena in Nigeria. Thus, this study evaluates the prevalence of MHRFBs and examines the association between MHRFBs and under-five mortality survival (U5M) outcomes among ever-married women of reproductive age in Nigeria. Methods This study used the recent secondary datasets from the Nigerian Demographic Health Surveys conducted in 2018, with a total sample size of 10,304 women of reproductive age. The outcome variable was MHRFBs. Multivariable logistic regression analysis was employed to examine the association between U5M and MHRFBs. Odds ratios with a p-value of less than 0.05 were considered significant. Results It was found that among women who had MHRFBs, U5M was prevalent, particularly in young maternal age (< 18 years) and within short birth intervals (< 24 months). The adjusted odds ratio of the association between MHRFBs and U5M shows the experience of MHRFBs, in addition to other factors such as household wealth index, type of marriage, and sex of child, to be significant predictors for U5M. The odds were higher for U5M to occur among women who had experienced MHRFBs compared to those who have not had an experience of MHRFBs [aOR = 1.48; 95%CI: 1.02–2.17 ]. Similarly, the odds of U5M occurrence among women in polygamous marriages are higher compared to those in monogamous unions [aOR = 1.35; 95% CI: 1.10–1.65]. While under-five children born in the richest households (wealth quintiles) are less likely to die compared to those born in the poorest households [aOR = 0.64; 95% CI: 0.41–1.01]. Conclusion This study concludes that women in Nigeria who engaged in MHRFBs, particularly maternal ages < 18 years and short birth intervals (< 24 months), were more likely to experience U5M. Furthermore, children born to women who received post-natal care after delivery were more likely to survive U5M, as were children born to women with educated partners. We recommend strengthening educational opportunities and creating adaptive reproductive health education programs for ever-married women of reproductive age in Nigeria. |
| first_indexed | 2024-03-10T22:15:57Z |
| format | Article |
| id | doaj.art-f593c97a9797402fb23006618f3f39b0 |
| institution | Directory Open Access Journal |
| issn | 2049-3258 |
| language | English |
| last_indexed | 2024-03-10T22:15:57Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Archives of Public Health |
| spelling | doaj.art-f593c97a9797402fb23006618f3f39b02023-11-19T12:27:06ZengBMCArchives of Public Health2049-32582023-09-0181111310.1186/s13690-023-01192-2Multiple high-risk fertility behaviours and children under five mortality survivors among ever-married women of reproductive age in NigeriaObasanjo Afolabi Bolarinwa0Julia Marie Hajjar1Oluwatobi Abel Alawode2Kobi V. Ajayi3Adedoyin Tinuoya Roberts4Sanni Yaya5Department of Public Health, York St. John UniversityInterdisciplinary School of Health Sciences, Faculty of Health Sciences, University of OttawaDepartment of Sociology and Criminology & Law, University of FloridaDepartment of Health Behavior, School of Public Health, Texas A&M UniversityDepartment of Social Research Methods, University of BrightonSchool of International Development and Global Studies, Faculty of Social Sciences, University of OttawaAbstract Background Multiple high-risk fertility behaviours (MHRFBs), including maternal age < 18 or > 34 years old, a birth order 4+, and birth spacing < 24 months, can directly or indirectly affect survival outcomes among under-five children. There is a dearth of available information and data about these two phenomena in Nigeria. Thus, this study evaluates the prevalence of MHRFBs and examines the association between MHRFBs and under-five mortality survival (U5M) outcomes among ever-married women of reproductive age in Nigeria. Methods This study used the recent secondary datasets from the Nigerian Demographic Health Surveys conducted in 2018, with a total sample size of 10,304 women of reproductive age. The outcome variable was MHRFBs. Multivariable logistic regression analysis was employed to examine the association between U5M and MHRFBs. Odds ratios with a p-value of less than 0.05 were considered significant. Results It was found that among women who had MHRFBs, U5M was prevalent, particularly in young maternal age (< 18 years) and within short birth intervals (< 24 months). The adjusted odds ratio of the association between MHRFBs and U5M shows the experience of MHRFBs, in addition to other factors such as household wealth index, type of marriage, and sex of child, to be significant predictors for U5M. The odds were higher for U5M to occur among women who had experienced MHRFBs compared to those who have not had an experience of MHRFBs [aOR = 1.48; 95%CI: 1.02–2.17 ]. Similarly, the odds of U5M occurrence among women in polygamous marriages are higher compared to those in monogamous unions [aOR = 1.35; 95% CI: 1.10–1.65]. While under-five children born in the richest households (wealth quintiles) are less likely to die compared to those born in the poorest households [aOR = 0.64; 95% CI: 0.41–1.01]. Conclusion This study concludes that women in Nigeria who engaged in MHRFBs, particularly maternal ages < 18 years and short birth intervals (< 24 months), were more likely to experience U5M. Furthermore, children born to women who received post-natal care after delivery were more likely to survive U5M, as were children born to women with educated partners. We recommend strengthening educational opportunities and creating adaptive reproductive health education programs for ever-married women of reproductive age in Nigeria.https://doi.org/10.1186/s13690-023-01192-2Under-five mortalityHigh-risk fertility behavioursEver-married women of reproductive ageGlobal healthDHSNigeria |
| spellingShingle | Obasanjo Afolabi Bolarinwa Julia Marie Hajjar Oluwatobi Abel Alawode Kobi V. Ajayi Adedoyin Tinuoya Roberts Sanni Yaya Multiple high-risk fertility behaviours and children under five mortality survivors among ever-married women of reproductive age in Nigeria Archives of Public Health Under-five mortality High-risk fertility behaviours Ever-married women of reproductive age Global health DHS Nigeria |
| title | Multiple high-risk fertility behaviours and children under five mortality survivors among ever-married women of reproductive age in Nigeria |
| title_full | Multiple high-risk fertility behaviours and children under five mortality survivors among ever-married women of reproductive age in Nigeria |
| title_fullStr | Multiple high-risk fertility behaviours and children under five mortality survivors among ever-married women of reproductive age in Nigeria |
| title_full_unstemmed | Multiple high-risk fertility behaviours and children under five mortality survivors among ever-married women of reproductive age in Nigeria |
| title_short | Multiple high-risk fertility behaviours and children under five mortality survivors among ever-married women of reproductive age in Nigeria |
| title_sort | multiple high risk fertility behaviours and children under five mortality survivors among ever married women of reproductive age in nigeria |
| topic | Under-five mortality High-risk fertility behaviours Ever-married women of reproductive age Global health DHS Nigeria |
| url | https://doi.org/10.1186/s13690-023-01192-2 |
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