Association between women's empowerment and fertility preferences in Ghana.

IF 2.3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Louis Kobina Dadzie, Hilda Yengnone, James Boadu Frimpong, Ebenezer Agbaglo, Abdul-Aziz Seidu, Bright Opoku Ahinkorah
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Abstract

As Ghana has embraced the concept of women's empowerment as a vital tool for sustainable development, it has become crucial to evaluate the role that women's empowerment plays in the fertility preferences of married and cohabiting women in the country. The study's objective was to examine the association between women's empowerment, the ideal number of children and women's ability to have their desired number of children. This cross-sectional study used data from the 2014 Ghana Demographic and Health Survey. Both Poisson and binary logistic regression analyses were carried out. Women who had justification for wife-beating (incidence rate ratio [IRR] 0.98 [95% confidence interval {CI} 0.96 to 0.99]) and those who were autonomous (IRR 0.94 [95% CI 0.93 to 0.95]) had lower rates of having the ideal number of children. Moreover, women who had justification for wife-beating (adjusted odds ratio [aOR] 1.25 [95% CI 1.13 to 1.39]) and those who were involved in decision-making (aOR 1.31 [95% CI 1.19 to 1.44]) had higher odds of having the ability to have the desired number of children. However, autonomous women (aOR 0.78 [95% CI 0.71 to 0.86]) had lower odds of having the ability to have the desired number of children. Significant associations were found between women's empowerment (women's attitude towards justification for wife-beating, autonomy), an ideal number of children and the ability to have the desired number of children. These findings present target areas for policies and interventions aimed at determining Ghanaian women's fertility preferences and empowering them.

加纳妇女赋权与生育偏好之间的关系。
随着加纳将妇女赋权概念作为可持续发展的重要工具,评估妇女赋权在该国已婚和同居妇女生育偏好中的作用变得至关重要。本研究的目的是探讨妇女赋权、理想子女人数和妇女生育理想子女人数的能力之间的关系。这项横截面研究使用了 2014 年加纳人口与健康调查的数据。研究同时进行了泊松和二元逻辑回归分析。有理由打妻子的妇女(发生率比 [IRR] 0.98 [95% 置信区间 {CI} 0.96 至 0.99])和自主打妻子的妇女(发生率比 [IRR] 0.94 [95% 置信区间 {CI} 0.93 至 0.95])拥有理想子女数的比率较低。此外,有理由殴打妻子的妇女(调整后的几率比 [aOR] 1.25 [95% CI 1.13 至 1.39])和参与决策的妇女(aOR 1.31 [95% CI 1.19 至 1.44])有能力生育理想子女数的几率更高。然而,自主的妇女(aOR 0.78 [95% CI 0.71 至 0.86])有能力生育理想子女数的几率较低。研究发现,妇女赋权(妇女对殴打妻子的合理性、自主性的态度)、理想子女数和拥有理想子女数的能力之间存在显著关联。这些研究结果为旨在确定加纳妇女的生育偏好并增强其能力的政策和干预措施提供了目标领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Health
International Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.50
自引率
0.00%
发文量
83
审稿时长
>12 weeks
期刊介绍: International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions. It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.
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