Individual, household, and community-level factors associated with high-risk fertility behaviour among Nigerian women: secondary analysis of the 2018 demographic and health survey data.

IF 3.6 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Reproductive Health Pub Date : 2025-02-03 DOI:10.1186/s12978-025-01956-9

Michael Ekholuenetale, Chimezie Igwegbe Nzoputam, Amadou Barrow, Amit Arora

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引用次数: 0

Abstract

Background: High-risk fertility behaviour (HRFB) remains a significant public health concern in Nigeria, contributing to increase in maternal and child morbidity and mortality. The existence of HRFB presents significant barrier to accomplishing the Sustainable Development Goals. The objective of this study was to examine the prevalence and contextual factors of HRFB among Nigerian women.

Methods: In this study, cross-sectional data with national representativeness from the 2018 Nigeria demographic and health survey (NDHS) were used. The sample was made up of 21,792 women aged 15-49 years selected from 1389 enumeration areas. A multilevel multivariable binary logistic regression model was utilised to examine the factors associated with HRFB.

Results: The weighted prevalence of HRFB was 64% (95% CI 62-65%). Women having at least a secondary education had 14% (aOR = 0.86; 95% CI 0.77-0.98) reduction in the odds of HRFB when compared with women with at most a primary education. Muslim women had 20% (aOR = 1.20; 95% CI 1.06-1.36) increase in the odds of HRFB, when compared with the Christian women. Those who had 3-4 living children had 3.97 times higher odds of HRFB, when compared with women with no child (aOR = 3.97; 95% CI 2.92-5.40). Women aged 25-34 and 35-49 years had higher odds of HRFB when compared with women aged 15-24 years respectively. Women exposed to media use had 12% (aOR = 0.88; 95% CI 0.80-0.97) reduction in the odds of HRFB when compared with women not exposed to media use. The non-poor women had 12% (aOR = 0.88; 95% CI 0.79-0.99) reduction in the odds of HRFB when compared with poor women. Respondents from female-headed households had 21% reduction in the odds of HRFB when compared with those from households with male head (aOR = 0.79; 95% CI 0.69-0.92). The geographical region was significantly associated with HRFB among women.

Conclusion: The high prevalence of HRFB among Nigerian women underscores the need for policies and programmes targeted to address the issue. Addressing socioeconomic factors, improving education and healthcare access, and promoting family planning could significantly reduce HRFB.

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与尼日利亚妇女高危生育行为相关的个人、家庭和社区因素：对2018年人口和健康调查数据的二次分析

背景：高风险生育行为（HRFB）在尼日利亚仍然是一个重大的公共卫生问题，导致孕产妇和儿童发病率和死亡率上升。人权基金的存在是实现可持续发展目标的重大障碍。本研究的目的是研究尼日利亚妇女HRFB的患病率和相关因素。方法：本研究使用2018年尼日利亚人口与健康调查（NDHS）中具有全国代表性的横断面数据。样本由21792名年龄在15-49岁之间的女性组成，她们来自1389个调查地区。采用多水平多变量二元logistic回归模型检验与HRFB相关的因素。结果：HRFB的加权患病率为64% （95% CI 62-65%）。至少受过中等教育的妇女占14% (aOR = 0.86；（95% CI 0.77-0.98）与最多只受过初等教育的妇女相比，HRFB的几率降低。穆斯林妇女占20% (aOR = 1.20；（95% CI 1.06-1.36）与基督教妇女相比，HRFB的几率增加。有3-4个孩子的妇女与没有孩子的妇女相比，HRFB的几率高3.97倍(aOR = 3.97；95% ci 2.92-5.40)。与15-24岁的女性相比，25-34岁和35-49岁的女性患HRFB的几率更高。使用媒体的女性有12% (aOR = 0.88；95% CI 0.80-0.97)与未接触媒体的女性相比，HRFB的发生率降低。非贫困妇女为12% (aOR = 0.88；（95% CI 0.79-0.99）与贫困妇女相比，HRFB的发生率降低。与男性户主家庭的受访者相比，女性户主家庭的受访者患HRFB的几率降低了21% (aOR = 0.79；95% ci 0.69-0.92)。地理区域与女性HRFB显著相关。结论：尼日利亚妇女HRFB的高流行率强调了有针对性地解决这一问题的政策和方案的必要性。解决社会经济因素、改善教育和保健机会以及促进计划生育可以显著减少HRFB。

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

Reproductive Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.00

自引率

5.90%

发文量

220

审稿时长

>12 weeks

期刊介绍： Reproductive Health focuses on all aspects of human reproduction. The journal includes sections dedicated to adolescent health, female fertility and midwifery and all content is open access. Reproductive health is defined as a state of physical, mental, and social well-being in all matters relating to the reproductive system, at all stages of life. Good reproductive health implies that people are able to have a satisfying and safe sex life, the capability to reproduce and the freedom to decide if, when, and how often to do so. Men and women should be informed about and have access to safe, effective, affordable, and acceptable methods of family planning of their choice, and the right to appropriate health-care services that enable women to safely go through pregnancy and childbirth.