Relationship between educational assortative mating and reproductive healthcare utilization in Nigeria.

IF 1.5 3区 社会学 Q2 DEMOGRAPHY
Oluwatobi A Alawode
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Abstract

Reproductive health indicators in many developing countries including Nigeria are poor, and this is due to the less-than-optimum utilization of reproductive healthcare that has been linked to numerous factors including the educational attainment of women and their partners. In societies like Nigeria, marriage is nearly universal and upheld by patriarchal practices, while education is one of the determining factors for the choice of partner in the marriage market, as it also influences household power dynamics. Despite the plethora of studies investigating the link between education and utilization of these services, there is a paucity of research examining educational assortative mating (EAM) and its link to reproductive healthcare utilization. Hence, this study investigated EAM and explored its association with reproductive healthcare utilization from the perspective of family systems theory. Data from the 2018 Nigeria Demographic and Health Survey (n = 19,950) was analysed with frequencies presented and binary logistic regression models fitted. The result showed that high-education (34%) and low-education (46%) homogamy are the most prevalent types of EAM, while 40% of the partnered women reported facility delivery, 11% used modern contraceptives and 20% reported 8+ antenatal care visits. The multivariate analysis showed that compared to women in hypergamy, women in both high-education homogamy and hypogamy are more likely to deliver at a health facility but women in low-education are less likely. Women in both high-education homogamy and hypogamy are more likely, but those in low-education homogamy are less likely to use modern contraceptives. For antenatal care, only women in high-education homogamy are more likely to have 8 or more visits during pregnancy compared to women in hypergamy, while women in low-education homogamy and hypogamy are less likely. These findings provide evidence of the importance of an indicator of social stratification for important family decisions like healthcare utilization.

尼日利亚教育同配与生殖保健利用率之间的关系。
包括尼日利亚在内的许多发展中国家的生殖健康指标都很差,这是由于生殖保健的利用率不够理想,这与许多因素有关,包括妇女及其伴侣的受教育程度。在尼日利亚这样的社会中,婚姻几乎是普遍的,并受到父权制习俗的支持,而教育是婚姻市场中选择伴侣的决定性因素之一,因为它也影响家庭权力动态。尽管有大量研究调查了教育与利用这些服务之间的联系,但检查教育选型交配(EAM)及其与生殖保健利用的联系的研究却很缺乏。因此,本研究以家庭系统理论为视角,探讨家庭健康管理与生殖保健利用的关系。对2018年尼日利亚人口与健康调查(n = 19,950)的数据进行了分析,给出了频率,并拟合了二元逻辑回归模型。结果显示,高学历(34%)和低学历(46%)的同性婚姻是最普遍的EAM类型,而有伴侣的妇女中有40%报告在医院分娩,11%使用现代避孕药具,20%报告8次以上的产前护理。多变量分析表明,与一夫多妻制的妇女相比,受过高等教育的同性婚姻和低一夫多妻制的妇女更有可能在医疗机构分娩,但受教育程度低的妇女则不太可能。受过高等教育的同性婚姻和次等婚姻的女性更有可能使用现代避孕措施,但那些受教育程度较低的同性婚姻的女性则不太可能使用现代避孕措施。在产前护理方面,与重婚女性相比,只有受过高等教育的同性婚姻的女性在怀孕期间更有可能进行8次或更多的检查,而受过低教育的同性婚姻和次等婚姻的女性则不太可能。这些发现证明了社会分层指标对医疗保健利用等重要家庭决策的重要性。
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
CiteScore
3.00
自引率
6.70%
发文量
108
期刊介绍: Journal of Biosocial Science is a leading interdisciplinary and international journal in the field of biosocial science, the common ground between biology and sociology. It acts as an essential reference guide for all biological and social scientists working in these interdisciplinary areas, including social and biological aspects of reproduction and its control, gerontology, ecology, genetics, applied psychology, sociology, education, criminology, demography, health and epidemiology. Publishing original research papers, short reports, reviews, lectures and book reviews, the journal also includes a Debate section that encourages readers" comments on specific articles, with subsequent response from the original author.
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