Determinant of time-to-first birth interval after marriage among Ethiopian women

Chernet, Ayele Gebeyehu; Shebeshi, Dinberu S.; Banbeta, Akalu

doi:10.1186/s12905-019-0858-3

Cited by 19 publications

(25 citation statements)

References 12 publications

(12 reference statements)

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“…The results of this model concluded that age at first marriage and education were the factors that had a significant effect on age at first giving birth. These results are in line with similar studies conducted in Ethiopia (Chernet et al 2019) and in Nigeria (Fagbamigbe and Idemudia, 2016). The study concluded that the younger a woman married, the earlier the age of first giving birth.…”

Section: Discussionsupporting

confidence: 92%

“…The results of research conducted by Fagbamigbe and Idemudia (2016) show that the time of marriage and education are the most significant factors affecting the age of first giving birth. A similar study was conducted by Chernet, Shebeshi, and Banbeta (2019) regarding the determinants of the interval for first giving birth after marriage among Ethiopian women. The results showed age, place of residence, employment status, contraceptive use, and education of women were significantly associated with the age of first giving birth (Chernet et al, 2019).…”

Section: Introductionmentioning

confidence: 92%

“…A similar study was conducted by Chernet, Shebeshi, and Banbeta (2019) regarding the determinants of the interval for first giving birth after marriage among Ethiopian women. The results showed age, place of residence, employment status, contraceptive use, and education of women were significantly associated with the age of first giving birth (Chernet et al, 2019). Educational factors have been proven to be able to reduce the ratio of the level of danger during childbirth (Seyedtabib et al, 2019).…”

Section: Introductionmentioning

confidence: 92%

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Survival Analysis to Determine Age to Give First Birth in Women in East Java Using Extended Cox Regression

Purnami

Aida

Sutikno

et al. 2021

JBK

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The age of a woman when giving birth to her first child needs to be a concern because it is related to the safety of the mother and baby. A woman being too young or too old increases the risk of death for both the mother and baby. Every woman giving birth for the first time is likely to experience psychological disorders such as anxiety and excessive fear during labor, and even postpartum depression. Given the importance and possible extent of the consequences of women giving birth for the first time, this study intended to assess the factors that influence the age at first birth, especially amongst women of childbearing age in East Java. These factors include the age at first marriage, education, and region. The method used was the extended Cox regression model. The analysis shows that the age at first marriage and education are factors that significantly influence the age at first birth. The more mature the age at first marriage, the more mature the age at first birth. Likewise, the higher the educational status, the higher the potential for giving birth to a first child over the age of 23, especially amongst women who graduated high school and university.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 92%

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Survival Analysis to Determine Age to Give First Birth in Women in East Java Using Extended Cox Regression

Purnami

Aida

Sutikno

et al. 2021

JBK

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“…Bangladeshi (1) and results elsewhere (3,4,7,14,19,21,22,26,(31)(32)(33)(34)(35)(41)(42)(43). In particular, ensuring those adolescent girls to receive at least a secondary level of education is the optimal way of delaying childbirth (53,58).…”

Section: Discussionmentioning

confidence: 99%

“…Childbirth is being delayed to a later age with the mean age at rst birth 26.3 years in the United States America (USA) (39) to 30 years in Britain (3). The majority works of the literature revealed that the use of any contraception delay age at rst birth (5,8,9,(23)(24)(25)30,(40)(41)(42).…”

mentioning

confidence: 99%

Time to first birth and its Predictors among reproductive-age women in Ethiopia: inverse Weibull gamma shared frailty model

Dewau

Mekonnen

Seretew

2020

Preprint

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Background: High maternal and child death with high fertility rate have been reported in Ethiopia. Extreme age at first birth is linked with both maternal and child morbidity and mortality. However, literatures showed there were limited studies on the timing of the first birth and its predictors in the area so far. Therefore, determining the time to first birth and its predictors will help to design strategies to improve maternal and child survival. Methods: A community-based cross-sectional study was conducted among reproductive-age women in Ethiopia using the Ethiopian demographic health survey (EDHS), 2016 data. Stratified two-stage cluster sampling technique was used for sampling. The Kaplan-Meier (KM) method was used to estimate time to first birth. Inverse Weibull gamma shared frailty model applied to model the data at 95% confidence interval (CI), adjusted hazard ratio (AHR) and median hazard ratio (MHR) were reported as effect size. Proportional hazard assumption checked using Schoenfeld residual test. Information Criteria were applied to select a parsimonious model. Stratified analysis performed for the interaction terms and statistical significance was declared at p value<0.05. Results: The overall median age at first birth was found to be 20 years (IQR, 16-24 years). The independent predictors of time to first birth were: married 15-17 years (AHR=2.33,95% CI:2.08-2.63),secondary education level (AHR=0.84,95% CI:0.78-0.96), higher education level (AHR=0.75, 95% CI:0.65-0.85), intercourse before 15 years in the married stratum (AHR=23.81, 95% CI:22.22-25.64), intercourse 15-17 years in married stratum (AHR=5.56, 95% CI:5.26-5.88),spousal age difference (AHR=1.11, 95% CI:1.05-1.16),and use of contraceptives (AHR=0.91, 95% CI: 0.86-0.97). The median increase in the hazard of early childbirth in a cluster with higher early childbirth is 16% (MHR=1.16, 95% CI: 1.13-1.20) than low risk clusters adjusting for other factors.Conclusion:In this study, first birth was found to be at an early age. Early age at first marriage, at first sexual intercourse and their interaction, high spousal age difference, being Muslim were found to increase early motherhood. Conversely, living in the most urban region, secondary and higher women education were identified to delay the first birth. Investing on women education and protecting them from early marriage is required to optimize time to first birth. The contextual differences in time to first birth are an important finding which requires more study and interventions.

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Rural–urban disparities in birth interval among women of reproductive age in Nigeria

Wegbom

Bademosi

Edet

et al. 2022

Sci Rep

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Nigeria like most developing nations still faced with a higher rate of short birth interval (SBI), and its associated consequences, such as adverse maternal and child health outcomes. This study aimed to determine the distribution and factors associated with SBI in rural and urban Nigeria. The data for this study were extracted from the 2018 Nigeria Demographic and Health Survey (2018 NDHS). Statistical analyses were descriptive analysis and binary logistic model. The proportions of SBI in rural and urban Nigeria were 20.7% and 20.3% respectively. Women’s age, geopolitical region, education level, and the number of children ever born were significantly associated with SBI in rural and urban Nigeria. Maternal Wealth index and antenatal care visits were only significant in rural while working status was only significant in urban Nigeria after controlling for other factors. Higher odds of SBI for middle class women than poor women (AOR = 1.19, 95% CI = 1.06–1.35), and increase in ANC visits reduces the odds of having SBI: 4–7 visits (AOR = 0.87, 95% CI = 0.77–0.98) and > 7visits (AOR = 0.83, 95% CI = 0.69–0.99). There were slight disparities in the prevalence of short birth intervals in rural and urban areas. Wealth index and ANC visits were only significant in rural Nigeria. Public health awareness campaigns should be strengthened to drive the importance of birth spacing techniques such as the utilization of modern contraceptives and breastfeeding in all the geo-political regions and across all age strata. Women particularly those residing in the rural areas should be encouraged to advance their education to at least a secondary level and enlightened on the importance of ANC.

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Determinant of time-to-first birth interval after marriage among Ethiopian women

Cited by 19 publications

References 12 publications

Survival Analysis to Determine Age to Give First Birth in Women in East Java Using Extended Cox Regression

Survival Analysis to Determine Age to Give First Birth in Women in East Java Using Extended Cox Regression

Time to first birth and its Predictors among reproductive-age women in Ethiopia: inverse Weibull gamma shared frailty model

Rural–urban disparities in birth interval among women of reproductive age in Nigeria

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