Maternal socio-demographic factors associated with low parity and grand multiparity in Nigeria

Solanke, Bola Lukman

doi:10.1080/03630242.2018.1553815

Cited by 14 publications

(11 citation statements)

References 42 publications

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“…Second, the study is based on the data of NFHS, which are collected by interviewing individuals participating in the survey. Hence, the responses may be predisposed to recall errors and distortion of information, as Solanke (2019) highlighted. Another limitation is that the study included only a few community variables, which future studies may explore.…”

Section: Discussionmentioning

confidence: 99%

Institutional deliveries in India: a study of associates and inequality

Kumar

Mandava²

2022

IJSE

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PurposeIndia has shown good progress in maternal health outcome indicators. However, an area for improvement is to ensure all deliveries take place in institutions under the supervision of skilled birth attendants. This paper attempts to identify the factors that affect institutional deliveries using nationally representative National Family Health Survey (NFHS) data. Further, the authors investigate the factors contributing to the wealth-based inequality in institutional deliveries.Design/methodology/approachTo address the first aspect of identifying the factors associated with undergoing an institutional delivery, the authors have used logistic and multinominal logistic models. The explanatory variables are broadly socio-economic indicators of the mother and a few other household characteristics. Further, the concentration index and regression-based decomposition were used to carry out an inequality analysis in the institutional deliveries across different wealth groups.FindingsThe authors found that women belonging to poor households, backward social groups and rural areas have significantly fewer odds of undergoing an institutional delivery. Age and education level of the mother, number of antenatal visits during pregnancy and place of residence (urban/rural) have contributed to the inequality in institutional deliveries in 2005–2006. However, the inequality due to these factors went down drastically in 2015–2016.Originality/valueTo the best of the authors' knowledge, this study is a distinct attempt to use pooled data of the NFHS-3 [2005–2006] and NFHS-4 [2015–2016] in identifying factors contributing to a woman undergoing an institutional-based delivery. The study also decomposes the wealth-based inequality in the factors contributing to having an institutional delivery and analyses the contributions to inequality across the two time periods.

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Section: Discussionmentioning

confidence: 99%

Institutional deliveries in India: a study of associates and inequality

Kumar

Mandava²

2022

IJSE

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“…In the 1960s MIC had a fertility rate of nearly 6, almost twice that of HIC (United Nations, 2019). Given this, our results suggest that greater rates of incident dementia for women than for men in MIC could be at least partly attributable to high fertility rates and a prevalence of grand multiparity that is over 20% (Mueller et al ., 2013; Jang et al ., 2018; Solanke, 2019). Grand multiparity is also likely to be a risk for dementia among women in low-income countries for which the mean fertility rate was 4.6 in 2017 and where grand multiparity is still common (United Nations, 2019).…”

Section: Discussionmentioning

confidence: 99%

Parity and the risk of incident dementia: a COSMIC study

Bae

Lipnicki

Han

et al. 2020

Epidemiol Psychiatr Sci

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Aims To investigate the association between parity and the risk of incident dementia in women. Methods We pooled baseline and follow-up data for community-dwelling women aged 60 or older from six population-based, prospective cohort studies from four European and two Asian countries. We investigated the association between parity and incident dementia using Cox proportional hazards regression models adjusted for age, educational level, hypertension, diabetes mellitus and cohort, with additional analysis by dementia subtype (Alzheimer dementia (AD) and non-Alzheimer dementia (NAD)). Results Of 9756 women dementia-free at baseline, 7010 completed one or more follow-up assessments. The mean follow-up duration was 5.4 ± 3.1 years and dementia developed in 550 participants. The number of parities was associated with the risk of incident dementia (hazard ratio (HR) = 1.07, 95% confidence interval (CI) = 1.02–1.13). Grand multiparity (five or more parities) increased the risk of dementia by 30% compared to 1–4 parities (HR = 1.30, 95% CI = 1.02–1.67). The risk of NAD increased by 12% for every parity (HR = 1.12, 95% CI = 1.02–1.23) and by 60% for grand multiparity (HR = 1.60, 95% CI = 1.00–2.55), but the risk of AD was not significantly associated with parity. Conclusions Grand multiparity is a significant risk factor for dementia in women. This may have particularly important implications for women in low and middle-income countries where the fertility rate and prevalence of grand multiparity are high.

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“…The current programmes [31][32] are concerned with promoting safe motherhood through effective antenatal, delivery, and postnatal care services without recognising the special case of AMA pregnancy. There is a likelihood that attention to high parity pregnancies which is more dominant in Nigeria and other sub-Saharan African countries [12][13][14] may over shadow AMA pregnancy in safe motherhood programming if AMA pregnancy is not speci cally set as a priority in future women's health and safe motherhood programmes.…”

Section: Discussionmentioning

confidence: 99%

“…In sub-Saharan Africa particularly in Nigeria, the rising pro le of AMA pregnancy may be linked to two developments. One, the persistence of high parity births among women [12][13][14]. Two, the proportion of women delaying motherhood for the purpose of achieving education and career enhancement is steadily increasing in the country [15].…”

Section: Introductionmentioning

confidence: 99%

Analysis of individual-level and community-level effects on advanced maternal age pregnancy in Nigeria

Solanke

Oduyoye

Oni

2020

Preprint

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Background: Advanced Maternal Age (AMA) pregnancy refers to pregnancy in women aged 35 years or older at the time of delivery. Existing studies have been more concerned with the obstetrics implication of AMA pregnancy. The associated social factors such as the individual and community level factors have remained largely unexplored particularly in population-based studies. This study examines the individual and community level factors associated with AMA pregnancy in Nigeria.Methods: Data were extracted from the 2018 Nigeria Demographic and Health Survey. A weighted sample of 13,105 women was analysed. The outcome variable was AMA pregnancy. The explanatory variables were individual characteristics (age, marital status, media exposure, current contraceptive use, period spent schooling, female autonomy, remarriage and income group) and community characteristics (proportion who delayed marriage in community, community level of female higher education, proportion of female in professional occupation in community, proportion of divorced or separated women in community, proportion of women in commuter marriage, type of community and geo-political zone of residence). Three mixed-effects multilevel logistic regression models were estimated. Results: Findings reveal 10.9% prevalence of AMA pregnancy in Nigeria. While the odds of AMA pregnancy were lower among women in very advanced (AOR=0.592, p<0.001; 95% CI: 0.509-0.688) and extremely advanced (AOR=0.290, p<0.001; 95% CI: 0.239-0.353) (AOR=1.794, p<0.001; 95% CI: 1.580-2.008) age groups, the odds were higher among women who had high exposure to mass media (AOR=1.794, p<0.001; 95% CI: 1.580-2.008), long schooling period (AOR=2.680, p<0.001; 95% CI: 2.058-3.488), remarried (AOR=2.269, p<0.001; 95% CI: 1.915-2.688) and from richest households (AOR=1.271, p<0.05; 95% CI: 1.098-1.472). The values of the Intra-Class Correlation (ICC) across the three fitted models reveal significant effects of the community characteristics on the odds of AMA pregnancy.Conclusion: Individual and community characteristics have important effects on AMA pregnancy. Health planners and authorities in the country should include AMA pregnancy as one of the priority areas of women’s health and safe motherhood strategies in addition to raising awareness of the obstetrics implication of AMA pregnancy through community-based public health education programme.

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Maternal socio-demographic factors associated with low parity and grand multiparity in Nigeria

Cited by 14 publications

References 42 publications

Institutional deliveries in India: a study of associates and inequality

Institutional deliveries in India: a study of associates and inequality

Parity and the risk of incident dementia: a COSMIC study

Analysis of individual-level and community-level effects on advanced maternal age pregnancy in Nigeria

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