The Determinants of Birth Interval in Ahvaz-Iran: A Graphical Chain Modelling Approach

Rasekh, Abdolrahman; Momtaz, Majid

doi:10.6339/jds.2007.05(4).354

Cited by 13 publications

(4 citation statements)

References 21 publications

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“…As found in this study, the odds of having short birth interval were higher among the mothers who had not used modern contraceptives before conception of the last child compared to those who had used it. This finding is supported by the studies conducted in Egypt ( 41 ), Ahvaz, Iran ( 52 ), Jordan ( 39 ), and Tigray, Ethiopia ( 26 ), which revealed that the odds of having short birth interval were higher among mothers who did not use modern contraceptives before getting pregnant with the last child than those who used. The purpose of the contraceptive method is either to limit or space births.…”

Section: Discussionsupporting

confidence: 57%

Short birth interval and its associated factors among multiparous women in Mieso agro-pastoralist district, Eastern Ethiopia: A community-based cross-sectional study

Wakeyo

Kebira

Assefa

et al. 2022

Front. Glob. Womens Health

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BackgroundRecently, the concern with birth interval has acquired importance in public health and family planning because of its implication for fertility, maternal, and child health. A short birth interval is associated with adverse perinatal, maternal, and infant outcomes. Moreover, too short birth interval lead to high fertility, which in turn contributes to accelerated population growth and undermines development efforts. This study aimed to investigate the prevalence of short birth interval and its associated factors among multiparous women in the Mieso agro-pastoralist district, Oromia region, Eastern Ethiopia.MethodsA community-based cross-sectional study was conducted from 1 to 30 March 2020. The multistage sampling technique was used to select 490 multiparous women. Data were collected by face-to-face interviewer-administered structured questionnaires. Bivariate and multivariable logistic regression analyses were executed. Model fitness and multicollinearity were checked. Statistically significant associations of outcome and independent variables were declared at a P-value of < 0.05.ResultsThe prevalence of short birth interval was 56% (95% CI: 51.4–60.5) in the study area. Being married under 18 years (AOR = 3.78, 95% CI: 1.97–7.25), having formal education (AOR = 0.23, 95% CI: 0.11–0.47), having a husband with formal education (AOR = 0.46, 95% CI: 0.22–0.99), having awareness about optimum birth interval (AOR = 0.47, 95% CI: 0.24–0.91), having female index child (AOR = 1.78, 95% CI: 1.07–3.84), death of the index child (AOR = 0.34, 95% CI: 0.12–0.92), breastfeeding of the index child <24 months (AOR = 2.6, 95% CI: 1.53–4.41), use of modern contraceptive (AOR = 2.09, 95% CI: 1.12–3.89), and decision-making by a husband alone when to have a child (AOR = 3.86, 95% CI: 2.06–7.21) were significantly associated with short birth interval at a P-value <0.05.ConclusionThe overall prevalence of short birth interval among the study participants was high, as more than half of the women had practiced short birth interval, indicating that the majority of the mother and children in the study area are still at high risk of mortality and morbidity associated with short birth interval. Thus, the current findings suggest that interventions that involve the provision of contraceptives and information on its benefit at points need to be adopted to reach the national and global target of maternal and child mortality reduction attributed to short birth interval.

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Section: Discussionsupporting

confidence: 57%

Short birth interval and its associated factors among multiparous women in Mieso agro-pastoralist district, Eastern Ethiopia: A community-based cross-sectional study

Wakeyo

Kebira

Assefa

et al. 2022

Front. Glob. Womens Health

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“…The analysis included 79,787 women who had their first birth after marriage (90.9%) or had no births after marriage (9.1%). The first birth interval has been grouped into three categories: before 18 months, 18–35 months, and 36 months or above ( 10 ).…”

Section: Methodsmentioning

confidence: 99%

“…Early pregnancy elongates the woman’s reproductive lifespan compared to equally fertile women who have children later ( 8 ). Women’s educational attainment was found to substantially influence the interval between marriage to first birth, with those with low or no educational attainment giving birth more soon than others ( 9 , 10 ). Respondents’ rural-urban location differences also influenced the first birth interval; the interval in rural areas where marriage occurs at young ages is higher than in urban areas (Kumar & Danabalan, 2006).…”

Section: Introductionmentioning

confidence: 99%

Determinants of The First Birth Interval Among Women in India

Nagdeve,

Pradhan

2023

JFRH

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Objective: The first-birth interval after a marriage indicates the reproduction behavior of women and influences the population's birth rates and size. The present study assesses predictors of the interval between marriage and first childbirth in India. Materials and methods: The study employed the Cox proportional hazard model and Kaplan Meier Survival plot based on the data collected from 79,787 ever-married women in the 15-49 age group from the National Family Health Survey 2019-2021 Results: The median age of marriage to the first birth interval was 23 months in India. The older marriage cohort had longer birth intervals than the younger. The hazard ratios (HR) showed that the risk of first birth after marriage was much higher among women with higher education (HR= 2.05, 95% confidence interval (CI) = 1.98-2.11) than women without education. Women in urban areas (HR=1.22, 95% CI = 1.20-1.25) had a higher risk of first birth after marriage earlier than women from rural areas. Women from North-east (HR=1.14, 95%CI=1.10-1.18) and South (HR=1.15, 95%CI=1.12-1.19) had a higher risk of having their first birth earlier after marriage than women in the North region. The women who married within 18-24 years of age had a 69 percent higher likelihood of first birth interval than those women who were married below the age of 18. The risk of first birth after marriage increased as women delayed marriage up to age 25 years and more (HR=3.18, 95% CI=3.02-3.35) than others. Conclusion: The timing of first birth was associated with the age at the first marital union, women's educational attainment, place of residence, region, economic status, exposure to mass media, contraception use, and history of pregnancy termination.

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“…Some studies have demonstrated that the duration of FBI influences social and cultural factors and the childbearing pattern of a family (Trussell and Menken, 1978;Nath et al, 1999). Fertility pattern also depends on the age at first marriage of women and men (Rasekh and Momtaz, 2021). Getting married at an older age is also more likely to shorten the duration of first birth.…”

Section: Introductionmentioning

confidence: 99%

Determinants of Duration of the First Birth Interval Using the Semi-parametric Survival Model in Uttar Pradesh, India: Evidence from NFHS

Singh

Kishun²,

Kumar³

et al. 2023

J Epidemiol Public Healt

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Background: First birth is an important phenomenon in women life. It not only affects the duration of the rest of birth intervals but also affects the reproductive pattern of women. The study aims to explore the determinants of the duration of the first birth interval. Subjects dan Method:The cross-sectional study data of 33,275 women married between the years 2005-2021 aged (15-49) years from Uttar Pradesh, were selected from NFHS-5 data. The NFHS-5 sample is a stratified two-stage sample. Socio-demographic, socio-economic and cultural factors were taken as independent variables. The dependent variable was the first birth interval variable. Data analysis was performed on SPSS version 23 software and R Programming language for graphical representation. Cox proportional hazard models were applied for analysis. Results: The mean age of women at first marriage was 19.4; SD=3.26 years and the mean age of women at first birth was 21.39; SD=3.24 years. The median duration of the first birth interval was22 months with an IQR of 14 until 32 months. Cox hazard proportional analysis revealed that religion, residence, (ever) fetal loss, age at first birth, heard family planning, and women or husband education were found to be statistically significant factors associated with the duration of the first birth interval (p<0.001). Conclusion:There is a need to change the mindset of people towards the concept of the use of family planning methods to increase the length of the birth interval, regardless of various factors. This would help to increase the duration of the birth interval, improve the health of women and children, as well as help reduce population growth.

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The Determinants of Birth Interval in Ahvaz-Iran: A Graphical Chain Modelling Approach

Cited by 13 publications

References 21 publications

Short birth interval and its associated factors among multiparous women in Mieso agro-pastoralist district, Eastern Ethiopia: A community-based cross-sectional study

Short birth interval and its associated factors among multiparous women in Mieso agro-pastoralist district, Eastern Ethiopia: A community-based cross-sectional study

Determinants of The First Birth Interval Among Women in India

Determinants of Duration of the First Birth Interval Using the Semi-parametric Survival Model in Uttar Pradesh, India: Evidence from NFHS

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