Determinants of high-risk fertility behavior among reproductive-age women in Ethiopia using the recent Ethiopian Demographic Health Survey: a multilevel analysis
Abstract Background High-risk fertility behavior is associated with numerous unfavorable child and maternal health outcomes such as chronic undernutrition, anemia, and child mortality. As far as our knowledge goes, there is not much study on determinants of high-risk fertility behavior in Ethiopia....
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ftdoajarticles:oai:doaj.org/article:46617d860f2444df91565e4e41e6f65a 2023-05-15T15:15:48+02:00 Determinants of high-risk fertility behavior among reproductive-age women in Ethiopia using the recent Ethiopian Demographic Health Survey: a multilevel analysis Zemenu Tadesse Tessema Koku Sisay Tamirat 2020-11-01T00:00:00Z https://doi.org/10.1186/s41182-020-00280-1 https://doaj.org/article/46617d860f2444df91565e4e41e6f65a EN eng BMC https://doi.org/10.1186/s41182-020-00280-1 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-020-00280-1 1349-4147 https://doaj.org/article/46617d860f2444df91565e4e41e6f65a Tropical Medicine and Health, Vol 48, Iss 1, Pp 1-9 (2020) High-risk fertility behavior Determinants Ethiopia Reproductive-age women Arctic medicine. Tropical medicine RC955-962 article 2020 ftdoajarticles https://doi.org/10.1186/s41182-020-00280-1 2022-12-31T13:46:39Z Abstract Background High-risk fertility behavior is associated with numerous unfavorable child and maternal health outcomes such as chronic undernutrition, anemia, and child mortality. As far as our knowledge goes, there is not much study on determinants of high-risk fertility behavior in Ethiopia. Therefore, this study aimed to assess determinants of high-risk fertility behavior among reproductive-age women in Ethiopia. Method The study was based on secondary data analysis from the 2016 Ethiopia Demography and Health Survey. A total of 11,022 women who gave birth 5 years preceding the survey were included in this study. Kid’s Record (KR) dataset was used. The adjusted odds ratio (AOR) with its 95% confidence interval (CI) was calculated for those variables included in the multilevel logistic regression model. P value ≤ 0.05 was employed to declare the statistically significant variables. Results More than three-fourths (76.9%) of (95% CI 76.11 to 77.69) reproductive-age women had at least one high-risk fertility behavior. Attended primary and secondary education adjusted odds ratio (AOR) (AOR = 0.71; 95% CI 0.63, 0.80 and AOR = 0.73; 95% CI 0.60, 0.89, respectively), never used contraceptive (AOR = 1.25, 95% CI 1.12, 1.40), unwanted pregnancies (AOR = 1.40, 95% CI 1.23, 1.59), had no ANC visit (AOR = 1.19, 95% CI 1.05, 1.35), rural-dwelling (AOR = 1.26, 95% CI 1.04, 1.51), regions of Ethiopia [Somalia (AOR = 1.70; 95% CI 1.24, 2.32) and Amhara (AOR = 0.72; 95% CI 0.53, 0.96)] were determinants of high-risk fertility behavior. Conclusion Education, rural residence, unwanted pregnancies, no antenatal care follow-up, and never used contraceptives were determinants of high-risk fertility behavior. Therefore, increased maternal health services, special intervention for hotspot areas, and giving special attention to rural dweller women were highly recommended. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Tropical Medicine and Health 48 1 |
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Directory of Open Access Journals: DOAJ Articles |
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English |
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High-risk fertility behavior Determinants Ethiopia Reproductive-age women Arctic medicine. Tropical medicine RC955-962 |
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High-risk fertility behavior Determinants Ethiopia Reproductive-age women Arctic medicine. Tropical medicine RC955-962 Zemenu Tadesse Tessema Koku Sisay Tamirat Determinants of high-risk fertility behavior among reproductive-age women in Ethiopia using the recent Ethiopian Demographic Health Survey: a multilevel analysis |
topic_facet |
High-risk fertility behavior Determinants Ethiopia Reproductive-age women Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract Background High-risk fertility behavior is associated with numerous unfavorable child and maternal health outcomes such as chronic undernutrition, anemia, and child mortality. As far as our knowledge goes, there is not much study on determinants of high-risk fertility behavior in Ethiopia. Therefore, this study aimed to assess determinants of high-risk fertility behavior among reproductive-age women in Ethiopia. Method The study was based on secondary data analysis from the 2016 Ethiopia Demography and Health Survey. A total of 11,022 women who gave birth 5 years preceding the survey were included in this study. Kid’s Record (KR) dataset was used. The adjusted odds ratio (AOR) with its 95% confidence interval (CI) was calculated for those variables included in the multilevel logistic regression model. P value ≤ 0.05 was employed to declare the statistically significant variables. Results More than three-fourths (76.9%) of (95% CI 76.11 to 77.69) reproductive-age women had at least one high-risk fertility behavior. Attended primary and secondary education adjusted odds ratio (AOR) (AOR = 0.71; 95% CI 0.63, 0.80 and AOR = 0.73; 95% CI 0.60, 0.89, respectively), never used contraceptive (AOR = 1.25, 95% CI 1.12, 1.40), unwanted pregnancies (AOR = 1.40, 95% CI 1.23, 1.59), had no ANC visit (AOR = 1.19, 95% CI 1.05, 1.35), rural-dwelling (AOR = 1.26, 95% CI 1.04, 1.51), regions of Ethiopia [Somalia (AOR = 1.70; 95% CI 1.24, 2.32) and Amhara (AOR = 0.72; 95% CI 0.53, 0.96)] were determinants of high-risk fertility behavior. Conclusion Education, rural residence, unwanted pregnancies, no antenatal care follow-up, and never used contraceptives were determinants of high-risk fertility behavior. Therefore, increased maternal health services, special intervention for hotspot areas, and giving special attention to rural dweller women were highly recommended. |
format |
Article in Journal/Newspaper |
author |
Zemenu Tadesse Tessema Koku Sisay Tamirat |
author_facet |
Zemenu Tadesse Tessema Koku Sisay Tamirat |
author_sort |
Zemenu Tadesse Tessema |
title |
Determinants of high-risk fertility behavior among reproductive-age women in Ethiopia using the recent Ethiopian Demographic Health Survey: a multilevel analysis |
title_short |
Determinants of high-risk fertility behavior among reproductive-age women in Ethiopia using the recent Ethiopian Demographic Health Survey: a multilevel analysis |
title_full |
Determinants of high-risk fertility behavior among reproductive-age women in Ethiopia using the recent Ethiopian Demographic Health Survey: a multilevel analysis |
title_fullStr |
Determinants of high-risk fertility behavior among reproductive-age women in Ethiopia using the recent Ethiopian Demographic Health Survey: a multilevel analysis |
title_full_unstemmed |
Determinants of high-risk fertility behavior among reproductive-age women in Ethiopia using the recent Ethiopian Demographic Health Survey: a multilevel analysis |
title_sort |
determinants of high-risk fertility behavior among reproductive-age women in ethiopia using the recent ethiopian demographic health survey: a multilevel analysis |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s41182-020-00280-1 https://doaj.org/article/46617d860f2444df91565e4e41e6f65a |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Tropical Medicine and Health, Vol 48, Iss 1, Pp 1-9 (2020) |
op_relation |
https://doi.org/10.1186/s41182-020-00280-1 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-020-00280-1 1349-4147 https://doaj.org/article/46617d860f2444df91565e4e41e6f65a |
op_doi |
https://doi.org/10.1186/s41182-020-00280-1 |
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Tropical Medicine and Health |
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48 |
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1 |
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1766346147926900736 |