Differential effect of wealth quintile on modern contraceptive use and fertility: evidence from Malawian women
Identifieur interne : 001E79 ( Main/Exploration ); précédent : 001E78; suivant : 001E80Differential effect of wealth quintile on modern contraceptive use and fertility: evidence from Malawian women
Auteurs : Stephen A. Adebowale [Afrique du Sud, Nigeria] ; Sunday A. Adedini [Nigeria, Afrique du Sud] ; Latifat D. Ibisomi [Afrique du Sud] ; Martin E. Palamuleni [Afrique du Sud]Source :
- BMC Women's Health [ 1472-6874 ] ; 2014.
Abstract
High fertility and wide inequality in wealth distribution are phenomenal problems in sub-Saharan Africa. Modern Contraceptives (MC) are useful for limiting fertility, but are not always easily accessible in Malawi. This study examines the gap in MC use and fertility between women in the richest and poorest Wealth Quintile (WQ).
The study was cross-sectional in design and utilized Malawi DHS dataset, 2010. It focused on women of reproductive age. The dependent variables are ever and current use of MC. Chi-square and multinomial logistic regression were used for the analysis.
Mean children ever born by women in the poorest and richest WQs were 3.94 ± 2.7 and 2.82 ± 2.3 respectively (p < 0.001). The adjusted total fertility rate (Adj.TFR) was higher among women in the poorest (Adj.TFR = 7.60) WQ than the richest (Adj.TFR = 4.45). The prevalence of ever use of MC was higher among women in the richest WQ (82.4%) than the poorest (66.8%) (p < 0.001). Similar pattern exists for current use of MC; 58.5% and 45.9% for women in the richest and poorest WQs respectively (p < 0.001). Women in the richest WQ were more likely to ever use (OR = 2.36; C.I = 2.07-2.69, p < 0.001) and currently using (OR = 1.66; C.I = 1.40-1.97, p < 0.001) MC than their counterparts in the poorest WQ. Slight reduction in odd-ratio of MC use among women in richest WQ resulted when socio-demographic variables were used as control.
Fertility was higher and the use of MC was lower among women in the poorest than their counterparts in the richest WQ. Ensuring availability of MC at little or no cost may bridge the gap in contraceptive use between women in the poorest and richest WQ in Malawi.
Url:
DOI: 10.1186/1472-6874-14-40
PubMed: 24602452
PubMed Central: 3973841
Affiliations:
- Afrique du Sud, Nigeria
- Gauteng, État d'Oyo
- Ibadan, Johannesbourg
- Université d'Ibadan, Université du Witwatersrand
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Adebowale</name><affiliation wicri:level="1"><nlm:aff id="I1">Population Training and Research Unit, Faculty of Humanities and Social Sciences, North-West University, Mafikeng, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Population Training and Research Unit, Faculty of Humanities and Social Sciences, North-West University, Mafikeng</wicri:regionArea><wicri:noRegion>Mafikeng</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="I2">Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan</wicri:regionArea><orgName type="university">Université d'Ibadan</orgName><placeName><settlement type="city">Ibadan</settlement><region type="region">État d'Oyo</region></placeName></affiliation></author><author><name sortKey="Adedini, Sunday A" sort="Adedini, Sunday A" uniqKey="Adedini S" first="Sunday A" last="Adedini">Sunday A. 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Adebowale</name><affiliation wicri:level="1"><nlm:aff id="I1">Population Training and Research Unit, Faculty of Humanities and Social Sciences, North-West University, Mafikeng, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Population Training and Research Unit, Faculty of Humanities and Social Sciences, North-West University, Mafikeng</wicri:regionArea><wicri:noRegion>Mafikeng</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="I2">Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan</wicri:regionArea><orgName type="university">Université d'Ibadan</orgName><placeName><settlement type="city">Ibadan</settlement><region type="region">État d'Oyo</region></placeName></affiliation></author><author><name sortKey="Adedini, Sunday A" sort="Adedini, Sunday A" uniqKey="Adedini S" first="Sunday A" last="Adedini">Sunday A. Adedini</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Demography and Social Statistics, Faculty of Social Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Demography and Social Statistics, Faculty of Social Sciences, Obafemi Awolowo University, Ile-Ife</wicri:regionArea><wicri:noRegion>Ile-Ife</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="I4">Demography and Population Studies Programme, School of Social Sciences, Faculty of Humanities, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Demography and Population Studies Programme, School of Social Sciences, Faculty of Humanities, University of the Witwatersrand, Johannesburg</wicri:regionArea><orgName type="university">Université du Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName></affiliation></author><author><name sortKey="Ibisomi, Latifat D" sort="Ibisomi, Latifat D" uniqKey="Ibisomi L" first="Latifat D" last="Ibisomi">Latifat D. Ibisomi</name><affiliation wicri:level="4"><nlm:aff id="I4">Demography and Population Studies Programme, School of Social Sciences, Faculty of Humanities, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Demography and Population Studies Programme, School of Social Sciences, Faculty of Humanities, University of the Witwatersrand, Johannesburg</wicri:regionArea><orgName type="university">Université du Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName></affiliation></author><author><name sortKey="Palamuleni, Martin E" sort="Palamuleni, Martin E" uniqKey="Palamuleni M" first="Martin E" last="Palamuleni">Martin E. Palamuleni</name><affiliation wicri:level="1"><nlm:aff id="I1">Population Training and Research Unit, Faculty of Humanities and Social Sciences, North-West University, Mafikeng, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Population Training and Research Unit, Faculty of Humanities and Social Sciences, North-West University, Mafikeng</wicri:regionArea><wicri:noRegion>Mafikeng</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Women's Health</title><idno type="eISSN">1472-6874</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>High fertility and wide inequality in wealth distribution are phenomenal problems in sub-Saharan Africa. Modern Contraceptives (MC) are useful for limiting fertility, but are not always easily accessible in Malawi. This study examines the gap in MC use and fertility between women in the richest and poorest Wealth Quintile (WQ).</p></sec><sec><title>Methods</title><p>The study was cross-sectional in design and utilized Malawi DHS dataset, 2010. It focused on women of reproductive age. The dependent variables are ever and current use of MC. Chi-square and multinomial logistic regression were used for the analysis.</p></sec><sec><title>Results</title><p>Mean children ever born by women in the poorest and richest WQs were 3.94 ± 2.7 and 2.82 ± 2.3 respectively (p < 0.001). The adjusted total fertility rate (Adj.TFR) was higher among women in the poorest (Adj.TFR = 7.60) WQ than the richest (Adj.TFR = 4.45). The prevalence of ever use of MC was higher among women in the richest WQ (82.4%) than the poorest (66.8%) (p < 0.001). Similar pattern exists for current use of MC; 58.5% and 45.9% for women in the richest and poorest WQs respectively (p < 0.001). Women in the richest WQ were more likely to ever use (OR = 2.36; C.I = 2.07-2.69, p < 0.001) and currently using (OR = 1.66; C.I = 1.40-1.97, p < 0.001) MC than their counterparts in the poorest WQ. Slight reduction in odd-ratio of MC use among women in richest WQ resulted when socio-demographic variables were used as control.</p></sec><sec><title>Conclusion</title><p>Fertility was higher and the use of MC was lower among women in the poorest than their counterparts in the richest WQ. Ensuring availability of MC at little or no cost may bridge the gap in contraceptive use between women in the poorest and richest WQ in Malawi.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Bongaarts, J" uniqKey="Bongaarts J">J Bongaarts</name></author><author><name sortKey="Cleland, J" uniqKey="Cleland J">J Cleland</name></author><author><name sortKey="Townsend, Jw" uniqKey="Townsend J">JW Townsend</name></author><author><name sortKey="Bertrand, Jt" uniqKey="Bertrand J">JT Bertrand</name></author><author><name sortKey="Gupta, Md" uniqKey="Gupta M">MD Gupta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abdel, Aa" uniqKey="Abdel A">AA Abdel</name></author><author><name sortKey="Amira, O" uniqKey="Amira O">O Amira</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gold, Rb" 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Okezie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ian, A" uniqKey="Ian A">A Ian</name></author><author><name sortKey="Ezeh, A" uniqKey="Ezeh A">A Ezeh</name></author><author><name sortKey="Bongaarts, J" uniqKey="Bongaarts J">J Bongaarts</name></author><author><name sortKey="Townsend, J" uniqKey="Townsend J">J Townsend</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oyedokun, Ao" uniqKey="Oyedokun A">AO Oyedokun</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fagbamigbe, Af" uniqKey="Fagbamigbe A">AF Fagbamigbe</name></author><author><name sortKey="Adebowale, As" uniqKey="Adebowale A">AS Adebowale</name></author><author><name sortKey="Olaniyan, Fa" uniqKey="Olaniyan F">FA Olaniyan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jo, J" uniqKey="Jo J">J Jo</name></author><author><name sortKey="William, M" uniqKey="William M">M William</name></author><author><name sortKey="Kimberly, D" uniqKey="Kimberly D">D Kimberly</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Black, A" uniqKey="Black A">A Black</name></author><author><name sortKey="Yang, Q" uniqKey="Yang Q">Q Yang</name></author><author><name sortKey="Wu Wen, S" uniqKey="Wu Wen S">S Wu Wen</name></author><author><name sortKey="Lalonde, Ab" uniqKey="Lalonde A">AB Lalonde</name></author><author><name sortKey="Guilbert, E" uniqKey="Guilbert E">E Guilbert</name></author><author><name sortKey="Fisher, W" uniqKey="Fisher W">W Fisher</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Afrique du Sud</li><li>Nigeria</li></country><region><li>Gauteng</li><li>État d'Oyo</li></region><settlement><li>Ibadan</li><li>Johannesbourg</li></settlement><orgName><li>Université d'Ibadan</li><li>Université du Witwatersrand</li></orgName></list><tree><country name="Afrique du Sud"><noRegion><name sortKey="Adebowale, Stephen A" sort="Adebowale, Stephen A" uniqKey="Adebowale S" first="Stephen A" last="Adebowale">Stephen A. Adebowale</name></noRegion><name sortKey="Adedini, Sunday A" sort="Adedini, Sunday A" uniqKey="Adedini S" first="Sunday A" last="Adedini">Sunday A. Adedini</name><name sortKey="Ibisomi, Latifat D" sort="Ibisomi, Latifat D" uniqKey="Ibisomi L" first="Latifat D" last="Ibisomi">Latifat D. Ibisomi</name><name sortKey="Palamuleni, Martin E" sort="Palamuleni, Martin E" uniqKey="Palamuleni M" first="Martin E" last="Palamuleni">Martin E. Palamuleni</name></country><country name="Nigeria"><region name="État d'Oyo"><name sortKey="Adebowale, Stephen A" sort="Adebowale, Stephen A" uniqKey="Adebowale S" first="Stephen A" last="Adebowale">Stephen A. Adebowale</name></region><name sortKey="Adedini, Sunday A" sort="Adedini, Sunday A" uniqKey="Adedini S" first="Sunday A" last="Adedini">Sunday A. Adedini</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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