Predictors of underachieved and overachieved fertility among women with completed fertility in Ghana.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2021
2021
Historique:
received:
17
07
2020
accepted:
15
04
2021
entrez:
11
6
2021
pubmed:
12
6
2021
medline:
25
2
2023
Statut:
epublish
Résumé
A woman's ability to achieve her preferred family size is critical in addressing issues of high fertility in sub-Saharan Africa. The socio-cultural context in sub-Saharan Africa presents some difficulty for the attainment of preferred fertility for many women. Few studies in sub-Saharan Africa have examined the extent to which women are unable to achieve their preferred family sizes. This study, therefore, examines the factors that are associated with the non-attainment of women's preferred fertility by the end of their reproductive years. The study analyzed pooled cross-sectional data with a sub-sample of 1,888 currently married women aged 45-49 years from five rounds of the Ghana Demographic and Health Survey, 1993 to 2014. Test of associations and multinomial logistic regression analysis were used to examine the predictors of underachieved and overachieved fertility relative to achieved fertility. The results indicate that 44 per cent of the women recorded overachieved fertility while about 36 per cent underachieved their fertility. Partner wants more, experiencing child loss and married more than once were significantly associated with overachieved fertility. Nonetheless, increased years of a woman's education and delaying her at first birth were negatively associated with overachieved fertility. On the other hand, underachieved fertility was significantly associated with having a partner with fewer fertility preference, being of the Islamic faith and ever use of modern contraception. Partner's fertility preference, child loss experience, marrying more than once and ever use of modern contraception were important predictors of a woman's inability to achieve her fertility preference. Policies to regulate men's fertility behaviour, delaying age at first birth, use of modern contraception, encouraging longer years of education, and reducing infant and child mortality are important strategies to achieve fertility preference in Ghana.
Sections du résumé
BACKGROUND
A woman's ability to achieve her preferred family size is critical in addressing issues of high fertility in sub-Saharan Africa. The socio-cultural context in sub-Saharan Africa presents some difficulty for the attainment of preferred fertility for many women. Few studies in sub-Saharan Africa have examined the extent to which women are unable to achieve their preferred family sizes. This study, therefore, examines the factors that are associated with the non-attainment of women's preferred fertility by the end of their reproductive years.
DATA AND METHODS
The study analyzed pooled cross-sectional data with a sub-sample of 1,888 currently married women aged 45-49 years from five rounds of the Ghana Demographic and Health Survey, 1993 to 2014. Test of associations and multinomial logistic regression analysis were used to examine the predictors of underachieved and overachieved fertility relative to achieved fertility.
RESULTS
The results indicate that 44 per cent of the women recorded overachieved fertility while about 36 per cent underachieved their fertility. Partner wants more, experiencing child loss and married more than once were significantly associated with overachieved fertility. Nonetheless, increased years of a woman's education and delaying her at first birth were negatively associated with overachieved fertility. On the other hand, underachieved fertility was significantly associated with having a partner with fewer fertility preference, being of the Islamic faith and ever use of modern contraception.
CONCLUSION
Partner's fertility preference, child loss experience, marrying more than once and ever use of modern contraception were important predictors of a woman's inability to achieve her fertility preference. Policies to regulate men's fertility behaviour, delaying age at first birth, use of modern contraception, encouraging longer years of education, and reducing infant and child mortality are important strategies to achieve fertility preference in Ghana.
Identifiants
pubmed: 34115779
doi: 10.1371/journal.pone.0250881
pii: PONE-D-20-22145
pmc: PMC8195416
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0250881Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Popul Dev Rev. 2018 Mar;44(1):87-116
pubmed: 29695890
Popul Stud (Camb). 2005 Jul;59(2):197-210
pubmed: 16096198
Popul Dev Rev. 2013 Feb;38(Suppl 1):153-168
pubmed: 24812439
Psychol Rev. 1995 Apr;102(2):284-304
pubmed: 7740091
Adv Life Course Res. 2015 Jun;24:34-46
pubmed: 26047988
Demography. 2017 Feb;54(1):3-22
pubmed: 28070854
BMC Womens Health. 2019 Apr 5;19(1):54
pubmed: 30953494
Popul Dev Rev. 2005 Sep 1;31(3):507-527
pubmed: 20376334
Adv Life Course Res. 2014 Sep;21:10-27
pubmed: 26047539
Afr J Reprod Health. 2007 Dec;11(3):197-220
pubmed: 18458741
Eur J Popul. 2016;32:1-30
pubmed: 27069290
Demography. 2002 May;39(2):233-50
pubmed: 12048950
Contracept Reprod Med. 2019 Jan 30;4:2
pubmed: 30723547
Demography. 2019 Apr;56(2):573-594
pubmed: 30652298
Eur J Popul. 2009 Nov;25(4):363-386
pubmed: 20016795
Etude Popul Afr. 2014 Jul;28(2 Suppl):1157-1170
pubmed: 27011431
J Biosoc Sci. 2000 Jul;32(3):355-72
pubmed: 10979229
Demography. 2014 Apr;51(2):485-508
pubmed: 24399143
J Biosoc Sci. 2011 Mar;43(2):233-45
pubmed: 21205376
Demography. 2015 Jun;52(3):787-809
pubmed: 25951799
PLoS One. 2019 Jul 18;14(7):e0219736
pubmed: 31318943