scholarly journals Educational Reversals and First-Birth Timing in Sub-Saharan Africa: A Dynamic Multilevel Approach

Demography ◽  
2007 ◽  
Vol 44 (1) ◽  
pp. 59-77 ◽  
Author(s):  
Laurie Fields DeRose ◽  
Øystein. Kravdal
2018 ◽  
Vol 32 (3) ◽  
Author(s):  
Ayo Stephen Adebowale ◽  
Eniola Bamgboye ◽  
Adjiwanou Visseho

2009 ◽  
Vol 41 (3) ◽  
pp. 399-407 ◽  
Author(s):  
MICHEL GARENNE

SummaryIn this study, sex ratios at birth (male/female births) were found to vary according to family composition. Using Demographic and Health Survey (DHS) maternity histories from sub-Saharan Africa, the study shows that the sex ratio at birth increases with the number of previous male births and decreases with the number of previous female births. For families with only males, the sex ratio increases from 1·046 for the first birth to 1·083 for the 8th birth. For families with only females, the sex ratio decreases from 1·046 for the first birth to 0·942 for the 8th birth. The differences were highly significant when tested with a linear logistic model (p=0·018 for males; p=1·85✕10−11 for females). The effect was not symmetrical, and was found to be significantly stronger for females. These effects could be reproduced assuming a strong heterogeneity between couples. The distribution of sex ratios was fitted with an asymmetrical log-gamma function, which revealed a wide range of variation in the sex ratio between 0·50 and 1·30, and a peak around 1·14. The results and their implications are discussed in the light of former findings in France and in the United States of America.


2015 ◽  
Vol 56 (4) ◽  
pp. 514-533 ◽  
Author(s):  
Kristi Williams ◽  
Sharon Sassler ◽  
Fenaba Addo ◽  
Adrianne Frech

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eugene Budu ◽  
Vijay Kumar Chattu ◽  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Aliu Mohammed ◽  
...  

Abstract Background Despite the numerous policy interventions targeted at preventing early age at first childbirth globally, the prevalence of adolescent childbirth remains high. Meanwhile, skilled birth attendance is considered essential in preventing childbirth-related complications and deaths among adolescent mothers. Therefore, we estimated the prevalence of early age at first childbirth and skilled birth attendance among young women in sub-Saharan Africa and investigated the association between them. Methods Demographic and Health Survey data of 29 sub-Saharan African countries was utilized. Skilled birth attendance and age at first birth were the outcome and the key explanatory variables in this study respectively. Overall, a total of 52,875 young women aged 20-24 years were included in our study. A multilevel binary logistic regression analysis was performed and the results presented as crude and adjusted odds ratios at 95% confidence interval. Results Approximately 73% of young women had their first birth when they were less than 20 years with Chad having the highest proportion (85.7%) and Rwanda recording the lowest (43.3%). The average proportion of those who had skilled assistance during delivery in the 29 sub-Saharan African countries was 75.3% and this ranged from 38.4% in Chad to 93.7% in Rwanda. Young women who had their first birth at the age of 20-24 were more likely to have skilled birth attendance during delivery (aOR = 2.4, CI = 2.24-2.53) than those who had their first birth before 20 years. Conclusion Early age at first childbirth has been found to be associated with low skilled assistance during delivery. These findings re-emphasize the need for sub-Saharan African countries to implement programs that will sensitize and encourage the patronage of skilled birth attendance among young women in order to reduce complications and maternal mortalities. The lower likelihood of skilled birth attendance among young women who had their first birth when they were adolescents could mean that this cohort of young women face some barriers in accessing maternal healthcare services.


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