Individual and community factors associated with unintended pregnancies among women of advanced reproductive age in Nigeria

Oni, Tosin Olajide; Ilesanmi, Benjamin Bukky; Yinusa, Rasheed Adebayo; Oyeleye, Olaoye James; Oluwatope, Omolayo; Solanke, Bola Lukman

doi:10.1080/03630242.2021.1957746

Cited by 2 publications

(3 citation statements)

References 49 publications

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“…Others were individual and household-level variables. Their selection was guided by previous studies [ 26 – 28 ]. The community-level variables used in this study were the type of place of residence (urban and rural) and region of residence (North-Central, North-East, North-West, South-East, South-South and South-West).…”

Section: Methodsmentioning

confidence: 99%

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Contextual determinants of generational continuation of female genital mutilation among women of reproductive age in nigeria: analysis of the 2018 demographic and health survey

Oni,

Okunlola

2024

Reprod Health

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Background Female genital mutilation (FGM) has negative health implications and has long been recognised as violating sexual rights. Despite the huge efforts expended on eradicating FGM, generational continuation of the practice, i.e. the act of mutilated women also mutilating their daughters, persists in Nigeria. This study investigated the individual, household, and community factors associated with generational continuation of FGM among women in Nigeria. Methods The study analysed data from the 2018 Nigeria Demographic and Health Survey (NDHS). A weighted sample of 3835 women with FGM history and who had given birth to female children was analysed. Models were estimated using mixed-effects multilevel logistic regression with Stata 16.0. Results The results showed that 40.0% of women continued FGM for their daughters. Regional prevalence of FGM continuation ranged from 14.9% in the South-South (the lowest) to 64.3% in the North-West (the highest). Women aged 15–24 years (uaOR = 0.40; 95% CI:0.28–0.57) and rich (uaOR = 0.44; 95% CI:0.35–0.56) had the least likelihood of generational continuation of FGM. In communities with low proportions of women unexposed to the media, the likelihood of FGM continuation was significantly higher (uaOR = 1.85; 95% CI:1.35–2.53). Generational continuation of FGM was significantly lower in communities with moderate proportions of uneducated mothers (aOR = 0.6; 95% CI:0.42–0.86). Conclusion FGM continuation was high in Nigeria, and it was most common among older and poor mothers and in communities with large proportions of uneducated women and those unexposed to the media. Existing National Policy and Plan on FGM elimination should be strengthened to target these characteristics.

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Section: Methodsmentioning

confidence: 99%

“…The same approach was used to compute the proportions of Igbo and Hausas/Fulani women in the communities. Cluster-level aggregation of variables (and subsequent dichotomising or trichotomizing) has been used in previous studies [ 26 , 27 ].…”

Section: Methodsmentioning

confidence: 99%

Contextual determinants of generational continuation of female genital mutilation among women of reproductive age in nigeria: analysis of the 2018 demographic and health survey

Oni,

Okunlola

2024

Reprod Health

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“…In the Nigerian context, adolescents, young adults, and unmarried people are considered a high-priority segment for family planning demand generation [ 6 ]. In contrast, some special population groups, such as women in the advanced reproductive age group [ 7 – 10 ] or women living with disabilities may be considered low-priority segments because they are usually underserved by sexual and reproductive health programs in Nigeria [ 11 ] and many other countries [ 12 – 18 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of unmet need for contraception among women in low and high-priority segments for family planning demand generation in Nigeria

et al. 2022

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Background Studies have identified various determinants of unmet need for contraception. These determinants cut across individual, household, community, and health facility levels. Despite this evidence, there remains a lack of information regarding differentials in the prevalence and determinants of unmet need for contraception among women in the low-priority segments (such as women of advanced reproductive age and women living with disabilities) and high-priority segments (such as adolescents, young adults, and unmarried women) for family planning demand generation, hence this study. Methods The study design is cross-sectional. The study analyzed merged data from the individual, and persons recode of the 2018 Nigeria Demographic and Health Survey (NDHS). The samples analyzed are 5,147 women in the high-priority segment and 7,536 women in the low-priority segment. The outcome variable in the study was unmet need for contraception. The explanatory variables were selected at the individual, household, community, and facility levels. Statistical analyzes were performed using Stata 14. Three multilevel mixed-effects regression models were fitted. Model 1 was the empty model, while Model 2 included the sets of individual, household, and community variables. Model 3 controlled for the facility-level variables. Results Findings show a higher prevalence of unmet need for contraception among women in the family planning low-priority segment compared to women in the family planning high-priority segment. Religion and desired family size were the two individual characteristics that significantly predicted the unmet need for contraception among women in the two segments. Sexual autonomy was the only household characteristic that predicted unmet need for contraception in both segments. There were differences in the community characteristics that predicted unmet need for contraception among women in the two segments. Conclusion The prevalence of unmet need for contraception is not the same among women in low and high family planning priority segments. The determinants also differ among women in the two segments. Though, women in different family planning segments have the same contraceptive needs of avoiding pregnancy when not needed, however, getting the needs satisfied requires that existing programs be further examined to develop initiatives that will resonate with each segment of reproductive-age women.

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Individual and community factors associated with unintended pregnancies among women of advanced reproductive age in Nigeria

Cited by 2 publications

References 49 publications

Contextual determinants of generational continuation of female genital mutilation among women of reproductive age in nigeria: analysis of the 2018 demographic and health survey

Contextual determinants of generational continuation of female genital mutilation among women of reproductive age in nigeria: analysis of the 2018 demographic and health survey

Prevalence and determinants of unmet need for contraception among women in low and high-priority segments for family planning demand generation in Nigeria

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