Social capital and fertility behaviors: a cross-sectional study in Iranian women health care workers

Firouzbakht, Mojgan; Tirgar, Aram; Hajian‐Tilaki, Karimollah; Bakouei, Fatemeh; Riahi, Mohammad Esmaeil; Nikpour, Maryam

doi:10.1186/s12905-020-00943-5

Cited by 9 publications

(5 citation statements)

References 27 publications

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“…However, this contradict with a study conducted in India where the sterilization uptake was higher in women younger than 30 years old (8).Women belonging to traditional, no religious and other minority religions had more odds sterilization compared to the women from catholic religion this is because believers are conservatives on the earlier church fathers statement condemning the use of contraception in general, ndings of this study is in line with a study conducted in Nigeria saying that tubal ligation was against by many religious beliefs (29). Odds of female sterilization were high in women from rich household wealth quintile compared to their counterparts from poor household wealth quintiles, this is because women from poor household quintile do need more children expecting to get support from their children which is linked with the wealth ow theory of fertility (30). This nding was in line with a study conducted in Zambia revealed that women from richer household use long acting and non-reversible method than women from poor household wealth quintiles (31).…”

Section: Discussionsupporting

confidence: 87%

Prevalence and Factors Associated with Female Sterilization in Rwanda: Evidence from the 2019/2020 Demographic and Health Survey Data

Ndayishimye¹,

NAHAYO²,

Olorunfemi

2023

Preprint

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Background Female sterilization is a safe and effective surgical procedure of achieving contraception. Female sterilization is commoner in high income countries as compared to low- and middle-income countries such as Rwanda because of demand to limit family size. However, current evidence of the uptake of female sterilization in Rwanda is not known. We therefore evaluated the prevalence and factors associated with female sterilization among women of reproductive age in Rwanda. Methodology This was a secondary data analysis of 14,634 women of reproductive age (15-49) in Rwanda. The data utilized was from the Rwanda Demographic Health and Survey (RDHS) from 2016 to 2020. The predictors of female sterilization were determined using multivariable binary logistic regression. Results Findings of this study revealed that the prevalence of female sterilization was 1.1% among women of reproductive age in Rwanda. Older than 35 years old women had 8 times more chance to get sterilized than younger women (aOR: 7.87, 95% CI: 4.77-12.99). Women living with their partners had more odds compared to never married women(aOR: 19.225, 95% CI: 4.57-80.82), women from minority religion are more likely to get sterilized compared to those from catholic religion(aOR: 2.12, 95% CI: 1.03- 4.37), women from rich household had more chance to get sterilized compared to their counterparts from poor household (aOR: 3.13, 95% CI: 1.94-5.03), women from western region were more likely to uptake sterilization compared to women from Kigali (aOR: 2.025, 95% CI: 1.17-3.49) and women who had more than 5 children had more odds compared to women who had equal or less than 5 children (aOR: 1.49, 95% CI: 1.06-2.10). Conclusion The overall prevalence of sterilization among Rwandan women of reproductive age was 1.1%, which was very low as compared to India 29%, China 14.1% and USA 13.7 %. The age, marital status, religion, household wealth quintile, region and children ever born was associated with the uptake of female sterilization among Rwandan women. Government and stakeholders should enhance mobilization about the permanent methods.

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Section: Discussionsupporting

confidence: 87%

Prevalence and Factors Associated with Female Sterilization in Rwanda: Evidence from the 2019/2020 Demographic and Health Survey Data

Ndayishimye¹,

NAHAYO²,

Olorunfemi

2023

Preprint

View full text Add to dashboard Cite

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“…This can be explained by the wealth ow theory of fertility, where women from poorer households may desire more children in hopes of receiving support from them. [32]. This nding was in line with a study conducted in Zambia, which revealed that women from richer households were more likely to use long acting and non-reversible contraception method compared to women from poor households wealth quintiles [33].…”

Section: Discussionsupporting

confidence: 87%

Prevalence and Factors Associated with Female Sterilization in Rwanda: Evidence from the Demographic and Health Survey Data (2019-2020)

Ndayishimye,

Olorunfemi,

Nahayo

2023

Preprint

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Background Female sterilization is a safe and effective surgical procedure of achieving contraception. There is disparity in the prevalence of female sterilization globally, with high income countries having higher rates than low- and middle-income countries. However, current evidence of the uptake of female sterilization in Rwanda is not known. We therefore evaluated the prevalence and factors associated with female sterilization among women of reproductive age in Rwanda. Methodology This was a secondary data analysis of 14,634 women of reproductive age (15-49) in Rwanda. The data utilized was from the Rwanda Demographic Health and Survey (RDHS) 2019/2020. The predictors of female sterilization were determined using multivariable binary logistic regression. Results We found that the prevalence of female sterilization was 1.1% among women of reproductive age in Rwanda. Women older than 35 years had about 8 times higher chance of being sterilized as compared to younger women (aOR: 7.87, 95% CI: 4.77-12.99). Women living with their partners had higher odds of being sterilized as compared to never married women(aOR: 19.23, 95% CI: 4.57-80.82), while women from minority religion are more likely to be sterilized as compared to those of the catholic religion(aOR: 2.12, 95% CI: 1.03- 4.37).Women from rich household had higher chance to be sterilized as compared to their counterparts from poor household (aOR: 3.13, 95% CI: 1.94-5.03). Women from western region were more likely to accept sterilization compared to women from Kigali (aOR: 2.025, 95% CI: 1.17-3.49) and women who had more than 5 children had higher odds as compared to women who had 5 or less children (aOR: 1.49, 95% CI: 1.06-2.10). Conclusion The overall prevalence of sterilization among Rwandan women of reproductive age was 1.1%, which was very low as compared to India (29%), China (14.1%) and United States of America (13.7 %). The age, marital status, religion, household wealth quintile, region and children ever born were associated with the uptake of female sterilization among Rwandan women. Public enlightenment campaign on the advantages of female sterilization should be done to improve uptake.

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“…Second, young women with high social capital may experience substantial social pressure from other people, such as their partners or parents-in-law, to have a child ( Balbo & Mills, 2011 ; Firouzbakht et al, 2020 ). Social networks, social pressure, and social capital can affect fertility decisions, particularly if there is little institutional support ( Balbo & Mills, 2011 ).…”

Section: Discussionmentioning

confidence: 99%

Social capital and use of assisted reproductive technology in young couples: Ecological study using application information for government subsidies in Japan

Jwa

Ishihara

Kuwahara

et al. 2021

SSM - Population Health

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Background Assisted reproductive technology (ART) is a globally established treatment; however, large disparities exist in ART use among young couples. We investigated regional-level factors associated with ART use in Japan. Methods We calculated the use rate of ART using the number of women aged <35 years who applied for government subsidies in 2017; we divided that figure by the number of women aged 20–35 years in each prefecture. Prefectural-level average household income; social capital indicators including voting rate, volunteer rate, and move-in rate; and Gini coefficients as indicators of income inequality were linked to ART use, adjusting for prefectural size, the mean age of women at first marriage, number of ART facilities, and additional prefectural subsidies. Results The rate of ART use (per 10,000 women) varied significantly from 22.0 to 58.8 across Japan's 47 prefectures. Multivariate analysis demonstrated that the use rate increased by 0.048 (95% confidence interval [CI], 0.007 to 0.088) for each 10,000-yen increase in average household income and 1.5 (95% CI, 0.65 to 2.3) for each 1% increase in volunteer rate. Conversely, the use rate decreased by 18.4 (95% CI, −28.6 to −8.1) for each 1% increase in the move-in rate. There was no significant association between ART use and income inequality. Conclusion Although we cannot infer causal relationships, the findings suggest that improving financial access and enhancing social capital may increase access to ART. Further research, particularly multilevel analysis using individual data, is required to confirm these findings.

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Social capital and fertility behaviors: a cross-sectional study in Iranian women health care workers

Cited by 9 publications

References 27 publications

Prevalence and Factors Associated with Female Sterilization in Rwanda: Evidence from the 2019/2020 Demographic and Health Survey Data

Prevalence and Factors Associated with Female Sterilization in Rwanda: Evidence from the 2019/2020 Demographic and Health Survey Data

Prevalence and Factors Associated with Female Sterilization in Rwanda: Evidence from the Demographic and Health Survey Data (2019-2020)

Social capital and use of assisted reproductive technology in young couples: Ecological study using application information for government subsidies in Japan

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