Desire to delay the first childbirth among young, married women in India: a cross-sectional study based on national survey data

Autor:	Anette Agardh, Ismael Ibarra-Nava, Vikas Choudhry
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	Male medicine.medical_specialty Adolescent Higher education Cross-sectional study India Intention Logistic regression Young Adult 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Humans Childbirth 030212 general & internal medicine Marriage Spouses Reproductive health 030219 obstetrics & reproductive medicine business.industry Public health lcsh:Public aspects of medicine Parturition Public Health Environmental and Occupational Health lcsh:RA1-1270 First childbirth Intimate partner violence Cross-Sectional Studies Socioeconomic Factors Women's Rights Domestic violence Survey data collection Female Young women business Research Article Demography
Zdroj:	BMC Public Health, Vol 20, Iss 1, Pp 1-10 (2020) BMC Public Health
ISSN:	1471-2458
DOI:	10.1186/s12889-020-8402-9
Popis:	Background Young women in India continue to face diverse challenges that threaten their health and wellbeing. The reproductive health and rights of newly married women, who are often expected to begin childbearing soon after marriage, are often neglected. The present study aims to understand some of the factors associated with the desire to delay the first childbirth in young, married women in India. Methods The study utilised the data from the most recent National Family Health Survey 2015–16 in India. Our study sample was restricted to married women who were 15–24 years of age and who had never been pregnant at the time of the survey. Chi-squared tests, independent t-tests and multivariable logistic regression analyses were performed to measure associations between multiple independent factors and the reported preferred waiting time for the first childbirth. Results Among never pregnant, married women aged 15–24, 21.49% reported a preferred waiting time for their first childbirth of 2 years or more. Belonging to an other backward class, or OBC, (ORadjusted 1.55, 95%CI 1.14–2.10), having completed higher education (ORadjusted 2.04, 95%CI 1.11–3.76), marrying after the age of 18 (ORadjusted 1.57, 95%CI 1.10–2.24), a husband’s higher education level (ORadjusted 2.42, 95%CI 1.27–4.64), a younger husband (ORadjusted 0.75, 95%CI 0.66–0.84) and non-exposure to physical violence (ORadjusted 1.84, 95%CI 1.09–3.11) were significantly associated with a longer preferred waiting time for the first childbirth. Conclusion Intimate partner violence and partner characteristics play a role in the childbearing intentions of young women after marriage. Delaying the first childbirth could improve women’s educational and economic opportunities, their health, and the health of their future and properly planned children. To achieve this, it is crucial to promote and respect women’s right to decide who and when to marry, when to have children, and to promote relationships free of gender-based violence.
Databáze:	OpenAIRE
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