Determinants of short birth intervals among married women: a cross-sectional study in Karachi, Pakistan
Autor: | Uzair Ansari, Iqbal Shah, David Canning, Sidrah Nausheen, Arjumand Rizvi, Zainab Shaikh, Kristy Hackett, Maria Bhura, Sajid Bashir Soofi, Imtiaz Hussain |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study Reproductive medicine 03 medical and health sciences Young Adult 0302 clinical medicine Birth Intervals Pregnancy Sexual medicine medicine Humans Pakistan 030212 general & internal medicine Child Developing Countries Reproductive health 030219 obstetrics & reproductive medicine Proportional hazards model business.industry public health Infant sexual medicine General Medicine Contraception Cross-Sectional Studies Family planning Family Planning Services Population study Medicine Female business Live birth General practice / Family practice Demography reproductive medicine |
Zdroj: | BMJ Open, Vol 11, Iss 4 (2021) BMJ Open |
ISSN: | 2044-6055 |
Popis: | IntroductionBirth spacing is a critical pathway to improving reproductive health. WHO recommends a minimum of 33-month interval between two consecutive births to reduce maternal, perinatal, infant morbidity and mortality. Our study evaluated factors associated with short birth intervals (SBIs) of less than 33 months between two consecutive births, in Karachi, Pakistan.MethodsWe used data from a cross-sectional study among married women of reproductive age (MWRA) who had at least one live birth in the 6 years preceding the survey (N=2394). Information regarding their sociodemographic characteristics, reproductive history, fertility preferences, family planning history and a 6-year reproductive calendar were collected. To identify factors associated with SBIs, we fitted simple and multiple Cox proportional hazards models and computed HRs with their 95% CIs.ResultsThe median birth interval was 25 months (IQR: 14–39 months), with 22.9% (833) of births occurring within 33 months of the index birth. Women’s increasing age (25–30 years (aHR 0.63 (0.53 to 0.75), 30+ years (aHR 0.29, 95% CI 0.22 to 0.39) compared with 20-24 years; secondary education (aHR 0.75, 95% CI 0.63 to 0.88), intermediate education (aHR 0.62, 95% CI 0.48 to 0.80), higher education (aHR 0.69, 95% CI 0.51 to 0.92) compared with no education, and a male child of the index birth (aHR 0.81, 95% CI 0.70 to 0.94) reduced the likelihood of SBIs. Women’s younger age ConclusionStudy shows that birth intervals in the study population are lower than the national average. To optimise birth intervals, programmes should target child spacing strategies and counsel MWRA on the benefits of optimal birth spacing, family planning services and contraceptive utilisation. |
Databáze: | OpenAIRE |
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