Wealth-based disparities in the prevalence of short birth interval in India: insights from NFHS-5

Autor: Aditya Singh, Anshika Singh, Mahashweta Chakrabarty, Shivani Singh, Pooja Tripathi
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Population Health Metrics, Vol 22, Iss 1, Pp 1-14 (2024)
Druh dokumentu: article
ISSN: 1478-7954
DOI: 10.1186/s12963-024-00334-0
Popis: Abstract Background Short birth interval (SBI) has profound implications for the health of both mothers and children, yet there remains a notable dearth of studies addressing wealth-based inequality in SBI and its associated factors in India. This study aims to address this gap by investigating wealth-based disparities in SBI and identifying the underlying factors associated with SBI in India. Methods We used information on 109,439 women of reproductive age (15–49 years) from the fifth round of the National Family Health Survey (2019-21). We assessed wealth-based inequality in SBI for India and its states using the Erreygers Normalised Concentration Index (ECI). Additionally, we used a multilevel binary logistic regression to assess the factors associated with SBI in India. Results In India, the prevalence of SBI was 47.8% [95% CI: 47.4, 48.3] during 2019-21, with significant variation across states. Bihar reported the highest prevalence of SBI at 61.2%, while Sikkim the lowest at 18.1%. SBI prevalence was higher among poorer mothers compared to richer ones (Richest: 33.8% vs. Poorest: 52.9%). This wealth-based inequality was visible in the ECI as well (ECI= -0.13, p
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