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Recurrent child mortality risks and parity transition in Nigeria

Recurrent child mortality risks and parity transition in Nigeria
Recurrent child mortality risks and parity transition in Nigeria
Background
Fertility rates remain persistently high in Nigeria, with little difference across socioeconomic groups. While the desire for large family size is culturally rooted, there is little understanding of how repeated child mortality experiences influence fertility behaviour and parity transition in Nigeria.

Methods
Using birth history data from the 2013 Nigeria Demographic and Health Survey (NDHS), we applied life table techniques and proportional-hazard regression model to explore the effect of child survival experience on parity transitions. We hypothesize that a woman with one or more child death experience is at elevated risk of progressing towards higher parities.

Results
Our findings show that child mortality is concentrated among mothers living in deprived conditions especially in rural areas of the northern part of Nigeria and among those with little or no education and, among those belonging to Hausa/Fulani ethnicity and Islam religion. Mothers with repeated experience of child deaths were significantly at a higher rate of progressing to higher parities than their counterparts (HR: 1.45; 95% CI: 1.31–1.61), when adjusted for relevant biological and socio-demographic characteristics.

Conclusion
Recurrent experience of child deaths exacerbates the risks to higher parity transition. Interventions aimed at reducing fertility in Nigeria should target promoting child survival and family planning concurrently.
fertility, child mortality, Nigeria, Sub-Saharan Africa
1742-4755
1-10
Adanikin, Abiodun Idowu
7c475e5b-223b-4d26-9b60-85b32af15727
Padmadas, Sabu S.
64b6ab89-152b-48a3-838b-e9167964b508
McGrath, Nuala
b75c0232-24ec-443f-93a9-69e9e12dc961
Adanikin, Abiodun Idowu
7c475e5b-223b-4d26-9b60-85b32af15727
Padmadas, Sabu S.
64b6ab89-152b-48a3-838b-e9167964b508
McGrath, Nuala
b75c0232-24ec-443f-93a9-69e9e12dc961

Adanikin, Abiodun Idowu, Padmadas, Sabu S. and McGrath, Nuala (2019) Recurrent child mortality risks and parity transition in Nigeria. Reproductive Health, 16, 1-10, [79]. (doi:10.1186/s12978-019-0733-6).

Record type: Article

Abstract

Background
Fertility rates remain persistently high in Nigeria, with little difference across socioeconomic groups. While the desire for large family size is culturally rooted, there is little understanding of how repeated child mortality experiences influence fertility behaviour and parity transition in Nigeria.

Methods
Using birth history data from the 2013 Nigeria Demographic and Health Survey (NDHS), we applied life table techniques and proportional-hazard regression model to explore the effect of child survival experience on parity transitions. We hypothesize that a woman with one or more child death experience is at elevated risk of progressing towards higher parities.

Results
Our findings show that child mortality is concentrated among mothers living in deprived conditions especially in rural areas of the northern part of Nigeria and among those with little or no education and, among those belonging to Hausa/Fulani ethnicity and Islam religion. Mothers with repeated experience of child deaths were significantly at a higher rate of progressing to higher parities than their counterparts (HR: 1.45; 95% CI: 1.31–1.61), when adjusted for relevant biological and socio-demographic characteristics.

Conclusion
Recurrent experience of child deaths exacerbates the risks to higher parity transition. Interventions aimed at reducing fertility in Nigeria should target promoting child survival and family planning concurrently.

Text
Recurrent child mortality risks and parity transition in Nigeria - Version of Record
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More information

Accepted/In Press date: 3 May 2019
Published date: 7 June 2019
Keywords: fertility, child mortality, Nigeria, Sub-Saharan Africa

Identifiers

Local EPrints ID: 431716
URI: http://eprints.soton.ac.uk/id/eprint/431716
ISSN: 1742-4755
PURE UUID: 0dbc1ba2-5e4f-48a0-b01d-c6a11e4d428f
ORCID for Sabu S. Padmadas: ORCID iD orcid.org/0000-0002-6538-9374
ORCID for Nuala McGrath: ORCID iD orcid.org/0000-0002-1039-0159

Catalogue record

Date deposited: 14 Jun 2019 16:30
Last modified: 22 Nov 2021 03:04

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Contributors

Author: Abiodun Idowu Adanikin
Author: Nuala McGrath ORCID iD

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