Abstract
Objectives To examine levels, trends and correlates of childbearing in childhood (CiC) in the Rufiji district of Tanzania from 2002 to 2010. Methods Using longitudinal data collected in, and by, the Rufiji health and demographic surveillance system in Tanzania from 2002 to 2010, all women who initiated childbearing in this period (n = 5491) were selected for analysis. CiC was defined as childbearing initiation before age 18. Data analysis involved one–way tabulations of each variable—most of which were socio-demographic—to obtain frequency distributions, cross-tabulations of CiC and each of the independent variables with a Chi square test for associations, and multivariate analysis using multilevel logistic regression to examine covariates of CiC. Results CiC was 44 % and remained constant over the 2002–2010 period (P = 0.623). The relative odds of CiC was significantly reduced by 83 percent among women with secondary or higher educational attainment relative to CiC among uneducated women (OR = 0.17, CI 0.12–0.23). Moreover, the odds of CiC significantly declines monotonically as relative household wealth increases by quintile (OR = 0.70, CI 0.57–0.86). CiC also declines significantly with employment and marital status of the respondent. Conclusions CiC represents a challenging social and health problem. Forty-four percent of first time mothers in Rufiji district of Tanzania are of childhood age, and this has not changed over the past 9 years since 2002. Prioritizing girls’ formal education—especially up to secondary level or higher—as well as devising some economic empowerment modalities, may be worthwhile measures towards curbing CiC in the study area.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 447-455 |
| Number of pages | 9 |
| Journal | Maternal and Child Health Journal |
| Volume | 20 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 1 2016 |
| Externally published | Yes |
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Keywords
- Adolescent fertility trends
- Childhood childbearing
- Childhood fertility
- Correlates
- Rufiji
- Tanzania
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Epidemiology
- Obstetrics and Gynecology
- Public Health, Environmental and Occupational Health
Cite this
Multilevel Analysis of Childbearing in Childhood in Tanzania’s Rufiji District. / Exavery, Amon; Kante, Almamy Malick; Mrema, Sigilbert; Phillips, James F.; Masanja, Honorati.
In: Maternal and Child Health Journal, Vol. 20, No. 2, 01.02.2016, p. 447-455.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Multilevel Analysis of Childbearing in Childhood in Tanzania’s Rufiji District
AU - Exavery, Amon
AU - Kante, Almamy Malick
AU - Mrema, Sigilbert
AU - Phillips, James F.
AU - Masanja, Honorati
PY - 2016/2/1
Y1 - 2016/2/1
N2 - Objectives To examine levels, trends and correlates of childbearing in childhood (CiC) in the Rufiji district of Tanzania from 2002 to 2010. Methods Using longitudinal data collected in, and by, the Rufiji health and demographic surveillance system in Tanzania from 2002 to 2010, all women who initiated childbearing in this period (n = 5491) were selected for analysis. CiC was defined as childbearing initiation before age 18. Data analysis involved one–way tabulations of each variable—most of which were socio-demographic—to obtain frequency distributions, cross-tabulations of CiC and each of the independent variables with a Chi square test for associations, and multivariate analysis using multilevel logistic regression to examine covariates of CiC. Results CiC was 44 % and remained constant over the 2002–2010 period (P = 0.623). The relative odds of CiC was significantly reduced by 83 percent among women with secondary or higher educational attainment relative to CiC among uneducated women (OR = 0.17, CI 0.12–0.23). Moreover, the odds of CiC significantly declines monotonically as relative household wealth increases by quintile (OR = 0.70, CI 0.57–0.86). CiC also declines significantly with employment and marital status of the respondent. Conclusions CiC represents a challenging social and health problem. Forty-four percent of first time mothers in Rufiji district of Tanzania are of childhood age, and this has not changed over the past 9 years since 2002. Prioritizing girls’ formal education—especially up to secondary level or higher—as well as devising some economic empowerment modalities, may be worthwhile measures towards curbing CiC in the study area.
AB - Objectives To examine levels, trends and correlates of childbearing in childhood (CiC) in the Rufiji district of Tanzania from 2002 to 2010. Methods Using longitudinal data collected in, and by, the Rufiji health and demographic surveillance system in Tanzania from 2002 to 2010, all women who initiated childbearing in this period (n = 5491) were selected for analysis. CiC was defined as childbearing initiation before age 18. Data analysis involved one–way tabulations of each variable—most of which were socio-demographic—to obtain frequency distributions, cross-tabulations of CiC and each of the independent variables with a Chi square test for associations, and multivariate analysis using multilevel logistic regression to examine covariates of CiC. Results CiC was 44 % and remained constant over the 2002–2010 period (P = 0.623). The relative odds of CiC was significantly reduced by 83 percent among women with secondary or higher educational attainment relative to CiC among uneducated women (OR = 0.17, CI 0.12–0.23). Moreover, the odds of CiC significantly declines monotonically as relative household wealth increases by quintile (OR = 0.70, CI 0.57–0.86). CiC also declines significantly with employment and marital status of the respondent. Conclusions CiC represents a challenging social and health problem. Forty-four percent of first time mothers in Rufiji district of Tanzania are of childhood age, and this has not changed over the past 9 years since 2002. Prioritizing girls’ formal education—especially up to secondary level or higher—as well as devising some economic empowerment modalities, may be worthwhile measures towards curbing CiC in the study area.
KW - Adolescent fertility trends
KW - Childhood childbearing
KW - Childhood fertility
KW - Correlates
KW - Rufiji
KW - Tanzania
UR - http://www.scopus.com/inward/record.url?scp=84956949745&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84956949745&partnerID=8YFLogxK
U2 - 10.1007/s10995-015-1842-7
DO - 10.1007/s10995-015-1842-7
M3 - Article
C2 - 26590925
AN - SCOPUS:84956949745
VL - 20
SP - 447
EP - 455
JO - Maternal and Child Health Journal
JF - Maternal and Child Health Journal
SN - 1092-7875
IS - 2
ER -