BANGLADEŞ’TE İLK DOĞUM YAŞININ ÖRÜNTÜSÜ VE BELİRLEYİCİLERİ

Year 2013, Volume: 35 Issue: 1, 63 - 77, 05.08.2016

Mosammat Zamilun Nahar Mohammad Salim Zahangir

Abstract

Bu çalışma en az bir kez evlenmiş Bangladeşli kadınların ilk doğumdaki yaş örüntülerini ve bu yaşa etki eden sosyo-ekonomik, kültürel ve demografik faktörleri belirlemeye odaklanmaktadır. Kullanılan veri 2011 Bangladeş Nüfus ve Sağlık Araştırması’ndan elde edilmiştir. Kadınların ilk doğum yaşının örüntüsü yaşam tablosu yöntemiyle, orta değişkenlerin ilk doğum yaşına etkisi ise Cox orantılı tehlike modeliyle belirlenmiştir. Bangladeşli kadınların ilk evlenme yaşının trimean ortalaması 18 yaş olarak belirlenmiştir. İlk doğuma geçiş hızı Müslüman, kırsal alanlarda ikamet eden, okuma yazma bilmeyen, ilkokul mezunu olup ortaokuldan az eğitim almış veya ekonomik olarak orta veya yoksul olarak nitelendirilen hanehalklarında yaşayan kadınlar arasında daha yüksektir. İlk evlenme yaşı, gebeliği önleyici yöntem kullanmış olma, eşler arasındaki yaş farkı, din, cevaplayıcının çalışma durumu ve eşin işi de ilk evlenme yaşıyla istatistiksel olarak anlamlı bir ilişki sergilemiştir

Keywords

İlk doğum yaşı, yaşam tablosu analizi, sansürlü veri, ilk doğuma geçiş hızı, Cox orantılı tehlike modeli

PATTERNS AND DETERMINANTS OF AGE AT FIRST BIRTH IN BANGLADESH

Abstract

This paper focuses on determining the patterns and socio-economic, cultural and demographic factors of age at first birth for ever-married Bangladeshi women. This study utilized data from the 2011 Bangladesh Demographic and Health Survey (BDHS). The age pattern of women at first birth is estimated using the life table technique and the impact of covariates on age at first birth is determined using the Cox’s proportional hazard model. The trimean of age at first birth of Bangladeshi women is found to be 18 years. The pace of having first birth is faster among women who are Muslims, rural residents, illiterates or primary school graduates with below secondary level of education and those from households categorized as economically poor or middle. Age at first marriage, ever use of any contraception, spousal age difference, religion, respondent's working status and husband's occupation showed significant association with age at first birth

Keywords

Age at first birth, life table analysis, censored data, pace of having first birth, Cox proportional hazards model

References

• Aaryal, T. R. (2005). Differentials of Breastfeeding among Rural Women of Western Nepal: A Survival Analysis, Journal of Nepal Health Research Council,3(2):58-64.
• Anawar, M. M. (2005). Adolescent Fertility in Bangladesh, Pakistan Journal of Social Science, 3(1):109-116.
• Aryal, T. R. (2007). Differentials of Post-Partum Amenorrhea: a Survival Analysis, Journal of Nepal Medical Association, 46(166):66-73.
• BMMS. (2001). Bangladesh Maternal Health Services and Maternal Mortality Survey, Bangladesh Ministry of Health and Family Welfare, Bangladesh National Strategy for Maternal Health, Dhaka.
• Gurmu, E. and Etana, D. (2014). Age at First Marriage and First Birth Interval in Ethiopia: Analysis of the Roles of Social and Demographic Factors, African Population Studies, 28(3):1332-1344.
• Haque, A. M. and Sayem, A. M. (2009). Socioeconomic determinants of age at first birth in rural areas of Bangladesh, Asia Pacific Journal of Public Health,21(1):104-14.
• Huq, M. N. and Cleland, J. (1990). Bangladesh Fertility Survey (BFS) 1989, Main report, Dhaka: National Institute of Population Research and Training (NIPORT).
• Islam, M. M. (1999). Adolescent Childbearing in Bangladesh, Asia-Pacific Population Journal,14(3):73-87.
• Islam, M. N. and Islam, M. M. (1993). Biological and Behavioural Determinants of Fertility in Bangladesh: 1975-1989, Asia-Pacific Population Journal,8(1):3-18.
• Kamal, A. and Pervaiz, M. K. (2013). Determinants of Marriage to First Birth Interval in Pakistan, Journal of Statistics,20:44-68.
• Kamal, S. M. M. (2009). Adolescent Motherhood in Bangladesh, XXVI IUSSP International Population Conference, Session-49; 27 September –02 October, Marrakech, Morocco.
• Kamal, S. M. M. (2012). Adolescent Motherhood in Bangladesh: Evidence from 2007 BDHS data, Canadian Studies in Population, 39(1–2):63–82.
• Khatun, S. and Rahman, M. (2008). Socio-economic Determinants of Low Birth Weight in Bangladesh: A Multivariate Approach, Bangladesh Medical Research Council Bulletin, 34:81-86.
• Knox, G. E. (1971). Teenage Mothers: A Pediatric and Obstetrical Group at High Risk, Minnesota Medicine,54(9):701-5.
• Kohler, H. P. Skytthe, A. and Christensen, K. (2001). The Age at First Birth and Completed Fertility Reconsidered: Findings from a Sample of Identical Twins, MPIDR Working Paper, WP2001-06, March, Rostock, Germany, www.demogr.mpg.de.
• Lee, M. C, Suhng, L.A, Lu, T. H. and Chou, M. C. (1998). Association of Parental Characteristics with Adverse Outcomes of Adolescent Childbearing, Family Practice, 15(4):336–42.
• Magrab, P. R. and Danielson-Murphy, J. (1979). Adolescent Pregnancy: A Review, Journal of Clinical Child Psychology, 8:121-5.
• Marini, M. M. and Hodsdon, P. J. (1981). Effects of the First Marriage and First Birth on the Spacing of Subsequent Births, Demography,18(4):529-548.
• Mazur, L. A. (1997). High Stakes: The United States, Global Population and Our Common Future, New York: The Rockefeller Foundation.
• McAnarney, E. R. (1978). Adolescent Pregnancy--A National Priority, American Journal of Diseases of Children,132(2):125-6.
• Nahar Q. and Min, H. (2008). Trends and Determinants of Adolescent Childbearing in Bangladesh, DHS Working Paper No. 48, Demographic and Health Research, Calverton, MD.
• Ngalinda, I. (1998). Age at First Birth, Fertility, and Contraception in Tanzania, Doctoral dissertation, Humboldt University of Berlin, Germany.
• Ngalinda, I. (2001). Socioeconomic Factors Associated with Premarital Childbearing and Adolescents’ Age at First Motherhood, Paper presented at the XXIV IUSSP General Conference, Salvador, Brazil, 18-24 August, 2001.
• NIPORT (National Institute of Population Research and Training), Mitra and Associates, and MEASURE DHS. (2013). Bangladesh Demographic and Health Survey 2011, Dhaka, Bangladesh, and ICF International, Calverton, Maryland, USA: NIPORT, Mitra and Associates, and MEASURE DHS.
• Norusis, M. J. (2007). SPSS 15.0 Advanced Statistical Procedures Companion, Upper Saddle River, NJ: Prentice Hall Inc.
• Phipps, M. G. and Sowers, M. F. (2002). Defining Early Adolescent Childbearing, American Journal of Public Health,92(1):125–8.
• Presser, H. B. (1971). The Timing of the First Birth, Female Roles and Black Fertility, Milbank Memorial Fund Quarterly, 49:329-362.
• Reynolds, H. W., Wong, E. L. and Tucker, H. (2006). Adolescent's Use of Maternal and Child Health Services in Developing Countries, International Family Planning Perspectives, 32(1):6-16.
• Rindfuss, R. and John, C. R. (1983). Social Determinants of Age at First Birth, Journal of Marriage and Family, 45(3):553-565.
• Rodriguez, G. and Hobcraft, J. N. (1980). Illustrative Analysis: Life Table Analysis of Birth Intervals in Columbia, WFS Scientific Reports, 16.
• Save the Children. (2004). State of the World's Mothers: 2004, Westport, CT, USA.
• Senderowitz, J. and Paxman, J. (1985). Adolescent Fertility: Worldwide Concerns, Population Bulletin,40(2):3-51.
• Singh, S. (1998). Adolescent Childbearing in Developing Countries: A Global Review, Studies in Family Planning,29(2):117-136.
• Teachman, J. D. and Schollaert, P. T. (1989). Economic Conditions, Marital Status, and the Timing of First Births: Result for Whites and Blacks, Sociological Forum, 4(1):27-46.
• Tukey, J. W. (1977). Exploratory Data Analysis, Addison-Wesley, Reading, MA.
• Zabin, L. and Kiragu, K. (1998). The Health Consequences of Adolescent Sexual and FertilityBehavior in Sub-Saharan Africa, Studies in Family Planning,29(2):210–32.
• Zahangir, M. S. and Kamal, M. M. (2011). Several Attributes Linked with Child Marriage of Females’ in Bangladesh, International Journal of Statistics and Systems,6(1):107– 117.