Fertility Desire of Women and Related Factors: Karabuk and N'Djamena Samples

Yıl 2024, Cilt: 4 Sayı: 2, 719 - 733, 27.08.2024

Hadje Abakar Djıddo , Raziye Özdemir

Öz

Objective: Fertility desire is one of the important factors influencing population growth and women's fertility-related health outcomes. This study aimed to assess women's fertility desire and factors associated with excess fertility desire in two populations with different socio-demographic and cultural characteristics. Methods: A hospital-based cross-sectional study was conducted at a tertiary hospital in Karabuk and a health center in N'Djamena. The sample size was calculated as 611 women (311 for Karabuk, 300 for N'Djamena). The study's dependent variable is the desire to have children, which was determined by asking women about their ideal number of children. Independent variables included women's sociodemographic and reproductive characteristics, and some perceptions about women’s status. The chi-square test was used to compare the sociodemographic and reproductive characteristics of women. Crude and adjusted odds ratios (ORs) and corresponding 95% confidence intervals were calculated via binary logistic regression analysis to explore the relationship between dependent and independent variables. Results: A total of 615 women were reached. The average ideal number of children for women was 2.7 in Karabuk and 5.6 in N'Djamena. In the whole study group multivariable logistic regression analysis, unofficial marriages (OR = 12.1), the belief that a woman's fertility is determined by her husband or God (OR = 2.5), lower education level (primary school and below) (OR = 2.4) and the husband's increasing ideal number of children (OR = 2.3) were associated with women's excess fertility desire. Conclusion: The findings of the study reveal significant differences between the fertility patterns and preferences of women in the two populations and the influence of social structure on women's fertility behaviors. Policies aimed at empowering women and eliminating gender inequalities should be pursued to protect them from the adverse effects of excess fertility.

Anahtar Kelimeler

Excess fertility, Ideal number of children, Women's health

Etik Beyan

Ethical approval was obtained from the ethical committee of Karabuk University (Date: 11.11.2019, No: 7/21).

Destekleyen Kurum

None

Teşekkür

We would like to thank all women for their participation of this study

Kadınların Doğurganlık Tercihi ve İlişkili Faktörler: Karabük ve N'Djamena Örnekleri

Öz

Amaç: Doğurganlık tercihi, nüfus artışını ve kadınların doğurganlık ile ilişkili sağlık sonuçlarını etkileyen önemli faktörlerden biridir. Bu çalışmanın amacı, farklı sosyodemografik ve kültürel özelliklere sahip iki toplumda kadınların doğurganlık tercihlerini ve aşırı doğurganlık tercihi ile ilişkili faktörleri değerlendirmektir. Gereç ve Yöntem: Hastane tabanlı kesitsel bir çalışma, Karabük'te bulunan bir üçüncü basamak hastanede ve N'Djamena'daki bir sağlık merkezinde yürütüldü. Örnek büyüklüğü 611 kadın olarak hesaplandı (Karabük için 311, N’Djamena için 300). Çalışmanın bağımlı değişkeni, çocuk sahibi olma isteğidir ve kadınların ideal çocuk sayısı sorularak belirlenmiştir. Bağımsız değişkenler kadınların sosyodemografik ve doğurganlık özelliklerini ve kadının statüsü ile bazı görüşlerini içerdi. Kadınların sosyodemografik ve doğurganlık özelliklerini karşılaştırmak için ki-kare testi kullanıldı. Bağımlı ve bağımsız değişkenler arasındaki ilişkiyi açıklamak için ikili lojistik regresyon analizi aracılığı ile kaba ve standardize olasılık oranları (OO) ve %95 güven aralıkları hesaplandı. Bulgular: Çalışmada toplam 615 kadına ulaşıldı. Kadınların ortalama ideal çocuk sayısı Karabük'te 2,7, N'Djamena'da 5,6 idi. Tüm çalışma grubunun çok değişkenli lojistik regresyon analizinde, resmi olmayan evlilikler (OO = 12,1), bir kadının doğurganlığının kocası veya tanrı tarafından belirlendiği inancı (OO = 2,5), düşük öğrenim düzeyi (ilkokul ve altı) (OO = 2,4) ve kocanın ideal çocuk sayısının yüksek olması (OO = 2,3) kadınların aşırı doğurganlık tercihi ile ilişkili idi. Sonuç: Çalışmanın bulguları, iki toplumdaki kadınların doğurganlık örüntüsü ve tercihleri arasında önemli farklılıkları ve toplumsal yapının kadınların doğurganlık davranışı üzerindeki etkisini ortaya koymaktadır. Kadınları aşırı doğurganlığın olumsuz etkilerinden korumak için kadınları güçlendirmeyi ve toplumsal cinsiyet eşitsizliklerini ortadan kaldırmayı amaçlayan politikalar izlenmelidir.

Anahtar Kelimeler

Aşırı doğurganlık, İdeal çocuk sayısı, Kadın sağlığı

Etik Beyan

Karabük Üniversitesi etik kurulundan etik onay alındı (Tarih: 11.11.2019, Sayı: 7/21).

Destekleyen Kurum

Yoktur

Teşekkür

Çalışmaya katılımlarından dolayı tüm kadınlara teşekkür ederiz.

Kaynakça

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