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Published in: Journal of Public Health 5/2021

01-10-2021 | Original Article

Determinants of early age of mother at first birth in Bangladesh: a statistical analysis using a two-level multiple logistic regression model

Authors: Mohammad Ali, Sharlene Alauddin, Most. Farida Khatun, Md. Maniruzzaman, Sheikh Mohammed Shariful Islam

Published in: Journal of Public Health | Issue 5/2021

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Abstract

Aim

The timing of a woman's first birth is significant because motherhood involves a substantial commitment of time and resources. Early age at first birth is a factor that significantly influences the rapid population growth in Bangladesh. In addition, early age at first birth has a negative effect on occupational achievements, marital stability, and maternal and neonatal health. The aim of this study was to determine the factors influencing early age at first birth.

Subjects and methods

Data were collected from the Bangladesh Demographic and Health Survey (BDHS) 2014. The BDHS 2014 data were obtained from 17,863 ever-married women using two-stage stratified sampling. Chi-square test and two-level multiple binary logistic regression models were performed to analyze the data.

Results

A total of 15,842 ever-married women with mean age of 18.22 ± 0.389 years were included in this study. Muslim women (AOR = 1.32, 95% CI: 1.11–1.56, p < 0.001), early marriage (AOR = 13.25, 95% CI: 11.83–14.76, p < 0.001) and women currently using contraceptives (AOR = 2.39, 95% CI: 1.25–1.55, p < 0.01) were more likely to have early age at first birth, whereas women from higher income households (AOR = 0.72, 95% CI: 0.57–0.91, p < 0.05), with higher education (AOR = 0.25, 95% CI: 0.21–0.31, p < 0.001), employed (AOR = 0.87, 95% CI: 0.78–0.98, p < 0.05) and whose husbands had higher education levels (AOR = 0.61, 95% CI: 0.48–0.76, p < 0.001) or were service holders (AOR = 0.74, 95% CI: 0.58–0.93, p < 0.05) were less likely than their counterparts to have their first birth at an early age.

Conclusion

The government should take the necessary steps to make policies to control the occurrence of women having their first birth at an early age by emphasizing the significant factors obtained from this study.
Literature
go back to reference Ainul S, Amin S (2012) Early marriage as a risk factor for mistimed pregnancy among married adolescents in Bangladesh. Asia-Pac Popul J 30:7–34CrossRef Ainul S, Amin S (2012) Early marriage as a risk factor for mistimed pregnancy among married adolescents in Bangladesh. Asia-Pac Popul J 30:7–34CrossRef
go back to reference Bumpass LL, Rindfuss RR, Jamosik RB (1978) Age and marital status at first birth and the pace of subsequent fertility. Demography 15:75–86CrossRef Bumpass LL, Rindfuss RR, Jamosik RB (1978) Age and marital status at first birth and the pace of subsequent fertility. Demography 15:75–86CrossRef
go back to reference Chan Y (2004) Biostatistics 202: logistic regression analysis. Singap Med J 45:149–153 Chan Y (2004) Biostatistics 202: logistic regression analysis. Singap Med J 45:149–153
go back to reference Coombs LC, Freedman R (1970) Pre-marital pregnancy, childspacing, and later economic achievement. Popul Stud 24:389–412CrossRef Coombs LC, Freedman R (1970) Pre-marital pregnancy, childspacing, and later economic achievement. Popul Stud 24:389–412CrossRef
go back to reference Dangal G (2006) An update on teenage pregnancy. Internet J Gynecol Obstet 5 Dangal G (2006) An update on teenage pregnancy. Internet J Gynecol Obstet 5
go back to reference Freedman R, Coombs L (1966) Childspacing and family economic position. Am Soc Rev 31:631–648CrossRef Freedman R, Coombs L (1966) Childspacing and family economic position. Am Soc Rev 31:631–648CrossRef
go back to reference Hofferth SL, Moore KA (1979) Early childbearing and later economic well-being. Am Soc Rev 44:784–815CrossRef Hofferth SL, Moore KA (1979) Early childbearing and later economic well-being. Am Soc Rev 44:784–815CrossRef
go back to reference Hofferth SL, Reid L, Mott FL (2001) The effects of early childbearing on schooling over time. Fam Plan Perspect 33:259–267CrossRef Hofferth SL, Reid L, Mott FL (2001) The effects of early childbearing on schooling over time. Fam Plan Perspect 33:259–267CrossRef
go back to reference Hossain MM, Majumder AK (2019) Determinants of the age of mother at first birth in Bangladesh: quantile regression approach. J Public Health 27:419–424CrossRef Hossain MM, Majumder AK (2019) Determinants of the age of mother at first birth in Bangladesh: quantile regression approach. J Public Health 27:419–424CrossRef
go back to reference Islam MM (1999) Adolescent childbearing in Bangladesh. Asia Pacific Popul J 14:73–87 Islam MM (1999) Adolescent childbearing in Bangladesh. Asia Pacific Popul J 14:73–87
go back to reference Islam MM, Islam MK, Hasan MS, Hossain MB (2017) Adolescent motherhood in Bangladesh: Trends and determinants. PloS one 12:e0188294CrossRef Islam MM, Islam MK, Hasan MS, Hossain MB (2017) Adolescent motherhood in Bangladesh: Trends and determinants. PloS one 12:e0188294CrossRef
go back to reference Kamal SM (2012) Decline in child marriage and changes in its effect on reproductive outcomes in Bangladesh. J Health Popul Nutr 30:317CrossRef Kamal SM (2012) Decline in child marriage and changes in its effect on reproductive outcomes in Bangladesh. J Health Popul Nutr 30:317CrossRef
go back to reference Khan HR, Shaw E (2011) Multilevel logistic regression analysis applied to binary contraceptive prevalence data. J Data Sci 9:93–110 Khan HR, Shaw E (2011) Multilevel logistic regression analysis applied to binary contraceptive prevalence data. J Data Sci 9:93–110
go back to reference King JC (2003) The risk of maternal nutritional depletion and poor outcomes increases in early or closely spaced pregnancies. J Nutrition 133:1732S–1736SCrossRef King JC (2003) The risk of maternal nutritional depletion and poor outcomes increases in early or closely spaced pregnancies. J Nutrition 133:1732S–1736SCrossRef
go back to reference Knox G (1971) Teenage mothers: a pediatric and obstetrical group at high risk Minnesota medicine 54:701PubMed Knox G (1971) Teenage mothers: a pediatric and obstetrical group at high risk Minnesota medicine 54:701PubMed
go back to reference Koo HP, Bilsborrow RE, Suchindran C Long-term marital disruption fertility and socioeconomic achievement associated with adolescent childbearing. In, 1981. [Unpublished](1981). Presented at the 109th Annual Meeting of the American … Koo HP, Bilsborrow RE, Suchindran C Long-term marital disruption fertility and socioeconomic achievement associated with adolescent childbearing. In, 1981. [Unpublished](1981). Presented at the 109th Annual Meeting of the American …
go back to reference Larsen K, Merlo J (2005) Appropriate assessment of neighborhood effects on individual health: integrating random and fixed effects in multilevel logistic regression. Am J Epidemiol 161:81–88CrossRef Larsen K, Merlo J (2005) Appropriate assessment of neighborhood effects on individual health: integrating random and fixed effects in multilevel logistic regression. Am J Epidemiol 161:81–88CrossRef
go back to reference Liabsuetrakul T (2012) Trends and outcomes of teenage pregnancy Thai. J Obstet Gynaecol 20:162–165 Liabsuetrakul T (2012) Trends and outcomes of teenage pregnancy Thai. J Obstet Gynaecol 20:162–165
go back to reference Macro O, Hopkins J (2003) Bangladesh maternal health services and maternal mortality survey, 2001 Dhaka. Bangladesh, National Institute of Population Research and Training (NIPORT) Macro O, Hopkins J (2003) Bangladesh maternal health services and maternal mortality survey, 2001 Dhaka. Bangladesh, National Institute of Population Research and Training (NIPORT)
go back to reference Marteleto LJ, Dondero M (2013) Maternal age at first birth and adolescent education in Brazil. Demogr Res 28 Marteleto LJ, Dondero M (2013) Maternal age at first birth and adolescent education in Brazil. Demogr Res 28
go back to reference Mazur LA (1997) High stakes: the United States, global population and our common future New York: the Rockefeller Foundation Mazur LA (1997) High stakes: the United States, global population and our common future New York: the Rockefeller Foundation
go back to reference Md M-u-A (2005) Adolescent Fertility in Bangladesh Pakistan. J Social Sci 3:109–116 Md M-u-A (2005) Adolescent Fertility in Bangladesh Pakistan. J Social Sci 3:109–116
go back to reference NIPORT (2016) Bangladesh Demographic and Health Survey 2014 NIPORT (2016) Bangladesh Demographic and Health Survey 2014
go back to reference Nahar MZ, Zahangir MS (2013) Patterns and determinants of age at first birth in Bangladesh. Turkish J Popul Stud 35:63–67 Nahar MZ, Zahangir MS (2013) Patterns and determinants of age at first birth in Bangladesh. Turkish J Popul Stud 35:63–67
go back to reference Nahar Q, Min H (2008) Trends and determinants of adolescent childbearing in Bangladesh Nahar Q, Min H (2008) Trends and determinants of adolescent childbearing in Bangladesh
go back to reference Ngalinda I (1998) Age at first birth, fertility, and contraception in Tanzania Ngalinda I (1998) Age at first birth, fertility, and contraception in Tanzania
go back to reference Papri FS, Khanam Z, Ara S, Panna MB (2016) Adolescent pregnancy: risk factors, outcome and prevention Chattagram Maa-O-Shishu. Hospital Med College J 15:53–56 Papri FS, Khanam Z, Ara S, Panna MB (2016) Adolescent pregnancy: risk factors, outcome and prevention Chattagram Maa-O-Shishu. Hospital Med College J 15:53–56
go back to reference Psaki S (2016) Addressing child marriage and adolescent pregnancy as barriers to gender parity and equality in education. Prospects 46:109–129CrossRef Psaki S (2016) Addressing child marriage and adolescent pregnancy as barriers to gender parity and equality in education. Prospects 46:109–129CrossRef
go back to reference Rabbi AMF, Kabir M (2013) Factors Influencing Age at First Birth of Bangladeshi Women-A Multivariate Approach. Am J Publ Health Res 1:191–195CrossRef Rabbi AMF, Kabir M (2013) Factors Influencing Age at First Birth of Bangladeshi Women-A Multivariate Approach. Am J Publ Health Res 1:191–195CrossRef
go back to reference Riley AP (1994) Determinants of adolescent fertility and its consequences for maternal health, with special reference to rural Bangladesh. Ann N Y Acad Sci 709:86–100CrossRef Riley AP (1994) Determinants of adolescent fertility and its consequences for maternal health, with special reference to rural Bangladesh. Ann N Y Acad Sci 709:86–100CrossRef
go back to reference Rindfuss RR, St. John C (1983) Social determinants of age at first birth. J Marriage Fam 45:553–565CrossRef Rindfuss RR, St. John C (1983) Social determinants of age at first birth. J Marriage Fam 45:553–565CrossRef
go back to reference Save the Children (2004) State of the World's Mothers: 2004. Westport, CT, USA Save the Children (2004) State of the World's Mothers: 2004. Westport, CT, USA
go back to reference Schuler SR, Islam F, Rottach E (2010) Women's empowerment revisited: a case study from Bangladesh. Dev Pract 20:840–854CrossRef Schuler SR, Islam F, Rottach E (2010) Women's empowerment revisited: a case study from Bangladesh. Dev Pract 20:840–854CrossRef
go back to reference Senderowitz J, Paxman JM (1985) Adolescent fertility: worldwide concerns. Popul Bull 40:1PubMed Senderowitz J, Paxman JM (1985) Adolescent fertility: worldwide concerns. Popul Bull 40:1PubMed
go back to reference Singh S (1998) Adolescent childbearing in developing countries: a global review. Stud Family Plan 2:117–136CrossRef Singh S (1998) Adolescent childbearing in developing countries: a global review. Stud Family Plan 2:117–136CrossRef
go back to reference Waite LJ, Moore KA (1978) The impact of an early first birth on young women's educational attainment. Social Forces 56:845–865CrossRef Waite LJ, Moore KA (1978) The impact of an early first birth on young women's educational attainment. Social Forces 56:845–865CrossRef
go back to reference WHO (2014) Adolescent pregnancy: WHO factsheet 2014 WHO (2014) Adolescent pregnancy: WHO factsheet 2014
go back to reference Zabin LS, Kiragu K (1998) The health consequences of adolescent sexual and fertility behavior in sub-Saharan Africa. Studies Family Planning 29:210–232CrossRef Zabin LS, Kiragu K (1998) The health consequences of adolescent sexual and fertility behavior in sub-Saharan Africa. Studies Family Planning 29:210–232CrossRef
go back to reference Zarar R, Bukhsh M, Khaskheli W (2017) Causes and consequences of gender discrimination against women in Quetta City Arts Social Sci J 8:277 Zarar R, Bukhsh M, Khaskheli W (2017) Causes and consequences of gender discrimination against women in Quetta City Arts Social Sci J 8:277
Metadata
Title
Determinants of early age of mother at first birth in Bangladesh: a statistical analysis using a two-level multiple logistic regression model
Authors
Mohammad Ali
Sharlene Alauddin
Most. Farida Khatun
Md. Maniruzzaman
Sheikh Mohammed Shariful Islam
Publication date
01-10-2021
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 5/2021
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-020-01228-9

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