Contexts of reproduction: Gender dynamics and unintended birth in <scp>sub?Saharan</scp> Africa

نویسندگان

چکیده

Objective This study examines how women's chances of having an unintended birth is related to gender inequalities in education, employment, intra-household decision-making, and norms at individual, household, community levels sub-Saharan Africa (SSA). Background Women SSA have the highest rates births world, often with severe implications for health well-being families. A comprehensive understanding dynamics are associated their however lacking. Method Multilevel binomial logistic regression models were estimated harmonized data from 123 Demographic Health Surveys including 534,533 married women living 43,136 communities within 39 countries over period 1992–2019. Results The odds higher among higher-educated women, a small age difference husband, more better (reproductive) facilities. These willing acknowledge as unintended. In where relatively educated than husband households husbands wives equal terms occupational status, fertility preferences, lower. Conclusion Unintended complex reproductive experience local systems, relative position power relations, willingness Implications Improving equality household level may result improved health. However, outcomes also strongly shaped by system.

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ژورنال

عنوان ژورنال: Journal of Marriage and Family

سال: 2021

ISSN: ['1741-3737', '0022-2445']

DOI: https://doi.org/10.1111/jomf.12807