PMID- 37369774
OWN - NLM
STAT- MEDLINE
DCOM- 20230629
LR  - 20230701
IS  - 2045-2322 (Electronic)
IS  - 2045-2322 (Linking)
VI  - 13
IP  - 1
DP  - 2023 Jun 27
TI  - Changes in age at last birth and its determinants in India.
PG  - 10450
LID - 10.1038/s41598-023-37370-z [doi]
LID - 10450
AB  - In recent years, developing and developed countries are witnessing delayed 
      childbearing among women contributing to the overall decline in fertility rates. 
      The age at which a woman has her last child impacts maternal and child health, 
      especially in a country with high maternal and perinatal mortality rates. This 
      study aims to investigate the trends of age at the last birth among Indian women 
      and to identify the potential factors contributing towards higher maternal age. 
      The present study uses the data from five consecutive rounds (1992-1993, 
      1998-1999, 2004-2005, 2015-2016, and 2019-2021) of the National Family Health 
      Survey (NFHS). We have used descriptive statistics, bivariate, Cox proportional 
      hazard regression analysis, multiple classification analysis (MCA), Kaplan-Meier 
      curve, life table survival analysis, hierarchical clustered heat map, 
      multivariate decomposition analysis (MDA) and geospatial mapping to fulfill the 
      objective of the study. Results show that the proportion of women with age at 
      last birth before reaching the age of 30 years was less than half (nearly 35%) 
      during NFHS-I while during NFHS-V proportion becomes more than half and reaches 
      64.3% among 40-49 years women. Within three decades (1992-2021) there has been a 
      decline of 15.8% in median age at last birth among women aged 40-49 years. 
      Additionally, the highest percentage decline in predicted mean age at last birth 
      was noted among individuals from rural area (10.7%, 3.3 years), Hindu religion 
      (10.8%, 3.3 years), poor wealth quantile (12.5%, 4.0 years) and those with mass 
      media exposure (10.6%, 3.2 years) from NFHS-I (1992-1993) to NFHS-V (2019-2021). 
      Although there exists the need to delay age at first childbirth, the age at last 
      childbirth also plays an important role in women's and child health status. 
      Hence, it is important to address the healthcare needs of those delaying their 
      childbirth.
CI  - (c) 2023. The Author(s).
FAU - Singh, Mayank
AU  - Singh M
AUID- ORCID: 0000-0002-5350-6895
AD  - Department of Fertility & Social Demography, International Institute for 
      Population Sciences (IIPS), Mumbai, 400088, India.
FAU - Shekhar, Chander
AU  - Shekhar C
AD  - Department of Fertility & Social Demography, International Institute for 
      Population Sciences (IIPS), Mumbai, 400088, India.
FAU - Shri, Neha
AU  - Shri N
AUID- ORCID: 0000-0003-4512-2450
AD  - Department of Survey Research and Data Analytics, International Institute for 
      Population Sciences (IIPS), Mumbai, 400088, India. nshri793@gmail.com.
LA  - eng
PT  - Journal Article
DEP - 20230627
PL  - England
TA  - Sci Rep
JT  - Scientific reports
JID - 101563288
SB  - IM
MH  - Humans
MH  - Pregnancy
MH  - Child
MH  - Female
MH  - Adult
MH  - Middle Aged
MH  - Child, Preschool
MH  - Socioeconomic Factors
MH  - Age Factors
MH  - *Parturition
MH  - Maternal Age
MH  - *Birth Rate
MH  - India/epidemiology
PMC - PMC10300096
COIS- The authors declare no competing interests.
EDAT- 2023/06/28 01:06
MHDA- 2023/06/29 06:43
PMCR- 2023/06/27
CRDT- 2023/06/27 23:24
PHST- 2022/11/16 00:00 [received]
PHST- 2023/06/20 00:00 [accepted]
PHST- 2023/06/29 06:43 [medline]
PHST- 2023/06/28 01:06 [pubmed]
PHST- 2023/06/27 23:24 [entrez]
PHST- 2023/06/27 00:00 [pmc-release]
AID - 10.1038/s41598-023-37370-z [pii]
AID - 37370 [pii]
AID - 10.1038/s41598-023-37370-z [doi]
PST - epublish
SO  - Sci Rep. 2023 Jun 27;13(1):10450. doi: 10.1038/s41598-023-37370-z.