PMID- 38413929
OWN - NLM
STAT- MEDLINE
DCOM- 20240229
LR  - 20240301
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 24
IP  - 1
DP  - 2024 Feb 27
TI  - Trends, patterns and predictors of high-risk fertility behaviour among Indian 
      women: evidence from National Family Health Survey.
PG  - 626
LID - 10.1186/s12889-024-18046-3 [doi]
LID - 626
AB  - BACKGROUND: Numerous studies have demonstrated that high-risk fertility behaviour 
      (HRFB), which includes maternal age below 18 or above 34 years, short birth 
      intervals (less than 24 months), and high parity (birth order above 4), is 
      associated with adverse maternal and child health outcomes. There is a 
      substantial research gap in the domain of high-risk fertility behaviour in the 
      Indian context. Therefore, this study is designed to investigate the current 
      trends and patterns in the prevalence of high-risk births among Indian women, 
      with a primary focus on identifying contributing factors associated with this 
      prevalence. METHODS: The study utilized data from the nationally representative 
      National Family Health Survey (NFHS), which has been conducted in five rounds 
      since 1992-93. Data from all rounds were used to assess the overall trend. 
      However, data from the most recent round of NFHS, conducted during 2019-21, were 
      employed to evaluate current levels and patterns of HRFB prevalence and to 
      identify socio-economic and demographic predictors of HRFB using binomial and 
      multinomial logistic regression models. RESULTS: The prevalence of HRFB has 
      exhibited a consistent decreasing pattern from 1992 to 93 to 2019-21 in India. 
      However, 29.56% of married women continue to experience high-risk births with 
      notably higher rates in several states (e.g., 49.85% in Meghalaya and 46.41% in 
      Bihar). Furthermore, socio-demographic factors like wealth index, educational 
      level, social group, religion, mass media exposure, family size, age at marriage, 
      type and region of residence, and reproductive factors like birth intention, 
      place and type of delivery, ANC visits and current contraceptive use were 
      identified as significant predictors of high-risk births among women in India. 
      CONCLUSION: Despite a 20.4 percentage point decline in HRFB prevalence over the 
      past three decades, a significant proportion of women in specific regions and 
      demographic subgroups continue to experience high-risk births. Therefore, the 
      present study recommends interventions aimed at preventing high-risk births among 
      women in India, with particular emphasis on states with high HRFB prevalence and 
      women from socioeconomically disadvantaged backgrounds.
CI  - (c) 2024. The Author(s).
FAU - Singh, Pooja
AU  - Singh P
AD  - Department of Statistics, Institute of Science, Banaras Hindu University, 
      Varanasi, Uttar Pradesh, India. pooja.singh04@bhu.ac.in.
FAU - Singh, Kaushalendra Kumar
AU  - Singh KK
AD  - Department of Statistics, Institute of Science, Banaras Hindu University, 
      Varanasi, Uttar Pradesh, India.
LA  - eng
PT  - Journal Article
DEP - 20240227
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Child
MH  - Female
MH  - Humans
MH  - Adult
MH  - *Fertility
MH  - Maternal Age
MH  - *Marriage
MH  - Family Characteristics
MH  - Health Surveys
MH  - India/epidemiology
PMC - PMC10900591
OTO - NOTNLM
OT  - HRFB
OT  - India
OT  - Multinomial logistic regression
OT  - NFHS
OT  - Reproductive health
COIS- The authors declare no competing interests.
EDAT- 2024/02/28 00:43
MHDA- 2024/02/29 06:43
PMCR- 2024/02/27
CRDT- 2024/02/27 23:52
PHST- 2023/04/07 00:00 [received]
PHST- 2024/02/08 00:00 [accepted]
PHST- 2024/02/29 06:43 [medline]
PHST- 2024/02/28 00:43 [pubmed]
PHST- 2024/02/27 23:52 [entrez]
PHST- 2024/02/27 00:00 [pmc-release]
AID - 10.1186/s12889-024-18046-3 [pii]
AID - 18046 [pii]
AID - 10.1186/s12889-024-18046-3 [doi]
PST - epublish
SO  - BMC Public Health. 2024 Feb 27;24(1):626. doi: 10.1186/s12889-024-18046-3.