Determinants of children ever born among ever-married women in Bangladesh: evidence from the Demographic and Health Survey 2017–2018

Objective To investigate the prevalence of the number of children ever born (CEB) and its associated determinants among women aged 15–49 years in Bangladesh.Study design and setting We used clustered data extracted from the last two Bangladesh Demographic and Health Surveys (BDHS 2014 and BDHS 2017–...

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Main Authors: Atikur Rahman, Zakir Hossain, Mohammad Lutfor Rahman, Enamul Kabir
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e055223.full
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author Atikur Rahman
Zakir Hossain
Mohammad Lutfor Rahman
Enamul Kabir
author_facet Atikur Rahman
Zakir Hossain
Mohammad Lutfor Rahman
Enamul Kabir
author_sort Atikur Rahman
collection DOAJ
description Objective To investigate the prevalence of the number of children ever born (CEB) and its associated determinants among women aged 15–49 years in Bangladesh.Study design and setting We used clustered data extracted from the last two Bangladesh Demographic and Health Surveys (BDHS 2014 and BDHS 2017–2018). A two-stage stratified sampling was used in both surveys. Mixed logistic regression modelling approach for binary responses was adapted to accommodate clustering effects via the generalised linear mixed model framework.Participants The study is based on 15 924 ever-married women in BDHS 2017–2018 (14 119 in BDHS 2014) of Bangladesh.Results As per the latest BDHS 2017–2018, 42.1% of reproductive women had three or more children. Age at first marriage (p<0.001, OR 0.74, 95% CI 0.666 to 0.825), age at first birth (p<0.001, OR0.54, 95% CI 0.480 to 0.607), place of residence (p<0.001, OR 0.79, 95% CI 0.712 to 0.872), exposure of media (p<0.001, OR 0.71, 95% CI 0.647 to 0.768), religion (p<0.001, OR 1.47, 95% CI 1.277 to 1.690), husband’s desire more child (p<0.001, OR 1.60, 95% CI 1.428 to 1.784), women empowerment (p<0.001, OR 1.19, 95% CI 1.075 to 1.3) and wealth index (p<0.001, OR1.61, 95% CI 0.435 to 1.796) were found to be statistically significant determinants of the number of CEB among ever-married women. The number of CEB among women was negatively associated with their own educational status (p<0.001) and husbands level of education (p<0.001).Conclusion The CEB appears to be higher among women who were married before 18 years, Muslim, illiterate, living in rural areas, had first birth before 20 years, non-exposure of media and husband’s desire for more children.
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spelling doaj-art-59f72da923bb40bea3bf47c3ab19c8ac2025-01-28T06:00:10ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-055223Determinants of children ever born among ever-married women in Bangladesh: evidence from the Demographic and Health Survey 2017–2018Atikur Rahman0Zakir Hossain1Mohammad Lutfor Rahman2Enamul Kabir3Department of Statistics, Jahangirnagar University, Savar, Dhaka, BangladeshDepartment of Statistics, University of Dhaka, Dhaka, BangladeshInstitute of Statistical Research and Training, University of Dhaka, Dhaka, BangladeshSchool of Sciences, University of Southern Queensland, Toowoomba, Queensland, AustraliaObjective To investigate the prevalence of the number of children ever born (CEB) and its associated determinants among women aged 15–49 years in Bangladesh.Study design and setting We used clustered data extracted from the last two Bangladesh Demographic and Health Surveys (BDHS 2014 and BDHS 2017–2018). A two-stage stratified sampling was used in both surveys. Mixed logistic regression modelling approach for binary responses was adapted to accommodate clustering effects via the generalised linear mixed model framework.Participants The study is based on 15 924 ever-married women in BDHS 2017–2018 (14 119 in BDHS 2014) of Bangladesh.Results As per the latest BDHS 2017–2018, 42.1% of reproductive women had three or more children. Age at first marriage (p<0.001, OR 0.74, 95% CI 0.666 to 0.825), age at first birth (p<0.001, OR0.54, 95% CI 0.480 to 0.607), place of residence (p<0.001, OR 0.79, 95% CI 0.712 to 0.872), exposure of media (p<0.001, OR 0.71, 95% CI 0.647 to 0.768), religion (p<0.001, OR 1.47, 95% CI 1.277 to 1.690), husband’s desire more child (p<0.001, OR 1.60, 95% CI 1.428 to 1.784), women empowerment (p<0.001, OR 1.19, 95% CI 1.075 to 1.3) and wealth index (p<0.001, OR1.61, 95% CI 0.435 to 1.796) were found to be statistically significant determinants of the number of CEB among ever-married women. The number of CEB among women was negatively associated with their own educational status (p<0.001) and husbands level of education (p<0.001).Conclusion The CEB appears to be higher among women who were married before 18 years, Muslim, illiterate, living in rural areas, had first birth before 20 years, non-exposure of media and husband’s desire for more children.https://bmjopen.bmj.com/content/12/6/e055223.full
spellingShingle Atikur Rahman
Zakir Hossain
Mohammad Lutfor Rahman
Enamul Kabir
Determinants of children ever born among ever-married women in Bangladesh: evidence from the Demographic and Health Survey 2017–2018
BMJ Open
title Determinants of children ever born among ever-married women in Bangladesh: evidence from the Demographic and Health Survey 2017–2018
title_full Determinants of children ever born among ever-married women in Bangladesh: evidence from the Demographic and Health Survey 2017–2018
title_fullStr Determinants of children ever born among ever-married women in Bangladesh: evidence from the Demographic and Health Survey 2017–2018
title_full_unstemmed Determinants of children ever born among ever-married women in Bangladesh: evidence from the Demographic and Health Survey 2017–2018
title_short Determinants of children ever born among ever-married women in Bangladesh: evidence from the Demographic and Health Survey 2017–2018
title_sort determinants of children ever born among ever married women in bangladesh evidence from the demographic and health survey 2017 2018
url https://bmjopen.bmj.com/content/12/6/e055223.full
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AT mohammadlutforrahman determinantsofchildreneverbornamongevermarriedwomeninbangladeshevidencefromthedemographicandhealthsurvey20172018
AT enamulkabir determinantsofchildreneverbornamongevermarriedwomeninbangladeshevidencefromthedemographicandhealthsurvey20172018