208834 Role of gender in Kenyan Adolescents' Childbearing decision

Tuesday, November 10, 2009

Andrew M. Muriuki, PhD , Center for Addiction and Behavioral Health Research (CABHR), University of Wisconsin-Milwaukee, Milwaukee, WI
Emmanuel Ngui, DrPH, MSc , Department of Pediatrics, Medical College of Wisconsin, Center for the Advancement of Underserved Children, Milwaukee, WI
Background: About half of Kenyan population is under 24 years of age, a distribution that makes it important to examine their desires for another child and try to understand factors that influence their fertility patterns.

Objective: To examine whether gender of the child that has died and other key covariates are associated with fertility desires of Kenyan youths.

Method: We used data from the 2003 Kenya Demographic and Health Survey. The relationship between married or sexually active youths desires for another child was modeled using logistic regression, controlling for (Age, Education, rural information, contraceptive used, chance of getting HIVAIDS, wanted the last child, any abuse or violence, provinces, household head). Analyses were restricted to female respondents 15 to 24 years old (n=3,530).

Results: Married youths were more likely to consider having another child if a son had died (OR=2.724, 95% CI 1.496, 4.960) but was not significant for non-married youths. Death of a daughter was not significant for either married or non-married youth. Married youths were more likely to want another child if they have had two or more children but less likely for non-married youths. With 17% of the youth reporting some abuse or violence, they were more likely to want another child if they were married but less like if not-married. Risk of HIV did not affect sexually active youth from wanting another child.

Conclusions: This study present further evidence that married Kenyan youths could have different reproductive health needs compared to those that were just sexually active.

Learning Objectives:
1) To understand how the gender of the child that has died could influence the decision for another child in Kenya. 2) If married and sexually active youths have similar desires.

Keywords: Adolescents, Pregnancy Outcomes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I worked on the paper.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.