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Transition in the ages at key reproductive events and its determinants in India: evidence from NFHS 1992-93 to 2019-21

INTRODUCTION: Reproductive health events have changed fertility and family planning needs, depicting the changing life patterns of women and the population to which they belong. Understanding the pattern at which these events occur helps in understanding the fertility pattern, family formation and t...

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Autores principales: Singh, Mayank, Shekhar, Chander, Gupta, Jagriti
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10061699/
https://www.ncbi.nlm.nih.gov/pubmed/36991456
http://dx.doi.org/10.1186/s12905-023-02271-w
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author Singh, Mayank
Shekhar, Chander
Gupta, Jagriti
author_facet Singh, Mayank
Shekhar, Chander
Gupta, Jagriti
author_sort Singh, Mayank
collection PubMed
description INTRODUCTION: Reproductive health events have changed fertility and family planning needs, depicting the changing life patterns of women and the population to which they belong. Understanding the pattern at which these events occur helps in understanding the fertility pattern, family formation and the idea about health essential needs for women. This paper attempts to see the variation in reproductive events (first cohabitation, first sex and first birth) over three decades and also to see potential contributing factors among the reproductive age group of women using secondary data from Data Source: All rounds of the National Family Health Survey (1992-93 to 2019–2021) have been utilized. METHODS AND RESULTS: Cox Proportional Hazard Model illustrates that all regions have initiated their first birth later than women who belong to the east region similar pattern has been obtained for first cohabitation and first sex except for the central region. Multiple Classification Analysis (MCA) depicts the increasing pattern in the predicted mean age at first cohabitation, sex and birth for all demographic characteristics; the highest increment was found in SC women, Uneducated women and Muslim women. Kaplan Meier Curve demonstrates that women with no education, primary or secondary education are shifting towards higher educated women. Most importantly, the results of the multivariate decomposition analysis (MDA) revealed that education played the largest contribution among the compositional factors in the overall increase in mean ages at key reproductive events. CONCLUSIONS: Though reproductive health has long been essential in women’s lives, they are still very confined to specific domains. Over time the government has formulated several proper legislative measures relating to various domains of reproductive events. However, given that the large size and heterogeneity in social and cultural norms result in changing ideas and choices regarding the initiation of reproductive events, national policy formulation needs to be improved or amended. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12905-023-02271-w.
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spelling pubmed-100616992023-03-31 Transition in the ages at key reproductive events and its determinants in India: evidence from NFHS 1992-93 to 2019-21 Singh, Mayank Shekhar, Chander Gupta, Jagriti BMC Womens Health Research INTRODUCTION: Reproductive health events have changed fertility and family planning needs, depicting the changing life patterns of women and the population to which they belong. Understanding the pattern at which these events occur helps in understanding the fertility pattern, family formation and the idea about health essential needs for women. This paper attempts to see the variation in reproductive events (first cohabitation, first sex and first birth) over three decades and also to see potential contributing factors among the reproductive age group of women using secondary data from Data Source: All rounds of the National Family Health Survey (1992-93 to 2019–2021) have been utilized. METHODS AND RESULTS: Cox Proportional Hazard Model illustrates that all regions have initiated their first birth later than women who belong to the east region similar pattern has been obtained for first cohabitation and first sex except for the central region. Multiple Classification Analysis (MCA) depicts the increasing pattern in the predicted mean age at first cohabitation, sex and birth for all demographic characteristics; the highest increment was found in SC women, Uneducated women and Muslim women. Kaplan Meier Curve demonstrates that women with no education, primary or secondary education are shifting towards higher educated women. Most importantly, the results of the multivariate decomposition analysis (MDA) revealed that education played the largest contribution among the compositional factors in the overall increase in mean ages at key reproductive events. CONCLUSIONS: Though reproductive health has long been essential in women’s lives, they are still very confined to specific domains. Over time the government has formulated several proper legislative measures relating to various domains of reproductive events. However, given that the large size and heterogeneity in social and cultural norms result in changing ideas and choices regarding the initiation of reproductive events, national policy formulation needs to be improved or amended. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12905-023-02271-w. BioMed Central 2023-03-29 /pmc/articles/PMC10061699/ /pubmed/36991456 http://dx.doi.org/10.1186/s12905-023-02271-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Singh, Mayank
Shekhar, Chander
Gupta, Jagriti
Transition in the ages at key reproductive events and its determinants in India: evidence from NFHS 1992-93 to 2019-21
title Transition in the ages at key reproductive events and its determinants in India: evidence from NFHS 1992-93 to 2019-21
title_full Transition in the ages at key reproductive events and its determinants in India: evidence from NFHS 1992-93 to 2019-21
title_fullStr Transition in the ages at key reproductive events and its determinants in India: evidence from NFHS 1992-93 to 2019-21
title_full_unstemmed Transition in the ages at key reproductive events and its determinants in India: evidence from NFHS 1992-93 to 2019-21
title_short Transition in the ages at key reproductive events and its determinants in India: evidence from NFHS 1992-93 to 2019-21
title_sort transition in the ages at key reproductive events and its determinants in india: evidence from nfhs 1992-93 to 2019-21
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10061699/
https://www.ncbi.nlm.nih.gov/pubmed/36991456
http://dx.doi.org/10.1186/s12905-023-02271-w
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