1. Home
  2. Vol 28, No 3s (2024)
  3. Afolabi

Determinants of intention to abort among married women in a metropolitan city in South-west, Nigeria

Aanuoluwapo A. Afolabi(1), Ayo S. Adebowale(2), Tosin O. Oni(3), Akanni I. Akinyemi(4),


(1) Department of Community Medicine, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
(2) Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria. and Population Health and Research Entity, Northwest University, Mafikeng, South Africa
(3) Department of Demography and Social Statistics, Obafemi Awolowo University, Ile-Ife, Nigeria
(4) Department of Demography and Social Statistics, Obafemi Awolowo University, Ile-Ife, Nigeria
Corresponding Author

Abstract


This cross-sectional study assessed prior, future, and overall intention to abort among 739 married women aged 15-49 years in Ibadan, South-west, Nigeria. Data were obtained using an interviewer-administered questionnaire, and analyzed using logistic regression model (α0.05). The women’s mean age was 35.8±7.4 years. Overall, 15.8% women had prior intention, 16.9% had future intention, while 26.7% had overall intention to abort. Determinants of prior intention to abort included desire for more children, media access, wealth status, and woman’s autonomy. The odds of prior intention to abort was highest among unemployed women (aOR=1.699, p=0.472), and those with low autonomy (aOR=1.675, p=0.019). Odds of future intention to abort was lower among women with good media access (aOR=0.603, p=0.032), but higher among those whose husbands had completed secondary education (aOR=1.995, p=0.034). Future intention to abort can be minimised if organisations implementing sexual and reproductive health programmes provide media literacy tools for women and promote men’s education to increase their earnings. (Afr J Reprod Health 2024; 28 [3s]: 80-92).

References


Ojo IE, Ojo TO and Orji EO. Why do married women

procure abortion? Experiences from Ile-Ife,

southwestern Nigeria. Afr Health Sci

;21(1):327-37.

Kortsmit K, Jatlaoui TC, Mandel MG, Reeves JA, Oduyebo

T, Peterson E and Whiteman MK. Abortion

Surveillance — United States, 2018. MMWR

Surveill Summ 2020;69(No. SS-7):1–29.

Wei Z, Yu D, Liu, H. Induced abortion among married

women in China: a study based on the 1997–2017

China Fertility Surveys. China Popul Dev Stud

; 5: 83–99.

Mohamed SF, Izugbara C, Moore AM, Mutua M, KimaniMurage EW, Ziraba AK Bankole A, Singh SD and

Egesa C. The estimated incidence of induced

abortion in Kenya: a cross-sectional study. BMC

Pregnancy Childbirth 2015; 15:185.

Munakampe MN, Zulu JM and Michelo C. Contraception

and abortion knowledge, attitudes, and practices

among adolescents from low and middle-income

countries: a systematic review. BMC Health Serv

Res 2018;18 (1):909. Erratum in: BMC Health Serv

Res 2019;19(1):441.

Yuill C, McCourt C, Cheyne H and Leister N. Women's

experiences of decision-making and informed

choice about pregnancy and birth care: a systematic

review and meta-synthesis of qualitative research.

BMC Pregnancy Childbirth 2020;20(1):343.

Sanders R and Crozier K. How do informal information

sources influence women’s decision-making for

birth? A meta-synthesis of qualitative studies. BMC

Pregnancy Childbirth 2018;18:1–26.

Lagan BM, Sinclair M and Kernohan WG. What is the

impact of the internet on decision-making in

pregnancy? A global study. Birth 2011;38:336–345.

PMA Nigeria Abortion Study: Unsafe Abortion Results,

October 2020.

NPC/Nigeria and ICF. 2019. Nigeria Demographic and

Health Survey 2018. Abuja, Nigeria, and Rockville,

Maryland, USA: NPC and ICF.

NPC/Nigeria NPC-, International ICF. Nigeria

Demographic and Health Survey 2013. 2014 Jun 1

[cited 2020 Mar 19]; Available from:

https://dhsprogram.com/publications/publicationfr293-dhs-final-reports.cfm.

Katz AJ, Ramirez AM, Bercu C, Filippa S, Dirisu O,

Egwuatu I Nmezi S, Palmer L and Baum SE. I just

have to hope that this abortion should go well:

Perceptions, fears, and experiences of abortion

clients in Nigeria. PLoS One 2022;17(2):e0263072.

Awoyemi BO and Novignon J. Demand for abortion and

post abortion care in Ibadan, Nigeria. Health Econ

Rev 2014;4(3).

Ajzen I. The social psychology of decision making. Social

psychology: Handbook of basic principles

:297-325.

Nigerian Urban Reproductive Health Initiative. Ibadan.

https://www.nurhitoolkit.org/programcities/ibadan#.Y8xneHbMLIU. Accessed 21

January 2023.

Macrotrends. Ibadan, Nigeria Metro Area Population

-2023.

https://www.macrotrends.net/cities/21990/ibadan/p

opulation. Accessed 21 January 2023.

The Demographic and Health Surveys. Nigeria: Standard

DHS, 2018.

IBM Corp. Released 2017. IBM SPSS Statistics for

Windows, Version 25.0. Armonk, NY: IBM Corp.

Odusina EK, Ayotunde T, Kunnuji M, Ononokpono DN,

Bishwajit G and Yaya S. Fertility preferences among

couples in Nigeria: a cross sectional study. Reprod

Health 2020;17(1):92.

Adiri F, Ibrahim HI, Ajayi V, Sulayman HU, Yafeh AM,

Ejembi CL. Fertility Behaviour of Men and Women

in Three Communities in Kaduna State, Nigeria. Afr

J Reprod Health 2017;14(3 Special).

Viswan SP, Ravindran TKS, Kandala NB, Petzold MG and

Fonn S. Sexual autonomy and contraceptive use

among women in Nigeria: findings from the

Demographic and Health Survey data. Int J Womens

Health 2017;9:581-90.

Alabi O, Odimegwu C, De-Wet N and Akinyemi JO. Does

Female Autonomy Affect Contraceptive Use among

Women in Northern Nigeria? Afr J Reprod Health

; 23(2):92-100.

Adebowale SA. Dynamics of child marriage and marital

timing in Nigeria: A retrogression or progression?

Health Care Women Int 2018:1–19.

Mobolaji JW, Fatusi AO and Adedini SA. Ethnicity,

religious affiliation and girl-child marriage: a crosssectional study of nationally representative sample

of female adolescents in Nigeria. BMC Public

Health 2020; 583.

Demissie GD, Akalu Y, Gelagay AA, Alemnew W and

Yeshaw Y. Factors associated with decision-makingpower of married women to use family planning in

sub-Saharan Africa: a multilevel analysis of

demographic health surveys. BMC Public Health

;22(1):837.

Mare KU, Aychiluhm SB, Tadesse AW and Abdu M.

Married women’s decision-making autonomy on

contraceptive use and its associated factors in

Ethiopia: A multilevel analysis of 2016

demographic and health survey. SAGE Open

Medicine 2022;10.

Ekerbiçer HÇ, Resim S, Efe E, Bahar MR, Altunören Ö,

Küçükdurmaz F and Benlioğlu C. A Comparison of

Sexual Function, Psychological Status, and

Sociodemographic Characteristics of Turkish Men

within Polygamous and Monogamous Marriages.

Balkan Med J 2016;33(4):383-9.

Al-Krenawi A and Slonim-Nevo V. Psychosocial and

familial functioning of children from polygynous

and monogamous families. J Soc Psychol

;148:745–64.

Mensah EO. Husband is a priority: Gender roles,

patriarchy and the naming of female children in

Nigeria. Gender Issues. 2023 Mar;40(1):44-64.

Huang Y, Davies PG, Sibley CG and Osborne D.

Benevolent sexism, attitudes toward motherhood,

and reproductive rights: A multi-study longitudinal

examination of abortion attitudes. Personality and

Social Psychology Bulletin. 2016 Jul;42(7):970-84.

Zinke-Allmang A, Hassan R, Bhatia A, Gorur K, Shipow

A, Ogolla C Davey C, Shakespeare T, Pereira MA,

Goyal D and Kuper H. Use of digital media for

family planning information by women and their

social networks in Kenya: A qualitative study in

peri-urban Nairobi. Front Sociol 2022;7:886548.

Das P, Samad N, Al Banna H, Sodunke TE, Hagan JE Jr,

Ahinkorah BO and Seidu AA. Association between

media exposure and family planning in Myanmar

and Philippines: evidence from nationally

representative survey data. Contracept Reprod Med

; 6:11.

Awoleye AF, Solanke BL, Kupoluyi JA and Adetutu OM.

Exploring the perception and socio-cultural barriers

to safer sex negotiation among married women in

Northwest Nigeria. BMC women's health. 2022 Oct

;22(1):411.

Solanke BL, Kupoluyi JA, Awoleye AF, Adewole OE and

Babalola OB. Women’s ability to negotiate safer sex

with partners by contraceptive status among a

nationally representative sample of married women

in Nigeria. Contraception and Reproductive

Medicine. 2023 Dec;8(1):1-4.

Balogun O, Adeniran A, Fawole A, Adesina K, Aboyeji A

and Adeniran P. Effect of male partner’s support on

spousal modern contraception in a low resource

setting. Ethiopian journal of health sciences. 2016

Sep 19;26(5):439-48


Full Text: PDF

Article Metrics

Abstract View : 541 times
PDF Download : 278 times

Refbacks

  • There are currently no refbacks.