Factors associated with unwanted additional fertility: secondary analysis of a national survey in Peru

Authors

  • Carolina Mendez-Guerra Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú. Sociedad Científica de Estudiantes de Medicina de la Universidad Peruana de Ciencias Aplicadas, Lima, Perú. Estudiante de Medicina Humana http://orcid.org/0000-0002-5270-4339
  • Ali Al-Kassab-Córdova Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú. Sociedad Científica de Estudiantes de Medicina de la Universidad Peruana de Ciencias Aplicadas, Lima, Perú. Estudiante de Medicina Humana https://orcid.org/0000-0003-3718-5857
  • Gonzalo Cornejo-Venegas Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú. Sociedad Científica de Estudiantes de Medicina de la Universidad Peruana de Ciencias Aplicadas, Lima, Perú. Estudiante de Medicina Humana https://orcid.org/0000-0002-8402-010X
  • Andres Quevedo-Ramirez Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú. Sociedad Científica de Estudiantes de Medicina de la Universidad Peruana de Ciencias Aplicadas, Lima, Perú. Estudiante de Medicina Humana https://orcid.org/0000-0003-2571-4344
  • Kenedy Alva Universidad Complutense de Madrid, Madrid, España. estudiante de doctorado en Economía https://orcid.org/0000-0003-0522-9931
  • Edwin Napanga-Saldaña Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú. Centro de Prevención y Control de Enfermedades, Ministerio de Salud, Lima, Perú. médico epidemiólogo https://orcid.org/0000-0001-5281-8398

DOI:

https://doi.org/10.17843/rpmesp.2020.374.5705

Keywords:

Fertility, Peru, Contraceptive Agents, Family Planning Policy

Abstract

Objectives: To determine the association between sociodemographic and reproductive factors with unwanted additional fertility (UAF) in Peru. Materials and methods: We carried out an observational, cross-sectional analytical study based on the 2018 Demographic and Family Health Survey (DHS) in Peru. The UAF variable was defined as the numerical difference between the general fertility rate and the total fertility rate. This variable was divided into 2 categories, UAF was considered when the numerical difference was positive. The Poisson regression was used, both crude and adjusted. Results: We analyzed data from 6,944 women with an average age of 44.3 years (range, 40 to 49). The prevalence of UAF was found to be 72.5% (95% CI: 70.4%-74.4%). In the adjusted model, patients in the top wealth quintile (aPR 0.80; 95% CI: 0.69-0.93) were found to have a lower probability of having unwanted pregnancies when compared to those in the middle quintile. On the other hand, patients from rural areas (aPR 1.07; 95% CI: 1.01-1.14) had a higher probability of having unwanted pregnancies when compared to those from urban areas. Conclusions: The prevalence of UAF in Peruvian women between 40 and 49 years old who participated in the 2018 DHS is high. Patients from rural areas have a higher probability of having unwanted pregnancies, and those in the top wealth quintile have a lower probability.

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Published

2020-11-11

Issue

Section

Original Article

How to Cite

1.
Mendez-Guerra C, Al-Kassab-Córdova A, Cornejo-Venegas G, Quevedo-Ramirez A, Alva K, Napanga-Saldaña E. Factors associated with unwanted additional fertility: secondary analysis of a national survey in Peru. Rev Peru Med Exp Salud Publica [Internet]. 2020 Nov. 11 [cited 2024 Apr. 23];37(4):645-53. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/5705

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