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2.
PLOS Glob Public Health ; 3(3): e0001036, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36972218

RESUMO

Most African societies practice a patriarchal family system that endows a man with authority and dominance in the family and society with a defined role of being the breadwinner of the home. A man is expected to have a great influence in determining the ideal number of children in the family and take a domineering role in decision-making, especially those related to household resource allocation. Therefore, this study examines the relationship between men's wealth status and an ideal number of children. The study used secondary data from the National Demographic Health Survey (NDHS) from 2003 to 2018. The objectives were achieved using descriptive and inferential statistics, including frequency, mean, ANOVA, and multilevel analysis techniques. Wealth status significantly influenced the ideal number of children considering the crude and adjusted regression analysis. After adjusting for individual-level and contextual factors, the odd ratio of ideal number of children was significantly lower among men in the richest categories of the wealth index. Moreover, men with two wives and above, uneducated men, Northern residents, men living in high community family norms, low community family planning, high community poverty, and low community level of education desired a high number of children. The analyses suggest the need for a consideration of community structures to provide lucrative employment for men and would experience an appreciable fertility decline in line with the objectives and targets stated in Nigeria's population policies and programmes.

4.
Int J Equity Health ; 17(1): 181, 2018 12 11.
Artigo em Inglês | MEDLINE | ID: mdl-30537976

RESUMO

BACKGROUND: Despite various policy interventions that have targeted reductions in socio-economic inequalities in health and health care in post-Apartheid South Africa, evidence suggests that not much has really changed. In particular, health inequalities, which are strongly linked to social determinants of health (SDH), persist. This study, thus, examines how changes in the SDH have impacted health inequalities over the last decade, the second since the end of Apartheid. METHODS: Data come from information collected on social determinants of health (SDH) and on health status in the 2004, 2010 and 2014 questionnaires of the South African General Household Surveys (GHSs). The health indicators considered include ill-health status and disability. Concentration indices and Oaxaca-Blinder decomposition of change in a concentration index methods were employed to unravel changes in socio-economic health inequalities and their key social drivers over the studied time period. RESULTS: The results show that inequalities in ill-health are consistently explained by socio-economic inequalities relating to employment status and provincial differences, which narrowed considerably over the studied periods. Relatedly, disability inequalities are largely explained by shrinking socio-economic inequalities relating to racial groups, educational attainment and provincial differences. CONCLUSION: The extent of employment, location and education inequalities suggests the need for improved health care management and further delivery of education and job opportunities; greater effort in this regard is likely to be more beneficial in some way.


Assuntos
Disparidades nos Níveis de Saúde , Determinantes Sociais da Saúde/estatística & dados numéricos , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , África do Sul , Inquéritos e Questionários , Adulto Jovem
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