AI Article Synopsis
- The study examines the relationship between family size and socioeconomic/demographic factors among women in Erbil, Kurdistan Region of Iraq, focusing on those aged 45-74 who have completed their families.
- Results show that 78.5% of participants had large families (7+ members) and a lifetime fertility rate of 6.78 births per woman, with significant links to early marriage and unplanned pregnancies.
- The findings suggest the need for empowerment through education and job opportunities to help young women achieve a smaller, more desired family size.
Article Abstract
Background And Aims: The family size plays an important role in fulfilling the primary needs of each family member and providing a quality life for them. This research studies the association of family size with various socioeconomic and demographic factors and the lifetime fertility patterns of previous decades.
Methods: This cross-sectional study was conducted at the Maternity Teaching Hospital in Erbil, Kurdistan Region of Iraq (KRI). The data was collected from December 11, 2023, to April 15, 2024, after the ethics committee of the Kurdistan Higher Council for Medical Specialties approved the proposal. A convenience sample of 400 women aged 45-74 years who had completed their families were directly interviewed. The data was analyzed using IBM SPSS Statistics for Windows, Version 26 (Released 2019; IBM Corp., Armonk, New York, United States).
Results: The prevalence of large family size (seven members and above) was 78.5%. The lifetime fertility rate of the women was 6.78 live births per woman. Large family size is significantly (p < 0.001) associated with age <18 years at marriage, short birth spacing interval, and unplanned pregnancies. The majority (91.7%) of the participants were grand multipara. The Cesarean section (CS) rate was 7.3%, 60.2% of the births were delivered at home, and 46.6% of the live births were delivered with a preceding birth interval of less than two years. The majority (82.2%) of the pregnancies were unplanned.
Conclusions: Large family size is highly prevalent among women who have completed their families in Erbil. Many demographic and socioeconomic factors are associated with large family sizes, such as rural residency, age <18 years at marriage, low socioeconomic status (SES), short birth spacing interval, and unplanned pregnancies. For a more desired family size, it is recommended that young females be empowered by encouraging their education and providing occupation opportunities. In addition to that, prohibiting early marriage and providing/strengthening premarital programs focusing on the importance of family planning including birth spacing and utilizing contraceptive methods properly play a great role.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655052 | PMC |
| http://dx.doi.org/10.7759/cureus.73890 | DOI Listing |
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