Across the global North, as economic inequality rises, premarital childbearing and single motherhood are becoming increasingly concentrated among lower-income and less-educated women, with negative consequences for their children?s health. In sub-Saharan Africa, economic inequality is also rising and family formation patterns are in flux, but we do not know if family patterns are also becoming stratified by education. The main objective of the proposed research is to examine whether premarital childbearing is becoming increasingly stratified by women?s educational attainment across sub-Saharan Africa and identify the contextual factors which help explain any increasing stratification. This is important because child born to unmarried or never married mothers in sub-Saharan Africa have a higher risk of death and poor health than children born to married mothers, and in some countries the rate of premarital childbearing is on the rise. If the proposed project finds that premarital birth is becoming concentrated among low-educated women, it will confirm the need for targeted interventions to mitigate the effects of premarital birth for disadvantaged women and their children.
The specific aims of this project include: 1. Examine trends in premarital birth by education over time in countries in sub-Saharan Africa; and 2. Identify contextual factors that influence a divergence in premarital birth by educational attainment. The study aims will be achieved through the analysis of Demographic and Health Surveys, nationally representative surveys conducted on average every five years across most countries in sub-Saharan Africa. This project will draw on 92 surveys across 20 countries including 199 subnational regions to examine trends in premarital birth and education for women ages 15 to 34 who were born between 1965 and 1994. To achieve the first aim, 20 country-specific models will be run to assess the extent to which a women?s likelihood of having a premarital birth diverges by educational attainment over time in each country. The expectation is that premarital birth is becoming increasingly more likely among women with lower levels of education over time, particularly in countries where economic inequality is rising. To achieve aim 2, the data will be pooled across country and over time to examine whether factors at the subnational level including measures of economic inequality, gender inequality, extent of urbanization, or aggregated ideal family size influence the extent to which a women?s likelihood of having a premarital birth diverges by educational attainment over time. The expectation is that in contexts marked by economic inequality or high levels of urbanization the extent to which premarital birth diverges by education will be accentuated; and in contexts marked by gender inequality, and high ideal family size, the level of divergence in premarital birth by education will be diminished. The findings will direct policy development to mitigate impact on mothers and their children in settings of concentrated disadvantage.

Public Health Relevance

This project will assess whether premarital birth in sub-Saharan Africa is becoming increasingly stratified by education over time. In sub-Saharan Africa, child born to unmarried or never married mothers have a higher risk of death and poor health than children born to married mothers, and in some countries the rate of premarital childbearing is on the rise. If premarital birth is becoming increasingly concentrated among low- educated women, it will confirm the need for targeted interventions to mitigate the effects of premarital birth for disadvantaged women and their children.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Small Research Grants (R03)
Project #
1R03HD099449-01
Application #
9808205
Study Section
National Institute of Child Health and Human Development Initial Review Group (CHHD)
Program Officer
King, Rosalind B
Project Start
2019-08-16
Project End
2021-07-31
Budget Start
2019-08-16
Budget End
2020-07-31
Support Year
1
Fiscal Year
2019
Total Cost
Indirect Cost
Name
University of Maryland College Park
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
790934285
City
College Park
State
MD
Country
United States
Zip Code
20742