评估纳米比亚生育率的近因和非近因决定因素的影响:结构方程建模方法

T. Shinyemba, Opeoluwa Oyedele, L. Kazembe, Martin Shaalukeni
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摘要

多年来,纳米比亚的生育率一直在下降,已经进行了一些研究,以调查社会经济和生理因素如何影响生育率下降。本研究旨在利用结构方程建模技术和2013年纳米比亚人口健康调查数据,模拟社会经济、社会人口和健康属性对生育率的直接和间接影响,以及生育率的近因和非近因决定因素。准确地说,SEM技术的验证性因子分析部分用于测试生育的近因和非近因决定因素的理论化模型,而因子建模部分用于测量这两种生育决定因素对生育的影响。本研究结果表明,近因决定因素对出生儿童数量有直接的负影响(β = -0.023),而非近因决定因素对出生儿童数量有(显著的)正影响(β = 0.053)。此外,第一次生育的年龄对纳米比亚妇女所生子女的数目有(重大的)积极影响,而使用避孕药具的影响则很小。此外,在育龄期开始时生育第一胎的女性更有可能生更多的孩子,而初婚年龄更小的女性则更有可能生更多的孩子。因此,建议有必要促进纳米比亚妇女使用避孕药具,以进一步降低生育率,特别是来自贫穷家庭的妇女,因为随着时间的推移,生育子女的费用越来越高。此外,还需要促进和加强对年轻女性的教育,以便提高她们在纳米比亚初次生育和初次结婚的年龄。
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Assessing the Impact of Proximate and Non-Proximate Determinants of Fertility in Namibia: A Structural Equation Modelling Approach
Fertility rate has been declining over the years in Namibia, and a number of studies have been conducted to investigate how socio-economic and physiological factors influenced fertility decline. This study was aimed at modelling the direct and indirect effects of socio-economic, socio-demographic and health attributes on fertility, as well as the proximate and nonproximatedeterminants of fertility using the Structural Equation Modelling (SEM) technique and the data from the 2013 Namibia Demographic Health Survey. To be precise, the confirmatory factor analysis part of the SEM technique was used to test the theorized model of the proximate and non-proximate determinants of fertility, while the factor modelling part was used to measure the effects that these two constructs of fertility determinants had on fertility. Results from this study showed that the proximate determinants had a direct negative impact β = -0.023) on the number of children ever born, while there was a (significant) positive effect β = 0.053) between the non-proximate determinants and the number of children ever born. In addition, age at first birth had a (significant) positive effect on the number of children ever born by Namibian women while the effect of contraceptive use was found to have a minor effect. Moreover, women who had their first birth at the beginning of their reproductive period were more likely to have more children born to them, while women who had their first marriage at younger ages were more likely to have more children. It is therefore recommended that there is a need to promote contraceptive use among Namibian women to further reduce fertility, especially among women from poor households as the cost of rising children has become high as the year progresses. Additionally, there is also a need to promote and strengthen the education of young females in order to increase their age at first birth and at first marriage in Namibia.
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