Browsing by Author "Adebola, O. G."
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Item Exploring the socio-economic determinants of educational inequalities in diarrhoea among under-five children in low- and middle-income countries: a Fairlie decomposition analysis(BioMed Central, 2021) Fagbamigbe, A. F.; Adebola, O. G.; Dukhi, N.; Fagbamigbe, O. S.; Uthman, O. A.Background: What explains the underlying causes of educational inequalities in diarrhoea among under-five children in low- and middle-income countries (LMIC) is poorly exploited, operationalized, studied and understood. This paper aims to assess the magnitude of educational-related inequalities in the development of diarrhoea and decompose risk factors that contribute to these inequalities among under-five children (U5C) in LMIC. Methods: Secondary data of 796,150 U5C from 63,378 neighbourhoods in 57 LMIC was pooled from the Demographic and Health Surveys (DHS) conducted between 2010 and 2019. The main determinate variable in this decomposition study was mothers’ literacy levels. Descriptive and inferential statistics comprising of bivariable analysis and binary logistic multivariable Fairlie decomposition techniques were employed at p = 0.05. Results: Of the 57 countries, we found a statistically significant pro-illiterate odds ratio in 6 countries, 14 showed pro-literate inequality while the remaining 37 countries had no statistically significant educational-related inequality. The countries with pro-illiterate inequalities are Burundi (OR = 1.11; 95% CI: 1.01–1.21), Cameroon (OR = 1.84; 95% CI: 1.66–2.05), Egypt (OR = 1.26; 95% CI: 1.12–1.43), Ghana (OR = 1.24; 95% CI: 1.06–1.47), Nigeria (OR = 1.80; 95% CI: 1.68–1.93), and Togo (OR = 1.21; 95% CI: 1.06–1.38). Although there are variations in factors that contribute to pro illiterate inequality across the 6 countries, the overall largest contributors to the inequality are household wealth status, maternal age, neighbourhood SES, birth order, toilet type, birth interval and place of residence. The widest pro-illiterate risk difference (RD) was in Cameroon (118.44/1000) while the pro-literate risk difference was widest in Albania (− 61.90/1000). Conclusions: The study identified educational inequalities in the prevalence of diarrhoea in children with wide variations in magnitude and contributions of the risk factors to pro-illiterate inequalities. This suggests that diarrhoea prevention strategies is a must in the pro-illiterate inequality countries and should be extended to educated mothers as well, especially in the pro-educated countries. There is a need for further studies to examine the contributions of structural and compositional factors associated with pro-educated inequalities in the prevalence of diarrhoea among U5C in LMIC.Item Modelling determinants of geographical patterns in the marital statuses of women in Nigeria(Springer, 2021) Ononokpono, D. N.; Adebola, O. G.; Gayawan, E.; Fagbamigbe, A. F.Marriage is an important social, cultural, and biological aspect of human life but is often affected by societal changes leading to differences in family formation and reproductive behaviour. Changes in marital patterns are component of transformations in a society’s social structure. Variations in marriage patterns exist within and across countries and over time. We examine the trends and spatial patterns of marital statuses among women of reproductive age (15–49 years) in Nigeria and further determine the associated factors based on the country’s north–south divide. Data were sourced from the Nigeria demographic and health survey conducted in 2003, 2008, 2013, and 2018, and the marital patterns were classified into four categories: never married, married, cohabiting, and formerly married. A Bayesian multinomial spatial model that simultaneously estimates parameters of different forms through a geo-additive predictor was adopted, and inference was based on Markov chain Monte Carlo. Findings reveal a north–south divide in marriage patterns. Women in the northern part of the country have a higher likelihood of being in marital union, while those in the south have a higher likelihood of cohabitation. A somewhat east– west divide was obtained for formerly married. Religion and ethnicity were found to be the major factors that account for differences in marital patterns across the divide and based on rural and urban residency. Cultural practices dictated by these variables would, therefore, continue to shape marital patterns and, by extension, fertility in Nigeria. The factors are hence important to be considered in marriage related policy formulation.
