ArticleBMJ open2022
Multilevel analysis of grand multiparity: Trend and its determinants in the Sidama National Regional State of Ethiopia: a cross-sectional study design from demographic and health survey 2000-2016.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.
- Adverse birth outcomes and associated factors among African grand multiparous women: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2025Pooled it
- Prevalence, underlying causes, and determinants of maternal near miss in Ethiopia: a systematic review and meta-analysis.Frontiers in medicine · 2024Pooled it
- High parity in Somaliland: individual and community-determinants from multilevel analysis of nationwide survey data.Archives of public health = Archives belges de sante publique · 2026Article
- Challenges in reducing grand multiparity rates in Ethiopia: an analysis of 2019 EDHS data using a multilevel model approach.Contraception and reproductive medicine · 2025Article
- Grand multiparity and its associated factors in Zambia: Evidence from the 2018 Zambia Demographic and Health Survey.PLOS global public health · 2025Article
- Spatial distribution and associated factors of poor tetanus toxoid immunization among pregnant women in Ethiopia: spatial and multilevel analysis.Frontiers in global women's health · 2023Article
- Article
- Prevalence and Sociodemographic Profiles of Grand Multipara in Abu Dhabi, United Arab Emirates.Nutrients · 2022Article
- Adverse birth outcomes and associated factors among Sub-Saharan African grand multiparas: a systematic review and meta-analysis.Therapeutic advances in reproductive healthArticle
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe study was aimed at examining the magnitude, trends and determinants of grand multiparity in the Sidama regional state of Ethiopia.
designWe retrieved cross-sectional data from the Ethiopia Demographic and Health Survey from 2000 to 2016.
settingCommunity-based demographic and health survey (DHS) was conducted in Ethiopia.
participantsThe study population was women (aged 15-49 years) who had delivered children with the available DHS data set. OUTCOMES: Multilevel multivariate logistic regression analyses assessed the relationship between grand multiparity and its determinants.
resultsThe magnitude of grand multiparity was 70.8% (95% CI 68.5% to 72.9%). The multilevel multivariable logistic regression model showed illiteracy (adjusted OR (AOR)=2; 95% CI 1.25 to 3.75), non-use of any contraceptive (AOR=3.8; 95% CI 1.2 to 12.2), early marriage (AOR=4.5; 95% CI 2.6 to 7.9), polygamous marriage (AOR=4.2; 95% CI 2.0 to 9.3), short birth intervals (AOR=2.3; 95% CI 1.4 to 3.5) and husband's low education status (AOR=5.8; 95% CI 2.1 to 16.1) were significantly associated with grand multiparity.
conclusionsThis study revealed that 7 of 10 women were grand multipara, and the magnitude did not show significant change over the last 16 years. Early marriage and early age at first birth, low literacy level, low family planning utilisation, polygamy, short interbirth interval and unmet need for family planning were determinants of grand multiparity. We recommended the stakeholders to design new strategies to address the root cause of high fertility factors in communities.
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