Evidence map›Paper›PMID 41272608›Full record

ArticleBMC women's health2025

Predictors of marriage to first birth interval in Amhara regional state, Ethiopia: survival analysis.

Berhan Tsegaye Negash, Tewodros Getachew Tsegaye, Gedion Asnake Azeze, Yitateku Alelgn Zewude

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Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 authors.

Berhan Tsegaye NegashDepartment of Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Sidama, Ethiopia. birieman67@gmail.com.
Tewodros Getachew TsegayeDepartment of Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Sidama, Ethiopia.
Gedion Asnake AzezeDepartment of Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Sidama, Ethiopia.
Yitateku Alelgn ZewudeDepartment of Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Sidama, Ethiopia.

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6 · The paper itself

Abstract

backgroundThe timing of a woman's first birth after marriage plays a crucial role in determining both maternal and newborn health outcomes. However, studies show that this time period differs greatly between cultures and regions, and there is little research specifically on this topic in the Amhara region.

objectiveThe aim of this study was to assess timing from first marriage to birth, and associated factors among women of reproductive age in Amhara region, Ethiopia in 2016.

methodsA detailed analysis of 2016 Ethiopian Demographic and Health Survey data was conducted. The analysis comprised a total weighted sample of 1114 married women of reproductive age in Amhara region, Ethiopia. We right -censored the duration of time from marriage to first birth. We have done parametric survival analysis in this study. The Kaplan-Meier survival function was employed to analyze event timings, while the Cox Proportional Hazards (CPH) model was used to model factors affecting first birth interval.

resultsThe median time for first birth interval in Amhara, Ethiopia was 32 months (95% CI: 30-34) and decreased with delayed age at marriage. On one hand women's higher education status Adjusted Hazard Ratio (AHR) = 1.97 (95% CI: 1.22, 3.2), women's' marriage decided by others AHR = 4.44 (95% CI: 1.6, 12.1) are associated with longer marriage to first birth interval. On the other hand, covariates such as women- headed household Adjusted Hazard Ratio (AHR) = 0.68 (95% CI: 0.53, 0.90), and women whose marriage decided by parents Adjusted Hazard Ratio (AHR) = 0.71 (95% CI: 0.57, 0.88) are associated with shorter FBI.

conclusionsAlthough the median time from first marriage to first birth is above the WHO's minimum threshold, it is still shorter than in other regions." Women's higher education, Marriage decided by others are factors associated with longer duration of FBI. Conversely, parents decided on marriage, female-headed household are factors associated shorter FBI. Promoting women's empowerment and decision-making power is essential to increase the time between marriage and first birth.

Indexed as

Birth IntervalsMarriageAdolescentAdultEducational StatusEthiopiaFemaleHealth SurveysHumansMiddle AgedProportional Hazards ModelsSocioeconomic FactorsSurvival AnalysisTime FactorsYoung AdultAmharaFertilityFirst birth intervalMarriageSurvival

Identifiers

PMID41272608
PMCPMC12751612

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