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Ideal Child Gender Preference in Men’s Worldview and Their Knowledge of Related Maternal Mortality Indices in Ekiadolor, Southern Nigeria

Author(s): Omokhoa A. Adeleye

Journal: Asian Journal of Medical Sciences
ISSN 2040-8765

Volume: 2;
Issue: 3;
Start page: 146;
Date: 2010;
Original page

Keywords: Gender preference | grandmultiparity | male involvement | maternal mortality | Nigeria | son preference

The objective was to investigate men’s gender preferences and the possible association with theirknowledge of related maternal mortality indices. Using a cross-sectional design, a structured questionnaire wasadministered to 369 randomly selected males aged 18-75 years in Ekiadolor, Nigeria. A total of 176(47.7%)respondents had gender preference, 135(36.6%) preferring sons. Respondents who stated values >4 as themaximum safe parity per woman were 175(47.4%). O f these, 67.4% (118/175) had gender preference comparedto 29.9% (58/194) who stated values #4 (logistic regression: p = 0.000; OR = 4.6, 95% CI = 2.97 - 7.25).Respondents who were aware that pregnancy and delivery could put a woman’s health at risk were 263(71.3%). Of these, 58.6% (154/263) had no gender preference compared to 36.8% (39/106) of those who lackedthis awareness. The association in this distribution was initially masked in a P2-test but demonstrated in thebinomial logistic regression analysis (p = 0.002; OR = 0.46, 95% CI = 0.28 - 0.75). The variabilities in genderpreference with respect to age, marital status and educational level were not statistically significant. This studyis of priority public health importance because it broadens the opportunity to reduce maternal death byeducating males on the dangers of grandmultiparity, which may be influenced while seeking to satisfy theirgender preference. The traditional hierarchy should be engaged as cultural gatekeepers and potential changeagents.
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