Table 4.
Characteristics | PDHS (1990–1991) | PDHS (2006–2007) | PDHS (2012–2013) | PDHS (2017–2018) | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
n = 4061 | n = 5677 | n = 7446 | n = 6711 | |||||||||
OR | 95% CI | p-value | OR | 95% CI | p-value | OR | 95% CI | p-value | OR | 95% CI | p-value | |
Sociodemographic characteristics and co-variates | ||||||||||||
Regions/Provinces | ||||||||||||
Khyber Pakhtunkhwa | 1 | 1 | 1 | 1 | ||||||||
Punjab | 1.76 | 1.47–2.12 | < 0.01 | 1.70 | 1.45–1.99 | < 0.01 | 1.25 | 1.09–1.43 | < 0.01 | 0.93 | 0.81–1.07 | 0.30 |
Sindh | 1.48 | 1.20–1.84 | < 0.01 | 2.11 | 1.76–2.53 | < 0.01 | 1.64 | 1.39–1.92 | < 0.01 | 1.74 | 1.47–2.05 | < 0.01 |
Baluchistan | 2.19 | 1.50–3.19 | < 0.01 | 2.05 | 1.51–2.78 | < 0.01 | 1.51 | 1.17–1.95 | < 0.01 | 1.13 | 0.89–1.45 | 0.31 |
Gilgit Baltistan | – | – | – | – | – | – | 0.70 | 0.41–1.21 | 0.20 | – | – | – |
Islamabad | – | – | – | – | – | – | 0.88 | 0.43–1.82 | 0.75 | 0.76 | 0.44–1.32 | 0.34 |
FATA | – | – | – | – | – | – | 0.79 | 0.56–1.12 | 0.19 | |||
Geographical classification | ||||||||||||
Rural | 1 | 1 | 1 | 1 | ||||||||
Urban | 0.55 | 0.48–0.64 | < 0.01 | 0.60 | 0.53–0.68 | < 0.01 | 0.49 | 0.45–0.55 | < 0.01 | 0.72 | 0.65–0.80 | < 0.01 |
Respondents’ age | ||||||||||||
15–24 years | 1 | 1 | 1 | 1 | ||||||||
25–34 years | 0.80 | 0.68–0.94 | < 0.01 | 0.86 | 0.75–0.99 | 0.04 | 0.77 | 0.68–0.87 | < 0.01 | 0.75 | 0.65–0.84 | < 0.01 |
35 years and above | 0.72 | 0.60–0.86 | < 0.01 | 0.91 | 0.77–1.07 | 0.27 | 0.78 | 0.67–0.90 | < 0.01 | 0.74 | 0.63–0.86 | < 0.01 |
Respondents’ education status | ||||||||||||
Uneducated | 1 | 1 | 1 | 1 | ||||||||
Primary | 0.99 | 0.79–1.24 | 0.93 | 0.87 | 0.74–1.02 | 0.08 | 0.81 | 0.70–0.92 | < 0.01 | 0.84 | 0.73–0.97 | 0.02 |
Secondary | 0.50 | 0.41–0.61 | < 0.01 | 0.69 | 0.59–0.81 | < 0.01 | 0.55 | 0.49–0.63 | < 0.01 | 0.66 | 0.58–0.75 | < 0.01 |
Higher | 0.37 | 0.20–0.67 | < 0.01 | 0.51 | 0.41–0.64 | < 0.01 | 0.38 | 0.33–0.45 | < 0.01 | 0.43 | 0.37–0.50 | < 0.01 |
Husbands’ education status | ||||||||||||
Uneducated | 1 | 1 | 1 | 1 | ||||||||
Primary | 1.41 | 1.17–1.69 | < 0.01 | 1.02 | 0.86–1.21 | 0.79 | 1.11 | 0.95–1.28 | 0.17 | 1.13 | 0.96–1.33 | 0.12 |
Secondary | 1.11 | 0.96–1.29 | 0.16 | 0.94 | 0.82–1.07 | 0.33 | 0.91 | 0.81–1.02 | 0.10 | 0.83 | 0.73–0.94 | 0.01 |
Higher | 0.77 | 0.56–1.05 | 0.09 | 0.89 | 0.75–1.06 | 0.21 | 0.77 | 0.66–0.89 | < 0.01 | 0.66 | 0.57–0.77 | < 0.01 |
Respondents’ employment status | ||||||||||||
Unemployed | 1 | 1 | 1 | 1 | ||||||||
Employed | 1.22 | 1.02–1.45 | 0.02 | 1.33 | 1.17–1.51 | < 0.01 | 1.67 | 1.49–1.87 | < 0.01 | 1.09 | 0.95–1.24 | 0.19 |
Husbands’ employment status | ||||||||||||
Unemployed | 1 | 1 | 1 | 1 | ||||||||
Employed | 0.84 | 0.52–1.35 | 0.47 | 0.97 | 0.71–1.35 | 0.89 | 0.79 | 0.54–1.18 | 0.25 | 0.70 | 0.50–0.98 | 0.03 |
Mass media exposure | ||||||||||||
No | 1 | 1 | 1 | |||||||||
Yes | 0.74 | 0.65–0.85 | < 0.01 | – | – | – | 0.71 | 0.64–0.79 | < 0.01 | 0.78 | 0.71–0.87 | < 0.01 |
Respondents’ healthcare decision-making autonomy | ||||||||||||
No | 1 | 1 | ||||||||||
Yes | – | – | – | – | – | – | 0.76 | 0.69–0.84 | < 0.01 | 0.89 | 0.83–0.96 | < 0.01 |
Wealth quintile | ||||||||||||
Poorest | 1 | 1 | 1 | 1 | ||||||||
Poorer | 1.13 | 0.89–1.43 | 0.31 | 0.68 | 0.57–0.81 | < 0.01 | 0.69 | 0.59–0.82 | < 0.01 | 0.63 | 0.54–0.74 | < 0.01 |
Middle | 0.77 | 0.61–0.96 | 0.02 | 0.57 | 0.48–0.69 | < 0.01 | 0.54 | 0.46–0.63 | < 0.01 | 0.65 | 0.55–0.76 | < 0.01 |
Richer | 0.74 | 0.60–0.92 | < 0.01 | 0.49 | 0.41–0.59 | < 0.01 | 0.36 | 0.31–0.42 | < 0.01 | 0.47 | 0.41–0.56 | < 0.01 |
Richest | 0.73 | 0.59–0.90 | < 0.01 | 0.46 | 0.39–0.56 | < 0.01 | 0.33 | 0.28–0.39 | < 0.01 | 0.35 | 0.30–0.41 | < 0.01 |
Reproductive health and fertility behaviors | ||||||||||||
Respondents’ age at first birth | ||||||||||||
< 20 years | 1 | 1 | 1 | 1 | ||||||||
20–34 years | 0.91 | 0.80–1.04 | 0.17 | 0.86 | 0.77–0.96 | 0.01 | 0.63 | 0.57–0.70 | < 0.01 | 0.71 | 0.64–0.78 | < 0.01 |
35–49 years | 0.69 | 0.30–1.58 | 0.38 | 0.37 | 0.14–0.97 | 0.04 | 0.75 | 0.34–1.65 | 0.48 | 0.45 | 0.24–0.83 | 0.01 |
Gravidity | ||||||||||||
6 and above | 1 | 1 | 1 | 1 | ||||||||
3–5 | 1.10 | 0.94–1.29 | 0.23 | 0.98 | 0.85–1.14 | 0.86 | 0.94 | 0.81–1.07 | 0.37 | 0.96 | 0.82–1.12 | 0.61 |
1–2 | 1.35 | 1.13–1.60 | < 0.01 | 1.05 | 0.90–1.23 | 0.51 | 0.94 | 0.82–1.08 | 0.41 | 0.99 | 0.84–1.16 | 0.91 |
Parity | ||||||||||||
5 children and above | 1 | 1 | 1 | 1 | ||||||||
3–4 children | 0.98 | 0.84–1.15 | 0.88 | 0.87 | 0.76–1.00 | 0.05 | 0.95 | 0.84–1.07 | 0.38 | 0.93 | 0.81–1.06 | 0.26 |
1–2 children | 1.15 | 0.98–1.34 | 0.07 | 0.92 | 0.81–1.05 | 0.23 | 0.88 | 0.78–0.98 | 0.02 | 0.97 | 0.86–1.10 | 0.65 |
Number of living children | ||||||||||||
5 children and above | 1 | 1 | 1 | 1 | ||||||||
3–4 children | 1.11 | 0.94–1.29 | 0.19 | 0.98 | 0.85–1.13 | 0.79 | 0.97 | 0.85–1.11 | 0.69 | 0.91 | 0.79–1.05 | 0.20 |
1–2 children | 1.32 | 1.13–1.54 | < 0.01 | 1.00 | 0.87–1.14 | 0.98 | 0.93 | 0.83–1.05 | 0.28 | 0.97 | 0.85–1.11 | 0.68 |
None | 1.61 | 0.95–2.71 | 0.07 | 1.45 | 0.91–2.32 | 0.12 | 1.44 | 0.86–2.41 | 0.16 | 1.70 | 1.02–2.84 | 0.04 |
Ever terminated pregnancy | ||||||||||||
No | 1 | 1 | 1 | |||||||||
Yes | – | – | – | 2.31 | 2.06–2.59 | < 0.01 | 1.31 | 1.18–1.45 | < 0.01 | 1.10 | 1.02–1.19 | 0.01 |
Visits for antenatal care | ||||||||||||
Less than 4 visits | 1 | 1 | 1 | 1 | ||||||||
At least 4 visits | 0.79 | 0.66–0.95 | 0.01 | 1.83 | 1.65–2.03 | < 0.01 | 0.64 | 0.58–0.70 | < 0.01 | 0.74 | 0.67–0.83 | < 0.01 |
Deliveries by skilled birth attendants | ||||||||||||
No | 1 | 1 | 1 | 1 | ||||||||
Yes | 0.66 | 0.56–0.77 | < 0.01 | 1.79 | 1.64–1.95 | < 0.01 | 0.75 | 0.68–0.83 | < 0.01 | 0.76 | 0.68–0.85 | < 0.01 |
Ideal family size | ||||||||||||
5 children or above | 1 | 1 | 1 | 1 | ||||||||
3–4 children | 0.81 | 0.70–0.94 | 0.01 | 0.63 | 0.53–0.75 | < 0.01 | 0.62 | 0.56–0.70 | < 0.01 | 0.78 | 0.69–0.87 | < 0.01 |
1–2 children | 0.53 | 0.40–0.69 | < 0.01 | 0.85 | 0.75–0.96 | 0.01 | 0.46 | 0.40–0.54 | < 0.01 | 0.60 | 0.52–0.70 | < 0.01 |
Desire for more children/Fertility intention | ||||||||||||
Wants more children | 1 | 1 | 1 | 1 | ||||||||
Wants no more | 0.62 | 0.54–0.71 | < 0.01 | 0.92 | 0.82–1.02 | 0.12 | 0.86 | 0.78–0.94 | < 0.01 | 0.87 | 0.78–0.96 | 0.01 |
Current use of contraception | ||||||||||||
No | 1 | 1 | 1 | 1 | ||||||||
Yes | 0.59 | 0.49–0.72 | < 0.01 | 0.87 | 0.77–0.98 | 0.02 | 0.84 | 0.76–0.92 | < 0.01 | 0.76 | 0.68–0.84 | < 0.01 |
All significant values (p < 0.05) are marked in bold