ABSTRACT
Background: Fertility, particularly as it pertains to the role of men as decision makers is important with respect to demographic transition theory. Studies have explored fertility preferences of men but very little has been done with regard to fertility preferences amongst men from the slums. The aim of this study was to investigate drivers of family sizes among the urban slum households in Ibadan of South-West Nigeria.
Methods: A cross-sectional survey design was conducted among 362 men in selected urban slum communities in Ibadan, Oyo State using multi-stage sampling. Data was collected using pre-tested, semi-structured, interviewer-administered questionnaires. Data were analysed using descriptive statistics, Chi square test and binary logistic regression with level of significance set at 5%.
Results: Age of respondents was 41.1 ± 7.56 years. Over a third have completed tertiary education (35.9%) and were civil servants (47.0%). Ethnicity, educational status, sex distribution of children and number of children were significantly associated with desire for more children (p<0.05). Marginally over half (54.4%) of respondents with 2 or less children wanted to continue child bearing compared to other respondents (p<0.001). Men with female only children were almost 3 times more likely to desire more children than men with male only children (p<0.001; OR= 2.798; 95% CI = 1.53 – 5.13). Igbos also were 52.8% less likely to desire more children compared to Yorubas (p=0.047; OR = 0.472; 95% CI = 0.225 – 0.991).
Conclusion: Programmes targeted at slum dwellers to improve their education on childbearing and family planning are required to assist the country progress through the stages of demographic transition.
Keywords: Slum dwellers, Health disparities, Urban slum, Urban poor, Demographic transition