Factors associated with unrealized fertility among women approaching the end of reproductive age in sub-Saharan Africa

Tsion Mulat Tebeje, Mesfin Abebe, Achamyeleh Birhanu Teshale and Mekonnen Birhanie Aregu

PLOS ONE, 2025, vol. 20, issue 9, 1-13

Abstract: Background: Understanding women’s fertility preferences is essential for addressing reproductive behaviors and family planning needs. In sub-Saharan Africa, fertility rates remain high, yet many women experience unrealized fertility, which is having fewer children than desired. However, the factors influencing unrealized fertility remain underexplored. This study assessed the determinants of unrealized fertility among women approaching the end of their reproductive years in sub-Saharan Africa. Methods: A secondary data analysis was conducted using phase eight Demographic and Health Surveys data from 19 sub-Saharan African countries. The weighted sample included 46,408 women aged 40–49 years. A multilevel Poisson regression model with robust variance was used to identify factors associated with unrealized fertility. Adjusted prevalence ratios with 95% confidence intervals (CI) were reported, and variables with a p value

Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0331265

DOI: 10.1371/journal.pone.0331265

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