Factors influencing male fertility in Uganda
Male fertility is an important component of population research. Against this backdrop, this paper aims to examine the factors explaining male fertility changes in Uganda. The authors applied the own-children method, as described by Schoumaker, to understand the prevailing male total fertility rate trends and to select datasets for inclusion during the multivariate analysis, using the Uganda demographic health surveys conducted from 2006 to 2016. A multivariable Poisson decomposition regression model was used to examine factors associated with male fertility changes. This model analyzed data from the 2006 and 2016 surveys only and included a total sample size of 7839 male respondents. The outcome variable for the regression model was children ever born (CEB). The regression model showed that differences related to changes in the proportional composition of characteristics contributed 113% to the change in CEB, compared with the differences due to reproductive behavior, with other factors being kept constant. The most important proportional changes that led to meaningful variability in CEB were observed among the following characteristics: occupation, number of current wives, total number of lifetime partners, type of residence, education, and age at first childbirth. Thus, interventions to delay the formation of cohabitation and marriage unions and the onset of childbirth or fatherhood among adolescents and young men below the age of 25 should be prioritized as potent fertility regulation measures. In addition, the focus on eliminating the lack of education and primary education as the highest levels attained among boys and men should be prioritized to boost a rapid male fertility transition in Uganda.
Abbasi-Shavazi, M.J. (1997). An assessment of the own-children method of estimating fertility by birthplace in Australia. Journal of the Australian Population Association, 14(2):167-185. https://doi.org/10.1007/BF03029338
Adewole, O.G., Adedini, S.A., & Bisiriyu, L.A. (2018). Multilevel analysis of male fertility behaviour in Nigeria. African Population Studies, 32(3):4405-4416. https://doi.org/10.11564/32-3-1224
Alamri, Y.A. (2011). Islam and abortion. Journal of the Islamic Medical Association of North America, 43(1):39-40. https://doi.org/10.5915/43-1-5755
Allison, P. (2001). Missing Data: Series: Quantitative Applications in the Social Sciences. A Sage University Paper. Thousands Oaks CA: Sage, p.72-89. Available from: https://us.sagepub. com/en-us/nam/missing-data/book9419 [Last accessed on 2024 Jun 23].
Asiimwe, J.B., Ndugga, P., Mushomi, J., & Manyenye Ntozi, J.P. (2014). Factors associated with modern contraceptive use among young and older women in Uganda; A comparative analysis. BMC Public Health, 14(1):926. https://doi.org/10.1186/1471-2458-14-926
Avery, C., St Clair, T., Levin, M., & Hill, K. (2013). The “Own Children” fertility estimation procedure: A reappraisal. Population Studies (Camb), 67(2):171-183. https://doi.org/10.1080/00324728.2013.769616
Bongaarts, J. (1993). The supply-demand framework for the determinants of fertility: An alternative implementation. Population Studies, 47(3):437-456. https://doi.org/10.1080/0032472031000147236
Bongaarts, J. (2015). Modeling the fertility impact of the proximate determinants: Time for a tune-up. Demographic Research, 33(1):535-560. https://doi.org/10.4054/DemRes.2015.33.19
Candia, D.A., & Kisangala, E. (2021). Determinants of multiple partner fertility among males in Uganda: A cross-sectional study. BMC Public Health, 21(1):1465. https://doi.org/10.1186/s12889-021-11505-1
Dubuc, S. (2009). Application of the own-children method for estimating fertility by ethnic and religious groups in the UK. Journal of Population Research, 26(3):207-225. https://doi.org/10.1007/s12546-009-9020-7
Duvander, A.Z., & Andersson, G. (2006). Gender equality and fertility in Sweden. Marriage and Family Review, 39(1- 2):121-142. https://doi.org/10.1300/J002v39n01_07
Grabill, W.R., & Cho, L.J. (1965). Methodology for the measurement of current fertility from population data on young children. Demography, 2(1):50-73. https://doi.org/10.2307/2060106
Green, M.E., & Biddlecom, A.E. (2004). Absent and problematic men: Demographic accounts of male reproductive roles. Population and Development Review, 26(1):81-115. https://doi.org/10.1111/j.1728-4457.2000.00081.x
Joyner, K., Peters, H.E., Hynes, K., Sikora, A., Taber, J.R., & Rendall, M.S. (2012). The quality of male fertility data in major U.S. Surveys. Demography, 49(1):101-124. https://doi.org/10.1007/s13524-011-0073-9
Kabagenyi, A., Jennings, L., Reid, A., Nalwadda, G., Ntozi, J., & Atuyambe, L. (2014). Barriers to male involvement in contraceptive uptake and reproductive health services: A qualitative study of men and women’s perceptions in two rural districts in Uganda. Reproductive Health, 11(1):21. https://doi.org/10.1186/1742-4755-11-21
Kabagenyi, A., Reid, A., Rutaremwa, G., Atuyambe, L.M., & Ntozi, J.P.M. (2015). Has Uganda experienced any stalled fertility transitions? Reflecting on the last four decades (1973-2011). Fertility Research and Practice, 1(14):1-10. https://doi.org/10.1186/s40738-015-0006-1
Kakaire, O., Kaye, D.K., & Osinde, M.O. (2011). Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda. Reproductive Health, 8(1):12. https://doi.org/10.1186/1742-4755-8-12
Lappegård, T., & Rønsen, M. (2013). Socioeconomic differences in multipartner fertility among Norwegian men. Demography, 50(3):1135-1153. https://doi.org/10.1007/s13524-012-0165-1
Le Goff, J.M. (2012). Zhang Li: Male fertility patterns and determinants: The Springer series on demographic methods and population analysis. Dordrecht. Springer, n 27, 2011, 206 pp. European Journal of Population/Revue Européenne de Démographie, 28(1):115-116. https://doi.org/10.1007/s10680-011-9251-0
Mangeni, J.N., Mwangi, A., Mbugua, S., & Mukthar, V.K. (2013). Male involvement in maternal healthcare skilled birth attendants in Kenya. ICF International, 93(2):1-25.
Manlove, J., Logan, C., Ikramullah, E., & Holcombe, E. (2008). Factors associated with multiple-partner fertility among fathers. Journal of Marriage and Family, 70(2):536-548. https://doi.org/10.1111/j.1741-3737.2008.00499.x
Manning, W.D. (1995). Cohabitation, marriage, and entry into motherhood. Journal of Marriage and the Family, 57(1):191. https://doi.org/10.2307/353827
Marcia, C., Sara, M., Paula, E., & Barbara, D. (2005). What We Know About Unmarried Parents: Implications for Building Strong Families Programs. Mathematica Policy Research, Inc., p.1-8. Available from: https://www.mathematica.org/-/ media/publications/pdfs/bsfisbr3.pdf [Last accessed on 2024 Jun 23].
Mashhour, A. (2005). Islamic law and gender equality: Could there be a common ground?: A study of divorce and polygamy in sharia law and contemporary legislation in Tunisia and Egypt. Human Rights Quarterly, 27(2):562-596. https://doi.org/10.1353/hrq.2005.0022
Nalwadda, G., Mirembe, F., Byamugisha, J., & Faxelid, E. (2010). Persistent high fertility in Uganda: Young people recount obstacles and enabling factors to use of contraceptives. BMC Public Health, 10(1):530. https://doi.org/10.1186/1471-2458-10-530
Namasivayam, A., Lovell, S., Namutamba, S., & Schluter, P.J. (2019). Improved contraceptive use among women and men in Uganda between 1995-2016: A repeated cross-sectional population study. PLoS One, 14(7):e0219963. https://doi.org/10.1371/journal.pone.0219963
Nisén, J., Martikainen, P., Myrskylä, M., & Silventoinen, K. (2017). Education, other socioeconomic characteristics across the life course, and fertility among Finnish men. European Journal of Population, 34(3):337-366. https://doi.org/10.1007/s10680-017-9430-8
Nisén, J., Martikainen, P., Silventoinen, K., & Myrskylä, M. (2014). Age-specific fertility by educational level in the Finnish male cohort born 1940-1950. Demographic Research, 31(1):119-136. https://doi.org/10.4054/DemRes.2014.31.5
Ntozi, J. (1995). Men’s fertility. In: High Fertility in Rural Uganda: The Role of Socioeconomic and Biological Factors. 1st ed., Vol. 1. Uganda: Fountain Publisher, p.45-47.
Ntozi, J.P.M., Nakanaabi, I.M., & Lubaale, Y.A.M. (1997). Fertility levels and trends in the face of the AIDS epidemic in Uganda. Health Transition Review, 7:145-155.
Ochako, R., Temmerman, M., Mbondo, M., & Askew, I. (2017). Determinants of modern contraceptive use among sexually active men in Kenya. Reproductive Health, 14(1):56. https://doi.org/10.1186/s12978-017-0316-3
Paget, W.J., & Timæus, I.M. (1994). A relational gompertz model of male fertility: Development and assessment. Population Studies, 48(2):333-340. https://doi.org/10.1080/0032472031000147826
Plantin, L., Olukoya, A.A., & Ny, P. (2011). Positive health outcomes of fathers’ involvment in pregnancy and childbirth paternal support: A scope study literature review. Fathering: A Journal of Theory, Research, and Practice about Men as Fathers, 9(1):87-102. https://doi.org/10.3149/fth.0901.87
Population Reference Bureau. (2022). World Population Datasheet 2022. Washington, DC: Population Reference Bureau, p.1-12.
Rendall, M.S., Clarke, L., Peters, H.E., Ranjit, N., & Verropoulou, G. (1999). Incomplete reporting of men’s fertility in the United States and Britain: A research note. Demography, 36(1):135-144. https://doi.org/10.2307/2648139
Ruspini, E. (1999). Longitudinal research and the analysis of social change. Quality and Quantity, 33(3):219-227. https://doi.org/10.1023/A:1004692619235
Schoumaker, B. (2017). Measuring male fertility rates in developing countries with demographic and health Surveys: An assessment of three methods. Demographic Research, 36(1):803-850. https://doi.org/10.4054/DemRes.2017.36.28
Schoumaker, B. (2019). Male fertility around the world and over time: How different is it from female fertility? Population and Development Review, 45(3):459-487. https://doi.org/10.1111/padr.12273
Tabutin, D., Schoumaker, B., Coleman, H., Dutreuilh, C., Reeve, P., Tovey, J., et al. (2020). The demography of Sub-Saharan Africa in the 21st century. Population, 75(2):165-286.
Tragaki, A., & Bagavos, C. (2014). Male fertility in Greece: Trends and differentials by education level and employment status. Demographic Research, 31:137-160. https://doi.org/10.4054/demres.2014.31.6
Uganda Bureau of Statistics (UBOS) and ICF. (2018). Uganda Demographic and Health Survey 2016. Rockville, Maryland, USA: Uganda Bureau of Statistics.
United Nations Department of Economic and Social Affairs. (2022). World Population Prospects 2022: Summary of Results. UN DESA/POP/2022/TR/NO.3. UN Population Division, p.1-38. Available from: https://www.un.org/ development/desa/pd/sites/wpp/2022_summary_of_ results.pdf [Last accessed on 2023 Jun 15].
Zhang, L. (2011). Male Infertility Patterns and Determinants: The Springer Series on Demographic Methods and Population Analysis. Vol. 27. Berlin: Springer Science and Business Media.