DELAYING MOTHERHOOD: BEHAVIORAL AND SOCIO-DEMOGRAPHIC DETERMINANTS OF EARLY CHILDBEARING IN TAJIKISTAN

DELAYING MOTHERHOOD: BEHAVIORAL AND SOCIO-DEMOGRAPHIC DETERMINANTS OF EARLY CHILDBEARING IN TAJIKISTAN

Авторы

  • Dr Muhammad Bilal
  • Gulyorabonu Usmonova

DOI:

https://doi.org/10.5281/zenodo.20629027

Ключевые слова:

contraceptives; family planning; lower-middle-income countries; modern contraceptives; women’s education

Аннотация

Empirical studies show that age at first birth is an important factor in family planning in developed
countries. However, the role of women’s age at first birth in family planning remains relatively underexplored
in lower-middle-income countries, including Tajikistan. This study uses the 2023 Tajikistan Demographic
and Health Survey (DHS) data and applies an instrumental-variable probit model. The results indicate that
behavioral and socio-demographic factors, including contraceptive use, women’s educational attainment, and
household wealth status, are statistically associated with delaying early motherhood. The findings also show that
women’s wealth status and their spouses’ occupational status have similar associations with early motherhood,
as both are linked to a lower likelihood of postponing early motherhood. Compared with women who made
contraceptive decisions jointly with their partners, women who made such decisions independently were more
likely to have their first birth after age 20. Similarly, cases in which husbands made contraceptive decisions
were also positively associated with delaying early motherhood. By contrast, women whose contraceptive
decisions were made by another person were less likely to delay early motherhood. Overall, women’s higher
education and their participation in contraceptive decision-making appear to be important policy priorities for
effective family planning. Future research on the causal relationship between women’s health and the use of
modern contraceptives in Tajikistan and comparable low-income contexts may contribute to the development
of more effective health policy.

Биографии авторов

Dr Muhammad Bilal

 (PhD, DSc)
Senior Lecturer, WIUT Business School
Westminster International University in Tashkent


Gulyorabonu Usmonova

Undergraduate Student at WIUT Business School
Westminster International University in Tashkent

Библиографические ссылки

1. Ali, M., Alauddin, S., Khatun, Most. F., Maniruzzaman, M., & Shariful Islam, S. M. (2020). Determinants

of the early age of mother at first birth in Bangladesh: a statistical analysis using a two-level multiple logistic

regression model. Journal of Public Health, 29(5), 1081–1087. https://doi.org/10.1007/s10389-020-01228-9

2. Alnaeem, M. M., Abu Sabra, M. A., & Shehadeh, A. (2025). Knowledge and attitudes of emergency

healthcare professionals toward domestic violence against women during the COVID 19 lockdown. Women &

Health, 65(8), 661–674. https://doi.org/10.1080/03630242.2025.2553115

3. Althabe, F., Moore, J. L., Gibbons, L., et al. (2015). Adverse maternal and perinatal outcomes in

adolescent pregnancies. Reproductive Health, 12(Suppl. 2), S8. https://doi.org/10.1186/1742-4755-12-S2-S8

4. Alves, J. G. B., Cisneiros, R. M. R., Dutra, L. P. F., & Pinto, R. A. (2012). Perinatal characteristics among

early and late pregnant adolescents. BMC Research Notes, 5, 531. https://doi.org/10.1186/1756-0500-5-531

5. Amialchuk, A. (2011). The effect of husband’s job displacement on the timing and spacing of births in the

United States. Contemporary Economic Policy, 31(1), 94–107. https://doi.org/10.1111/j.1465-7287.2011.00239.x

6. Baschieri, A., & Falkingham, J. (2009). Staying in school: assessing the role of access, availability,

and economic opportunities – the case of Tajikistan. Population, Space and Place, 15, 205–224. https://doi.

org/10.1002/psp.512

7. Bitew, D. A., Habitu, Y. A., & Gelagay, A. A. (2021). Time to first birth and its determinants among married

female youths in Ethiopia. BMC Women’s Health, 21(1). https://doi.org/10.1186/s12905-021-01414-1

8. Blundell, R., Dearden, L., Meghir, C., & Sianesi, B. (1999). Human capital investment. Fiscal Studies,

20, 1–23. https://doi.org/10.1111/j.1475-5890.1999.tb00001.x

9. Chowdhury, Y., Rumana, A. S., Arif, M., & Fasal, A.-R. (2017). Factors affecting age for first birth.

International Journal of Research Studies in Medical and Health Sciences, 2(7), 31–37.

10. Dadras, O., Nakayama, T., Kihara, M., Ono-Kihara, M., & Dadras, F. (2022). Intimate partner violence

and unmet need for family planning in Afghan women. Reproductive Health, 19(1). https://doi.org/10.1186/

s12978-022-01362-5

11. Dehesh, T., Malekmohammadi, N., & Dehesh, P. (2022). First-birth interval among women in reproductive

age. Reproductive Health, 19(1). https://doi.org/10.1186/s12978-022-01346-5

12. DeYoung, A. J., Kataeva, Z., & Jonbekova, D. (2018). Higher education in Tajikistan. Educational Policy

Studies and Evaluation Faculty Publications (16). https://uknowledge.uky.edu/epe_facpub/16

13. Dewau, R., Mekonnen, F. A., & Seretew, W. S. (2021). Time to first birth in Ethiopia. BMC Women’s

Health, 21(1). https://doi.org/10.1186/s12905-021-01254-z

14. Fan, S., & Koski, A. (2023). Health consequences of child marriage. BMC Public Health, 22, 309.

https://doi.org/10.1186/s12889-022-12707-x

15. Fernández Heredia, R., et al. (2025). Experiences of mothers terminating pregnancy due to fetal

defects. Women & Health, 65(6), 483–497. https://doi.org/10.1080/03630242.2025.2507269

16. Ganchimeg, T., et al. (2014). Pregnancy outcomes among adolescent mothers. BJOG, 121(Suppl. 1),

40–48. https://doi.org/10.1111/1471-0528.12630

17. Girls Not Brides. (2025). Tajikistan – Child marriage. https://www.girlsnotbrides.org/learning-resources/

child-marriage-atlas/regions-and-countries/tajikistan

18. Gitto, L., Noh, Y., & Andrés, A. (2015). Depressed mood in Korea. International Journal of Health Policy

and Management, 4(8), 523–530. https://doi.org/10.15171/ijhpm.2015.82

19. Goldin, C. (2016). Human capital. Handbook of Cliometrics. Springer.

20. Gupta, N., Katende, C., & Bessinger, R. (2003). Mass media exposure and family planning in Uganda.

Studies in Family Planning, 34, 19–31.

21. Habibov, N., & Zainiddinov, H. (2015). Family planning messages in Central Asia. International Journal

of Health Planning and Management, 32, e17–e38. https://doi.org/10.1002/hpm.2318

22. Haque, M. A., & Mohammad Sayem, A. (2008). Age at first birth in Bangladesh. Asia Pacific Journal of

Public Health, 21(1), 104–111. https://doi.org/10.1177/1010539508329207

23. Hossain, Md. M., & Majumder, A. K. (2018). Age of mother at first birth in Bangladesh. Journal of Public

Health, 27(4), 419–424. https://doi.org/10.1007/s10389-018-0977-6

24. Hutchinson, P., & Wheeler, J. (2006). Family planning communication programs. Studies in Family

Planning, 37(3), 169–186. https://doi.org/10.1111/j.1728-4465.2006.00096.x

25. Imam, H. S. H., et al. (2017). Illiteracy and women’s health. APMC, 11(2), 94–99. https://doi.

org/10.29054/apmc/2017.212

26. Korres, G. M. (2008). Technical change and economic growth. Routledge. https://doi.

org/10.4324/9781315241692

27. Lebni, J. Y., et al. (2023). Consequences of early marriage. Inquiry. https://doi.

org/10.1177/00469580231159963

28. MacQuarrie, K. L. D., et al. (2019). Child marriage in Asia. DHS Program. https://dhsprogram.com/

publications/publication-as69-analytical-studies.cfm

29. Maringe, F. (2015). Higher education market. Elsevier.

30. Maulinda, F., Handayani, D., & Wongkaren, T. S. (2021). Age at first marriage and birth outcomes. Child

Health Nursing Research, 27(2), 127–136. https://doi.org/10.4094/chnr.2021.27.2.127

31. Melnikas, A. J., & Romero, D. (2019). Ideal age at first birth in NYC. Journal of Family Issues, 41(117),

1–24. https://doi.org/10.1177/0192513X19875762

32. Minority Rights Group International. (2013). Child marriage in Kazakhstan. https://www.refworld.org/

reference/annualreport/mrgi/2013/en/94801

33. Miri, M., & Moghadam, H. M. (2018). Marriage to first birth interval in Iran. International Journal of

Women’s Health and Reproduction Sciences, 6(3), 328–334. https://doi.org/10.15296/ijwhr.2018.54

34. Mugarura, A., Kaberuka, W., & Atuhaire, R. (2016). Age at first birth in Uganda. Issues in Scientific

Research, 1(5), 61–66. https://doi.org/10.15739/ISR.16.007

35. Nahar, M. Z., & Zahangir, M. S. (2013). Age at first birth in Bangladesh. Turkish Journal of Population

Studies, 35, 63–77.

36. Neal, S. E., et al. (2015). Adolescent first births in East Africa. Reproductive Health, 12(1). https://doi.

org/10.1186/1742-4755-12-13

37. Negash, W. D., & Asmamaw, D. B. (2022). Time to first birth in Sub-Saharan Africa. BMC Pregnancy

and Childbirth, 22(1). https://doi.org/10.1186/s12884-022-05206-9

38. Noormal, A. S., et al. (2022). Contraceptive uptake in Afghanistan. Scientific Reports, 12(1), 6632.

https://doi.org/10.1038/s41598-022-10535-y

39. Rabbi, M. F., & Kabir, I. (2013). Age at first birth in Bangladesh. American Journal of Public Health

Research, 1(7), 191–195. https://doi.org/10.12691/ajphr-1-7-8

40. Rindfuss, R. R., & John, C. St. (1983). Social determinants of age at first birth. Journal of Marriage and

the Family, 45(3), 553. https://doi.org/10.2307/351660

41. Sarkar, P. (2010). Determinants of age at first birth in Bangladesh. Journal of Modern Mathematics and

Statistics, 4(1), 1–6. https://doi.org/10.3923/jmmstat.2010.1.6

42. Saurabh, S., Pandey, D., & Sarkar, S. (2013). Female literacy and birth outcomes in India. Journal of

Family Medicine and Primary Care, 2(4), 349. https://doi.org/10.4103/2249-4863.123889

43. Shonazarova, S., & Eshchanov, B. (2020). Early marriage and child mortality in Afghanistan. MPRA.

https://doi.org/10.13140/RG.2.2.29902.18249

44. Stock, J. H., & Yogo, M. (2005). Weak instruments in IV regression. Cambridge University Press.

45. Talukder, A., et al. (2021). Age of mother at first birth in Albania. Heliyon, 7(3). https://doi.org/10.1016/j.

heliyon.2021.e06547

46. World Bank. (2015). Higher education barriers in Tajikistan. https://files.eric.ed.gov/fulltext/ED573570.

pdf

47. World Bank. (2022). Adolescent childbearing consequences. https://genderdata.worldbank.org/en/

data-stories/adolescent-fertility

48. UNICEF. (2025). Early childbearing data. https://data.unicef.org/topic/child-health/adolescent-health/

49. UN Women. (2025). Tajikistan country fact sheet. https://data.unwomen.org/country/tajikistan

50. UN General Assembly. (2014). Child, early and forced marriage resolution (A/RES/69/156). https://

digitallibrary.un.org/record/787305/files/A_RES_69_156-EN.pdf

51. United States Department of State. (2021). Tajikistan human rights report. https://www.ecoi.net/en/

document/2048159.html

52. Walker, I., & Zhu, Y. (2019). Education and fertility timing. Journal of Economic Behavior & Organization,

162, 90–106. https://www.sciencedirect.com/science/article/pii/S0272775717305186

53. Whitsel, C. M. (2009). Educational attainment in Tajikistan. Central Asian Survey, 28(1), 29–41. https://

doi.org/10.1080/02634930902771516

54. WHO. (2022). Contraception. https://www.who.int/health-topics/contraception#tab=tab_1

55. WHO. (2024). Adolescent pregnancy. https://www.who.int/news-room/fact-sheets/detail/adolescentpregnancy

Загрузки

Опубликован

2026-06-01

Как цитировать

Dr Muhammad Bilal, & Usmonova, G. (2026). DELAYING MOTHERHOOD: BEHAVIORAL AND SOCIO-DEMOGRAPHIC DETERMINANTS OF EARLY CHILDBEARING IN TAJIKISTAN. ЗЕЛЁНАЯ ЭКОНОМИКА И РАЗВИТИЕ, 4(6). https://doi.org/10.5281/zenodo.20629027
Loading...