Exploring Multiple Dimensions of Young Women’s Fertility Preferences in Malawi

Ashley Larsen Gibby, Nancy Luke

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Introduction: Standard survey measures of fertility preferences, such as the desire for and preferred timing of future births, do not capture the complexity of individuals’ preferences. New research focuses on additional dimensions of emotions and expectations surrounding childbearing. Few quantitative studies, however, consider the influence of all three dimensions of fertility preferences concurrently. Methods: Using longitudinal survey data from the Tsogolo la Thanzi project (2009–2012) in Malawi, this study employed logistic regression analysis to investigate the influence of young women’s emotions, expectations, and a standard measure of fertility preferences on pregnancy and modern contraceptive use. Results: Young women experienced high unmet need; across survey waves, over three-quarters of women who desired a child in more than 2 years were not currently using modern contraceptives and over three-quarters of women who thought a pregnancy in the next month would be bad news (garnered from a measure of emotions surrounding pregnancy) were not currently using modern contraceptives. In regression models including all three measures of fertility preferences, each was significantly associated with the likelihood of a future pregnancy. The standard measure and emotions measure were significantly associated with modern contraceptive use. Discussion: Emotions and expectations surrounding pregnancy and childbirth appear to be distinct and salient aspects of fertility preferences in addition to the standard measure. A better understanding of the multidimensional nature of fertility preferences will help individuals define and achieve their reproductive goals and obtain appropriate services. Furthermore, future research should incorporate new measures of fertility preferences into surveys internationally.

Original languageEnglish (US)
Pages (from-to)1508-1515
Number of pages8
JournalMaternal and child health journal
Issue number11
StatePublished - Nov 1 2019

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health


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