International Archives of Medical and Health Research (IAMHR), pISSN: 2705-1420; eISSN: 2705-1439
December 2026 Vol 7(1): pp. 39-48 DOI: https://doi.org/10.33515/iamhr/2026.013/05
Copyright © 2026 C-International Archives
Original Article
Fertility Preferences and Intentions Among Employed Women and Full-time Housewives in Kano Metropolis, Nigeria
Rukayat A. Sanusi,1* Umar M. Lawan,1,2 Shaheeda L. Farouk,1 Abubakar S. Abubakar,1
Olawale E. Bayode,1 Suraj M. Inuwa1
1Department of Community Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.
2Department of Community Medicine, Bayero University, Kano, Nigeria.
*Corresponding Author’s Email: aramiderukayat@gmail.com
Published September 12, 2026
ABSTRACT
Background: Fertility preferences are influenced by socioeconomic and sociocultural factors, but evidence comparing employed women and full-time housewives in northern Nigeria remains limited. Aim: To compare fertility preferences and intentions among employed women and full-time housewives in Kano Metropolis, Nigeria, and identify factors associated with preference for larger family size. Materials and Methods: A comparative cross-sectional study was conducted among 636 women aged 15–49 years, comprising 323 employed women and 313 full-time housewives. Data were collected using a structured, pretested, interviewer-administered questionnaire. We compared fertility preferences and intentions using Pearson’s chi-square or Fisher’s exact test, and used multivariable logistic regression to identify predictors of a preference for >4 children. Statistical significance was set at p<0.05. Results: Desired family size did not differ significantly between employed women and housewives, with 16.1% and 14.7%, respectively, preferring >4 children (p=0.704). Ideal family size (38.1% vs 31.0%; p=0.073) and preferred birth interval (91.0% vs 86.3% preferring ≥2 years; p=0.077) were also comparable. However, fertility intention differed significantly, with housewives more likely to intend additional childbearing (61.7% vs 49.8%; p=0.007). Employment status was not independently associated with preference for >4 children (AOR=1.10, 95% CI: 0.68–1.78; p=0.693). Fulani and Yoruba women had higher odds than Hausa women (AOR=2.33 and 2.66, respectively), while experiencing >4 child deaths was associated with increased odds (AOR=3.62, 95% CI: 1.28–10.22). Male-child preference was associated with lower odds (AOR=0.23, 95% CI: 0.06–0.84). Conclusion: Employment status was not independently associated with preference for larger families, whereas ethnicity and child mortality experience were important predictors. Family-planning interventions should therefore address sociocultural and reproductive factors alongside employment-related circumstances.
Keywords: Fertility preference; fertility intention; family size; employment status; child mortality; Nigeria