Stephen Obeng Gyimah

Matrilineal Family Ties and Marital Dissolution in Ghana

Although previous work has attributed the instability of African marriages to the diffusion of Western norms and values in the region, fewer attempts have been made to empirically assess how Africas internal institutional structures, such as extended kinship ties, impact marital outcomes. Guided by rational choice and exchange theories, we argue that the strong bonds that exist among matrilineal family members in particular, rather than within the conjugal unit, may be important to understanding the dynamics of marital processes in the region, and particularly divorce processes. We test our hypothesis with data from the 1988, 1993, 1998, and 2003 Ghana Demographic and Health Surveys. Consistent with our hypothesis, the results indicate a significantly higher risk of divorce among matrilineal than nonmatrilineal women. The matrilineal effect persisted even after we controlled for sociocultural and demographic characteristics.

What has faith got to do with it? Religion and child survival in Ghana

Using pooled children data from the 1998 and 2003 Ghana Demographic and Health Surveys, this study examines religious differences in child survival in Ghana. Guided by the particularized theology and selectivity theses, a piecewise constant hazard model with gamma-shared frailty is used to explore if there are denominational differences in child mortality, and whether these could be explained through other characteristics. At the bivariate level, children whose mothers identified as Muslim and Traditional were found to have a significantly higher risk of death compared with their counterparts whose mothers identified as Christians. In the multivariate models, however, the religious differences disappeared after the mediating and confounding influence of socioeconomic factors were controlled. The findings provide support for the selectivity hypothesis, which is based on the notion that religious variations mainly reflect differential access to social and human capital rather than religious theology per se.

Religion, HIV/AIDS and sexual risk-taking among men in Ghana.

Although a growing body of research has linked religious involvement with HIV/AIDS protective behaviour in Africa, the focus has mainly been on women. Given the patriarchal nature of African culture, this paper argues for the inclusion of men, a critical group whose sexual behaviours have increasingly been linked to the spread and sustenance of the virus in the region. Drawing on different theoretical discourses and using data from the 2003 Ghana Demographic and Health Survey, this paper examines how religious affiliation influences mens risky sexual behaviours. While the results from the bivariate analysis suggested that Muslims and Traditionalists were significantly less likely to engage in risky sexual behaviour compared with Christians, those differences disappeared once socioeconomic variables were controlled, rendering support for the selectivity thesis. This finding could benefit programmatic and policy formulation regarding AIDS prevention in Ghana.

Polygynous marital structure and child survivorship in sub-Saharan Africa: Some empirical evidence from Ghana

Although studies have found children in married families to have better health outcomes than those in other family types, this strand of research implicitly views marriage as monolithic and, by default, monogamous as found in western industrialized societies. In polygynous cultures, there is a need to make a distinction between polygynous and monogamous families, because these marital arrangements might imply varying levels of parental support necessary for optimum child outcomes. Using pooled childrens data from the 1998 and 2003 (N=4938) Ghana Demographic and Health Surveys, this study investigates the effects of polygynous marital structure on child survivorship and assesses whether the effect is uniform over the entire childhood period. In models that did not allow for age-specific effects of polygyny, children in polygynous marriages were found to have an elevated risk of death. Further analysis revealed that only older children experienced the survival disadvantages associated with polygyny.

Superstition, witchcraft and HIV prevention in sub-Saharan Africa: the case of Ghana

Belief in superstition and witchcraft is central to many African conceptions of illness, disease causation and etiology. While a number of anthropological studies have alluded to a theoretical link between such beliefs and HIV prevention in particular, there is limited empirical assessment of the association. Using data from the 2008 Ghana Demographic and Health Survey and applying random-effects logit models, we investigate whether the belief that AIDS can spread through witchcraft associates with the sexual decision making of never-married men and women. The results show that men who believed AIDS can spread through witchcraft and other supernatural means were less likely to have used condoms at last sexual intercourse, controlling for other socioeconomic and cultural variables. Women with similar beliefs were more likely to have experienced sexual intercourse but less likely to have used condoms at last sex. For women, however, the relationship between such superstitious beliefs and condom use was somewhat attenuated after controlling for ethnicity and region of residence. From a policy perspective, the findings suggest that local beliefs regarding AIDS causation must be considered in designing HIV/AIDS programmes and interventions.

Intentional replacement of dead children in sub-Saharan Africa: evidence from Ghana and Kenya

This paper examines whether childhood deaths elicit an explicit, conscious and intentional fertility response using the 1998 Demographic and Health Survey data for Ghana and Kenya . Using multivariate hazard models, childhood mortality experience was found to have long term fertility implications beyond the short term physiological effects. In both countries, women who have experienced childhood mortality were found to have significantly higher number of additional children than those without. The death of the first child in particular was found to be associated with the risk of a higher order birth consistent with recent findings in Cameroon. The policy implications of the findings are discussed.

Physical Abuse in Early Childhood and Transition to First Sexual Intercourse among Youth in Cape Town, South Africa

This study examined the relationship of physical abuse in early childhood and timing of first sexual intercourse among young South Africans aged 14 to 22 in Cape Town. Using the Cape Area Panel Survey and applying log-normal models, time ratios were estimated to show how rapidly or slowly youth experience first sexual intercourse. Results indicated that boys who experienced physical abuse in early childhood had faster timing to first sex. Boys and girls with violent school environments had faster timing to first sex. Race moderated the effects of physical abuse. Compared to Blacks, Coloreds who experienced higher levels of physical abuse in early childhood had faster timing to first sex. Youth with greater knowledge about HIV/AIDS and those with greater risk perception of contracting HIV/AIDS delayed first sex. On the basis of these findings, policy makers are encouraged to consider the early childhood experiences of youth when designing policies toward HIV/AIDS prevention in South Africa.

A cohort analysis of the timing of first birth and fertility in Ghana

This paper examines the nature of the inverse association between age at first birth and fertility across successive generations of Ghanaian women. Within the context of enhanced non-marital opportunities for contemporary women and declining fertility, we develop a rationale for and test the hypothesis that in a medium fertility environment as currently found in Ghana, the effect of age at first birth on fertility becomes more important than ever before. Five birth cohorts were identified (1938–1944; 1945–1949;1950–1954; 1955–1959; 1960–1964)from a merged file of the 1988, 1993 and 1998 Ghana Demographic and Health Surveys. The analyses were restricted to women over 35 years old at the time of the surveys, which allowed us to use current parity as a reasonable proxy for completed fertility. Preliminary results suggest that women who had first births early tend to have a higher number of births than those whose first births occur late, regardless of birth cohort. In multivariate analyses, the effect of age at first birth as a determinant of fertility was found to be more substantial among later cohorts. The implications of the findings are discussed.This paper examines the nature of the inverse association between age at first birth and fertility across successive generations of Ghanaian women. Within the context of enhanced non-marital opportunities for contemporary women and declining fertility, we develop a rationale for and test the hypothesis that in a medium fertility environment as currently found in Ghana, the effect of age at first birth on fertility becomes more important than ever before. Five birth cohorts were identified (1938–1944; 1945–1949;1950–1954; 1955–1959; 1960–1964)from a merged file of the 1988, 1993 and 1998 Ghana Demographic and Health Surveys. The analyses were restricted to women over 35 years old at the time of the surveys, which allowed us to use current parity as a reasonable proxy for completed fertility. Preliminary results suggest that women who had first births early tend to have a higher number of births than those whose first births occur late, regardless of birth cohort. In multivariate analyses, the effect of age at first birth as a determinant of fertility was found to be more substantial among later cohorts. The implications of the findings are discussed.

Religion, Contraception, and Method Choice of Married Women in Ghana

Using pooled data from the 1998 and 2003 Demographic and Health Surveys, this paper investigates the association between religion and contraceptive behavior of married women in Ghana. Guided by the particularized theology and characteristics hypotheses, multinomial logit and complementary log–log models are used to explore denominational differences in contraceptive adoption among currently married women and assess whether the differences could be explained through other characteristics. We found that while there were no differences between women of different Christian faiths, non-Christian women (Muslim and Traditional) were significantly more likely to have never used contraception compared with Christian women. Similar observations were made on current use of contraception, although the differences were greatly reduced in the multivariate models.

Adolescent Sexual Risk-Taking in the Informal Settlements of Nairobi, Kenya: Understanding the Contributions of Religion

Young people in sub-Saharan Africa are at the centre of the global HIV epidemic as they account for a disproportionate share of new infections. Their vulnerability to HIV has been attributed to a myriad of factors, in particular, risky sexual behaviours. While economic factors are important, increasing attention has been devoted to religion on the discourse on sexual decision-making because religious values provide a perspective on life that often conflicts with risky sexual behaviours. Given the centrality of religion in the African social fabric, this study assesses the relationship between adolescent religiousness and involvement in risky sexual behaviours using data from the informal settlements of Nairobi. Guided by social control theory, the paper explores if and how religion and religiosity affect sexual risk-taking among adolescents.