Socio-demographic and infrastructural variables influencing maternal risk concentration among ever-married women of reproductive age in rural West Bengal, India

IF 1.9 4区医学 Q3 HEALTH POLICY & SERVICES

International Journal of Health Planning and Management Pub Date : 2024-05-27 DOI:10.1002/hpm.3805

Alokananda Ghosh, Biswaranjan Mistri

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Abstract

Background

The risk of a woman dying as a result of pregnancy or childbirth during her lifetime is about one in six in the poorest parts of the world.

Objectives

The present study aims to determine prevalence of maternal risk and the influencing variables among ever-married women belonging to the reproductive age group (15–49) of Birbhum district, West Bengal.

Methods

A cohort-based retrospective cross-sectional study was carried out among the sample of 229 respondents through a purposive stratified random sampling method and a pre-designed semi-structured questionnaire. The ordinal logistic regression (OLR) model was taken as a tool of assessment. Before developing the proportional OLR model, we have checked the multicollinearity effect among the predictors and the first-order effect modifier was evaluated as well. We performed data analysis using SPSS version 26.

Results

The result shows that illiterate women (Odds ratios [OR] = 2.81, 95% CI, 0.277–1.791), from lower standard of living (OR = 1.14, 95% CI, −0.845–1.116), married before the age of 15 years (OR = 21.96, 95% CI, −0.55–6.73) and between the age of 15–18 years (OR = 24.51. 95% CI, −0.45–6.85) are more likely to be affected by the higher concentration of maternal risk. Other important predictor is the time of pregnancy registration. Considering the transport and related en-route causalities, the result portraying a clear picture where the distance and travel time becoming significant factors in determining the concentration of maternal risk.

Conclusion

Incidences of child marriages should be restricted. Eradicating factors influencing an individual's decision to seek care would be an essential contribution in excluding the dominant maternal risk factors.

查看原文本刊更多论文

影响印度西孟加拉邦农村地区已婚育龄妇女孕产风险集中度的社会人口和基础设施变量。

背景：在世界上最贫穷的地区，妇女一生中因怀孕或分娩而死亡的风险约为六分之一：本研究旨在确定西孟加拉邦比尔布姆地区育龄期（15-49 岁）已婚妇女的孕产风险发生率和影响变量：方法：通过有目的的分层随机抽样方法和预先设计的半结构化问卷，对 229 名受访者样本进行了基于队列的回顾性横断面研究。研究采用了序数逻辑回归（OLR）模型作为评估工具。在建立比例逻辑回归模型之前，我们检查了预测因子之间的多重共线性效应，并对一阶效应调节因子进行了评估。我们使用 SPSS 26.0 版进行了数据分析：结果显示，文盲妇女（Odds ratios [OR] = 2.81，95% CI，0.277-1.791）、生活水平较低的妇女（OR = 1.14，95% CI，-0.845-1.116）、15 岁前结婚的妇女（OR = 21.96，95% CI，-0.55-6.73）和 15-18 岁之间的妇女（OR = 24.51，95% CI，-0.45-6.85）更容易受到高浓度孕产风险的影响。另一个重要的预测因素是怀孕登记时间。考虑到交通和相关的途中伤亡，结果清楚地表明，距离和旅行时间成为决定孕产妇风险集中程度的重要因素：结论：应限制童婚的发生。结论：应限制童婚的发生，消除影响个人决定是否寻求护理的因素，将对排除主要的孕产妇风险因素做出重要贡献。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Health Planning and Management Multiple-

CiteScore

4.50

自引率

3.70%

发文量

197

期刊介绍： Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.