Reproductive Health最新文献

{"title":"Parent-adolescent sexual and reproductive health information communication in Ghana.","authors":"Frank Bediako Agyei, Doreen K Kaura, Janet D Bell","doi":"10.1186/s12978-025-01961-y","DOIUrl":"10.1186/s12978-025-01961-y","url":null,"abstract":"<p><strong>Background: </strong>A culturally sensitive sexual and reproductive health (SRH) information communication intervention which is effective can improve SRH information communication (IC) between parents and their adolescents. This facilitates adolescents' informed SRH decisions to optimise positive SRH outcomes.</p><p><strong>Aim: </strong>The aim of this article was to integrate the findings from a systematic review and a qualitative study on sexual and reproductive health information communication and the considerations to make in adapting an effective parent-adolescent SRH information communication intervention from the systematic review findings.</p><p><strong>Methods: </strong>Explanatory sequential Mixed Methods Research was used; first, a quantitative Systematic Review was conducted in lower-and-middle-income countries, utilising Joanna Briggs Institute (JBI) software for reviews. The systematic review findings were then explained, utilizing an exploratory qualitative design in the second phase of the study. A purposive sample of ten parent-adolescent pairs was selected from Asante Akyem North Municipality of Ghana and all participants were interviewed individually. The sample was based on the demographics highlighted in the systematic review. A semi-structured interview guide was developed from the findings of the systematic review.</p><p><strong>Results: </strong>The results confirmed that effective SRH information communication interventions are associated with parent-adolescent SRH information communication skills. SRH communication is also influenced by the SRH information parents and adolescents have and the personal and social motivation to communicate the information. The method of intervention delivery, the experts involved, and the place of delivery were also identified as important issues to consider in adapting and implementing an intervention.</p><p><strong>Conclusion: </strong>The study has provided information on the components of a culturally sensitive SRH information communication intervention. The contextual information gathered, which explained the systematic review findings, will be helpful in the adaptation of SRH information communication intervention.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"25"},"PeriodicalIF":3.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proposed changes to framework to assess contraceptive autonomy based on phased in-depth interviews in northwest Tanzania.","authors":"Sheridan F Bowers, Valencia J Lambert, Aneth Nzali, Anna Samson, Nelusigwe Mwakisole, Hidaya Yahaya, Radhika Sundararajan, Samuel E Kalluvya, Agrey H Mwakisole, Jennifer A Downs","doi":"10.1186/s12978-025-01963-w","DOIUrl":"10.1186/s12978-025-01963-w","url":null,"abstract":"<p><strong>Background: </strong>Access to sexual and reproductive healthcare is internationally regarded as an essential human right. Use of modern contraception is typically selected as a key indicator of women's reproductive rights. However, there is a growing consensus that measuring rates of modern contraceptive use may not provide a full picture of women's reproductive autonomy. A novel framework to investigate contraceptive autonomy, which includes broader indicators to reflect knowledge, justice, and volition, has been recently proposed.</p><p><strong>Methods: </strong>We conducted in-depth interviews in three phases in eight rural communities in northwest Tanzania with users and non-users of contraceptives using open-ended questions derived from the proposed contraceptive autonomy framework. Trained female interviewers performed one-on-one interviews in Kiswahili to explore women's perspectives and knowledge about family planning (FP), decision-making, and experiences. Interviews were digitally recorded, transcribed verbatim, translated into English, and independently coded by two investigators.</p><p><strong>Results: </strong>A total of 72 women were interviewed. Women had a median age of 29.5 years [interquartile range, 24-38] and a median of 4 [2-5] children. Those using modern contraception (75%) had been doing so for 1.9 [0.75-4.0] years. In the informed choice domain of contraceptive autonomy, most women could correctly name at least 3 contraceptive methods and summarize benefits and side-effects; women described risks and some benefits of non-use. In the full choice domain, health facilities had multiple contraceptives, although some stockouts were noted. In the free choice domain, nearly all women reported being free to choose to use, discontinue, or refuse FP. Many also described strong external influences that affected their decision-making about FP that were not captured by the proposed contraceptive autonomy framework.</p><p><strong>Conclusions: </strong>Both users and non-users of FP in our study demonstrated many components of contraceptive autonomy. Their experiences have shaped our suggestions for ways to increase comprehensiveness in measuring contraceptive autonomy. These suggestions likely have broad applicability that extends beyond rural Tanzania to many other regions. Integrating assessment of external influences into evaluations of contraceptive autonomy will further expand global capacity to evaluate both access to, and autonomy about, contraceptive use as a fundamental human right.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"24"},"PeriodicalIF":3.6,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence, risk factors and interventions to prevent violence against adolescents and youths in Sub-Saharan Africa: a scoping review.","authors":"Ifeyinwa L Ezenwosu, Benjamin S C Uzochukwu","doi":"10.1186/s12978-024-01926-7","DOIUrl":"10.1186/s12978-024-01926-7","url":null,"abstract":"<p><strong>Background: </strong>Violence is a pervasive human rights issue with public health consequences affecting adolescents and young people. This review aimed to describe the scope of existing research on the prevalence of violence and risk factors as well as intervention programmes targeted at adolescents and youths in Sub-Saharan Africa.</p><p><strong>Method: </strong>An eleven-year search from 2014 to 2024 was conducted for peer-reviewed research articles, irrespective of their quality, on the prevalence of violence and risk factors as well as interventions on the types of violence against adolescents and youths in all SSA countries using PubMed, Google Scholar, Google search, African Index Medicus and direct searches of reference list of pertinent journal articles. Publications in English or translated to English were included. The methodological framework was described by Arksey and O'Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines was used to describe the review.</p><p><strong>Result: </strong>Hundred and three studies were identified across 33 out of the 46 Sub-Saharan African countries with the majority of articles emanating from Ethiopia. The prevalence studies consisted of 71 articles, sexual coercion was reported in 52 articles with a moderate number of studies focusing on physical or corporal punishment (21) and emotional violence (27). Also, the male gender was grossly understudied in the various forms of violence. The primary interventions on violence were categorized using the socio-ecological framework and the least implemented intervention based on peer-reviewed articles was at the policy level. The effectiveness of the interventions was reported in some studies while others noted no significant reduction in violence.</p><p><strong>Conclusion: </strong>The findings show there is a modest volume of peer-reviewed articles on prevalence of violence mostly in the dimension of sexual violence. Also, the interventions that addressed the policy level are limited and scale-up of focus on the level is imperative in SSA.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"23"},"PeriodicalIF":3.6,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compliance with iron-folate supplementation among pregnant women in Southern Ethiopia: a multi-center cross-sectional study.","authors":"Mirkat Taye, Temesgen Mohammed, Wondimagegn Taye, Mustefa Glagn, Manaye Yihune","doi":"10.1186/s12978-025-01944-z","DOIUrl":"10.1186/s12978-025-01944-z","url":null,"abstract":"<p><strong>Background: </strong>Iron-folate supplementation is a vital and economical approach to preventing iron deficiency anemia in pregnant women. The World Health Organization targets 70% compliance, while Ethiopia's 2030 National Nutrition Program-II aims for 50% of pregnant women receiving iron-folate for 90 days by 2023. Despite various initiatives, compliance in Ethiopia continues to be low. This study examined compliance with iron-folate supplementation and its influencing factors among pregnant women in Southern Ethiopia.</p><p><strong>Methods: </strong>A multi-center cross-sectional study was conducted among 604 systematically selected pregnant women from April 1 to 30, 2022, using structured interviewer-administered questionnaires. Data were collected via the open data kit application and analyzed in the SPSS version 25 software. Bivariable and multivariable analyses were used to identify factors associated with compliance. An odds ratio with a 95% confidence interval was used to assess the direction and strength of the association.</p><p><strong>Results: </strong>Iron-folate supplementation compliance was 47.7% [95% CI 43.71%, 51.68%]. Being an urban dweller [AOR: 2.8, 95% CI 1.70, 4.86], attending primary education [AOR: 2.0, 95% CI 1.13, 3.75], having secondary education or more [AOR: 5.3, 95% CI 2.83, 10.22], being multiparous [AOR: 1.9, 95% CI 1.05, 3.52], receiving home visits [AOR: 2.0, 95% CI 1.08, 3.83], receiving counseling on iron-folate [AOR: 2.5, 95% CI 1.30, 4.78], possessing good knowledge of iron-folate [AOR: 3.1, 95% CI 2.04, 4.72], and having a good understanding of anemia [AOR: 3.2, 95% CI 2.12, 4.88] were significantly associated with compliance.</p><p><strong>Conclusion: </strong>Iron-folate supplementation compliance among pregnant women in Southern Ethiopia is progressing towards the 2030 national nutrition program target, although it remains below World Health Organization recommendations. Therefore, it is crucial to strengthen home visits and counseling to enhance knowledge of Iron-folate and anemia, as well as ensure consistent intake of iron-folate.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"22"},"PeriodicalIF":3.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving the sexual health of couples with diabetes: study protocol of an action research study.","authors":"Fatemeh Zahra Meamar, Mansour Siavash Dastjerdi, Piman Salehi, Neda Ghahramannejad, Zahra Boromandfar","doi":"10.1186/s12978-025-01964-9","DOIUrl":"10.1186/s12978-025-01964-9","url":null,"abstract":"<p><strong>Background: </strong>One of the most serious problems that threatens the sexual health of couples is diabetes. Diabetes is a global public health crisis affecting more than 0.5 billion adults worldwide. Inefficiency in implementing family planning or childbearing, sexually transmitted infections and sexual disorders in these patients can lead to psychological problems such as feelings of inadequacy, despair, loss of self-esteem and psychological consequences. Action research has the dual purpose of action, to bring about change in society or an organization or program, and research to increase the understanding of the researcher or the people involved with the problem, or both, in the wider community. Therefore, this study was designed with the aim of improving the sexual health of couples with diabetes with an action research approach.</p><p><strong>Methods: </strong>This study will be done with an action research approach in four phases and several steps. In the first phase (planning), which includes 4 steps, during which the needs and challenges of sexual health of couples with diabetes are explained ([with a qualitative and quantitative approach), the literature review of databases, the explanation of suitable and practical solutions, the prioritization of strategy improve sexual health Diabetic couples and development of sexual health promotion program for diabetic couples and Identifying sexual function and sexual satisfaction before implementing the program [before action]will be done. In the second phase (action), the program resulting from the first phase will be implemented, and in the third and fourth phases, the program will be continuously observed and reflected in order to adjust and improve the program. Qualitative data analysis using conventional content analysis method, quantitative data analysis will be done with SPSS 27 statistical software.</p><p><strong>Conclusion: </strong>Since diabetes affects the sexual health and marital satisfaction of couples, and considering that providing sexual health is one of the duties of reproductive health practitioners, and considering that the study of strategic action research is accepted to change attitudes, behavior and performance in the system. It seems that the application of the technical action research method opens the field for the entry of a research team consisting of various relevant experts to implement the plan resulting from It is the participants' own needs and strategy open.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"21"},"PeriodicalIF":3.6,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11817054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptability of and experiences with menstrual hygiene cups among adolescent girls and young women aged 15-24 in two communities in Lusaka, Zambia: an exploratory study nested in the Yathu Yathu trial.","authors":"Melleh Gondwe, Melvin Simuyaba, Mwelwa Phiri, Chisanga Mwansa, Albertus Schaap, Lucheka Sigande, Kwame Shanaube, Sian Floyd, Sarah Fidler, Helen Ayles, Musonda Simwinga, Bernadette Hensen","doi":"10.1186/s12978-024-01901-2","DOIUrl":"10.1186/s12978-024-01901-2","url":null,"abstract":"<p><strong>Background: </strong>Menstrual cups could be a sustainable menstrual material for adolescent girls and young women (AGYW) in sub-Saharan Africa. Yathu Yathu was a cluster-randomized trial of community-based delivery of HIV and sexual and reproductive health services to young people in Lusaka, Zambia. Among services available through the intervention were menstrual products, including menstrual cups. We explored knowledge of menstruation and menstrual products, acceptability, and experiences of using cups among AGYW aged 15-24. We share lessons learned on how to distribute cups through community-based strategies to AGYW in urban communities.</p><p><strong>Methods: </strong>Through community-based, peer-led spaces (hubs), AGYW could access menstrual products, including pads and menstrual cups. We conducted four focus group discussions, two with AGYW aged 15-19 (n = 9) and 20-21 (n = 8) who had accessed different menstrual products through Yathu Yathu and two with AGYW aged 15-19 (n = 5) and 20-24 (n = 9) who had accessed menstrual cups. Four interviews were conducted with four AGYW (15-19, n = 2; 20-24, n = 2) who had accessed cups, and four with two AGYW who were enrolled in a qualitative cohort. Data were analyzed thematically.</p><p><strong>Results: </strong>'Surprise' and 'fear' were initial reactions from most AGYW who saw the cups for the first time at Yathu Yathu hubs. Misconceptions that cups cause cancer and fears that they could get stuck in the vagina, cause sore, vagina enlargement, and loss of virginity were raised by AGYW. The desire to try the cup, use an alternative menstrual product and information gained at the hubs facilitated access. Use of the cup was comfortable, and cups were said to be cost-effective and durable. Advantages over pads included: the absence of odor, easy to maintain, and environmentally friendly: \"it is hygienic, and it is even easy to maintain\". Challenges included pain, discomfort, and failure to or incorrectly inserting the cup at initial use. When faced with challenges using the cup, AGYW reported going back to the hub for additional information and demonstrations on use.</p><p><strong>Conclusion: </strong>Despite concerns, misconceptions and initial challenges, cups were acceptable among AGYW. Free distribution of cups provides an opportunity to address menstrual health challenges among AGYW. However, as a new product, there is need to increase awareness and provide detailed information on use.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"20"},"PeriodicalIF":3.6,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11800498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of social support and breastfeeding success on the self-efficacy levels of adolescent mothers during the postpartum period.","authors":"Veysel Can, Mehmet Bulduk, Emine Kurt Can, Nesrullah Ayşin","doi":"10.1186/s12978-025-01960-z","DOIUrl":"10.1186/s12978-025-01960-z","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to explore the relationship between social support, breastfeeding success, and breastfeeding self-efficacy levels in adolescent mothers, as well as the factors affecting breastfeeding self-efficacy.</p><p><strong>Methods: </strong>Following ethical approval, The Socio-Demographic Data Form, the Breast Milk and Breastfeeding Information Form, the Multidimensional Scale of Perceived Social Support (MSPSS), the Breastfeeding Self-Efficacy Short Form Scale (BFSES) and the LATCH Breastfeeding Diagnostic and Assessment Scale were used to collect data and the study was completed with 163 participants.</p><p><strong>Results: </strong>The rate of exclusive breastfeeding was found to be 41.1%. Mothers who exclusively breastfed their babies had higher scores on the MSPSS, LATCH, and BFSES scales. Additionally, breastfeeding self-efficacy levels were higher among mothers who initiated breastfeeding within 1 h after birth. The study also found positive correlations between social support, breastfeeding success, and breastfeeding self-efficacy.</p><p><strong>Conclusions: </strong>In conclusion, social support networks, including partners, mothers, and mothers-in-law, should be incorporated into breastfeeding training programs to help adolescent mothers leverage these resources effectively.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"19"},"PeriodicalIF":3.6,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11796182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Who is to blame for the 'problem' of teenage pregnancy? Narratives of blame in two South African communities.","authors":"Zoe Duby, Brittany Bunce, Chantal Fowler, Kate Bergh, Kim Jonas, Nevilene Slingers, Catherine Mathews, Fareed Abdullah","doi":"10.1186/s12978-025-01958-7","DOIUrl":"10.1186/s12978-025-01958-7","url":null,"abstract":"<p><strong>Background: </strong>The framing of teenage pregnancy in social discourse influences the way in which adolescent girls and young women (AGYW) are treated, the extent to which they are supported, and to which they are able to engage with services and enact pregnancy prevention behaviours.</p><p><strong>Methods: </strong>Through the analysis of data from a qualitative study conducted in the South African communities of Newcastle in KwaZulu-Natal and Moretele in the North-West province, we explored narratives of blame for teenage pregnancy. Data derived from seventy-one in-depth interviews conducted with forty AGYW aged between 15 and 24, twenty-four parents/caregivers of AGYW, five service providers, ten school educators, and two other community members. Interpretation of data drew upon blame, attribution and framing theories.</p><p><strong>Findings: </strong>The overall framing of teenage pregnancy was overwhelmingly negative, with participants labelling it immoral and 'wrong'. Findings were arranged into key thematic areas that emerged in the data relating to blame for teenage pregnancy: the individual centred 'wrong-girl' and developmental discourses, in which blame was apportioned to AGYW for being immature, reckless, irresponsible, disobedient and greedy; the 'wrong-family' discourse in which blame was attributed to parents of AGYW for poor parenting and failing to adequately care for the adolescents in their responsibility; the 'wrong-men' discourse in which blame was attributed to men for luring AGYW into transactional sex, and for perpetrating gender-based violence; and lastly the 'wrong-society' discourse which attributed blame to contextual/structural factors such as poverty, a high volume of unregulated drinking establishments, and a lack of youth-friendly services.</p><p><strong>Conclusions: </strong>Policies, interventions and programmes focusing on adolescents' sexual and reproductive health need to carefully consider the framing and narratives of blame and responsibility. There is an urgent need to shift away from the individualised moralistic shaming of pregnant AGYW, towards a recognition of a complex interplay of multilevel factors that enable or constrain AGYW's agency. Policies and programmes should focus on both providing sufficient support to AGYW, while also addressing structural factors and harmful narratives and thus create the conditions necessary to enable AGYW to enact safe, informed, agentic and responsible decisions and behaviours about their own sexual and reproductive health.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"18"},"PeriodicalIF":3.6,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11796155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Machine learning analysis of the relationships between traumatic childbirth experience with positive and negative fertility motivations in Iran in a community-based sample.","authors":"Mahdieh Arian, Talat Khadivzadeh, Mahla Shafeei, Sedigheh Abdollahpour","doi":"10.1186/s12978-025-01952-z","DOIUrl":"10.1186/s12978-025-01952-z","url":null,"abstract":"<p><strong>Background: </strong>Psychologically traumatic childbirth leads to short and long-term negative impacts on a woman's health and impacts future reproductive decisions. Considering the importance of fertility growth and strengthening positive fertility motivations in …, this community-based study was conducted to investigate the relationship between traumatic childbirth history and positive and negative fertility motivations.</p><p><strong>Methods: </strong>The present cross-sectional study was conducted on 900 women of reproductive age. Sampling lasted from March 21 to September 23, 2023, using multi-stage and convenient sampling from health-treatment centers in …. History of pregnancy and childbirth, DSM-A criterion, and Miller's questionnaire were used to collect data. For data analysis, Python software was used for machine learning and elastic net analysis was conducted in a nested cross-validation framework.</p><p><strong>Results: </strong>Of the 900 women participating in this study, 387 reported a history of traumatic birth and 513 reported no history of traumatic birth. The positive and negative fertility motivations have a significant relationship with the previous history of traumatic childbirth. Elastic network modeling predicts using RMSE, MAE and R-squared that religious beliefs, married duration, and women's education have the greatest increasing effect on positive fertility motivation. Drug addiction, traumatic childbirth, and abortion history have the greatest effect on increasing negative fertility motivation.</p><p><strong>Conclusions: </strong>Positive and negative fertility motivations are significantly affected by the history of traumatic childbirth. Therefore, in countries that want to grow their population, preventing traumatic childbirth and providing counseling interventions should be placed in the priorities of maternal care.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"16"},"PeriodicalIF":3.6,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11792226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individual, household, and community-level factors associated with high-risk fertility behaviour among Nigerian women: secondary analysis of the 2018 demographic and health survey data.","authors":"Michael Ekholuenetale, Chimezie Igwegbe Nzoputam, Amadou Barrow, Amit Arora","doi":"10.1186/s12978-025-01956-9","DOIUrl":"10.1186/s12978-025-01956-9","url":null,"abstract":"<p><strong>Background: </strong>High-risk fertility behaviour (HRFB) remains a significant public health concern in Nigeria, contributing to increase in maternal and child morbidity and mortality. The existence of HRFB presents significant barrier to accomplishing the Sustainable Development Goals. The objective of this study was to examine the prevalence and contextual factors of HRFB among Nigerian women.</p><p><strong>Methods: </strong>In this study, cross-sectional data with national representativeness from the 2018 Nigeria demographic and health survey (NDHS) were used. The sample was made up of 21,792 women aged 15-49 years selected from 1389 enumeration areas. A multilevel multivariable binary logistic regression model was utilised to examine the factors associated with HRFB.</p><p><strong>Results: </strong>The weighted prevalence of HRFB was 64% (95% CI 62-65%). Women having at least a secondary education had 14% (aOR = 0.86; 95% CI 0.77-0.98) reduction in the odds of HRFB when compared with women with at most a primary education. Muslim women had 20% (aOR = 1.20; 95% CI 1.06-1.36) increase in the odds of HRFB, when compared with the Christian women. Those who had 3-4 living children had 3.97 times higher odds of HRFB, when compared with women with no child (aOR = 3.97; 95% CI 2.92-5.40). Women aged 25-34 and 35-49 years had higher odds of HRFB when compared with women aged 15-24 years respectively. Women exposed to media use had 12% (aOR = 0.88; 95% CI 0.80-0.97) reduction in the odds of HRFB when compared with women not exposed to media use. The non-poor women had 12% (aOR = 0.88; 95% CI 0.79-0.99) reduction in the odds of HRFB when compared with poor women. Respondents from female-headed households had 21% reduction in the odds of HRFB when compared with those from households with male head (aOR = 0.79; 95% CI 0.69-0.92). The geographical region was significantly associated with HRFB among women.</p><p><strong>Conclusion: </strong>The high prevalence of HRFB among Nigerian women underscores the need for policies and programmes targeted to address the issue. Addressing socioeconomic factors, improving education and healthcare access, and promoting family planning could significantly reduce HRFB.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"17"},"PeriodicalIF":3.6,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11792367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}