探索孕前保健和意外怀孕对罗辛亚妇女获得产前保健服务的影响:横断面调查的启示

IF 3.9 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Md Nuruzzaman Khan , Shimlin Jahan Khanam , Md Badsha Alam
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引用次数: 0

摘要

背景罗辛亚难民妇女对产前保健服务的利用率很低,这导致了很高的孕产妇死亡率和儿童死亡率。本研究旨在评估孟加拉国罗辛亚难民妇女产前保健服务的利用率以及孕前保健和怀孕意向对获得这些服务的影响。方法我们分析了 2023 年 4 月通过多阶段横断面调查收集的 708 名妇女的数据。结果变量为至少接受了一次产前保健服务,暴露变量为接受孕前保健服务和意外怀孕。我们使用多变量逻辑回归模型来确定孕前保健和意外怀孕对产前保健利用率的影响,并对潜在的协变量进行了调整。此外,约 68% 的妇女没有接受过任何孕前保健,近三分之一的孕妇在受孕时是意外怀孕。我们观察到,没有接受孕前保健或意外怀孕的妇女使用产前保健服务的可能性较低。如果妇女报告称在最近一次怀孕时没有使用孕前保健服务,同时还经历了错误时机怀孕(aOR,0.61,95 % CI:0.45-0.77)和意外怀孕(aOR,0.43,95 % CI:0.34-0.52),则负面影响会更加明显。这凸显了实施宣传计划以提高产前保健服务利用率的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the impact of preconception care and unintended pregnancy on access to antenatal healthcare services among Rohingya women: Insights from a cross-sectional survey

Background

The low utilization of antenatal healthcare services among Rohingya refugee women contributes to high maternal and child mortality rates. The objective of this study was to evaluate the prevalence of antenatal healthcare services utilization and the impacts of preconception care and pregnancy intention on accessing these services among Rohingya refugee women in Bangladesh.

Methods

We analyzed data from 708 women collected through a multistage cross-sectional survey conducted in April 2023. The outcome variable was the uptake of at least one antenatal healthcare services, while the exposure variables were preconception care uptake and unintended pregnancy. We used a multivariate logistic regression model to determine the effects of preconception care and unintended pregnancy on antenatal care utilization, adjusting for potential covariates.

Results

Approximately 47 % of women reported not accessing any antenatal healthcare services during their most recent pregnancy. Moreover, around 68 % of women did not receive any preconception care, and nearly one-third of pregnancies were unintended at conception. We observed lower likelihoods of antenatal care utilization among women without preconception care or with unintended pregnancy. The negative effects were even more pronounced when women reported no use of preconception care along with experiencing mistimed (aOR, 0.61, 95 % CI: 0.45–0.77) and unwanted (aOR, 0.43, 95 % CI: 0.34–0.52) pregnancy for their most recent pregnancy.

Conclusion

Maternal healthcare service utilization is alarmingly low among Rohingya refugees, with a significant lack of preconception care and a high prevalence of unintended pregnancies. This underscores the critical importance of implementing awareness-building programs to increase uptake of antenatal healthcare services.

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来源期刊
Journal of Migration and Health
Journal of Migration and Health Social Sciences-Sociology and Political Science
CiteScore
5.70
自引率
8.70%
发文量
65
审稿时长
153 days
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