基于 2019 年小型埃塞俄比亚人口健康调查的埃塞俄比亚孕妇产前保健就诊率不足及其决定因素:二手数据分析。

IF 2.8 2区 医学 Q1 OBSTETRICS & GYNECOLOGY
Asaye Alamneh Gebeyehu, Anteneh Mengist Dessie, Melkamu Aderajew Zemene, Rahel Mulatie Anteneh, Ermias Sisay Chanie, Natnael Kebede, Natnael Moges, Sintayehu Simie Tsega, Melaku Ashagrie Belete, Ermiyas Alemayehu, Denekew Tenaw Anley
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引用次数: 0

摘要

背景:产前保健(ANC)利用率不足是一个突出的公共卫生问题,会导致不良的妊娠结局。在埃塞俄比亚等产前检查覆盖率较高的发展中国家,许多孕妇无法在怀孕前三个月进行首次产前检查,也无法接受至少四次产前检查。因此,本研究旨在探讨埃塞俄比亚孕妇产前保健就诊率不足的严重程度,并确定其决定因素:产前检查就诊率不足的定义是在头三个月后开始接受产前检查,且就诊次数少于四次。研究使用了 2019 年小型人口与健康调查的二手数据。本研究纳入了 3927 名孕妇的加权样本。数据管理和进一步分析使用 STATA 14 软件进行。研究采用了多变量广义估计方程分析,以确定与产前保健就诊不足相关的决定因素。使用调整后的几率和 95% 的置信区间来确定产前检查次数不足的重要变量:结果:总体而言,78.5%的孕妇在怀孕期间没有参加适当的产前检查。在多变量广义估计方程分析中,年龄在 25 至 34 岁(AOR = 0.77,95% CI:0.61-0.95)、受教育程度(AOR = 0.31;95% CI:0.22-0.45)和富裕指数(AOR = 0.67,95% CI:0.51-0.88)的妇女较少出现产前检查次数不足的情况。而农村居民(AOR = 1.49;95% CI:1.08-2.07)、不看电视(AOR = 1.51;95% CI:1.1-2.06)、家中有较多家庭成员(AOR = 1.81;95% CI:1.11-2.95)和来自半边缘地区的妇女(AOR = 1.92;95% CI:1.42-2.59)与产前护理服务不足相关的几率较高:埃塞俄比亚孕妇产前保健服务不足的发生率仍然很高。这项研究发现了可能与产前检查次数不足正相关和负相关的重要变量。健康教育干预措施应以未受过教育、较贫穷和农村妇女为目标,让她们及早参加产前护理,并至少利用四次产前护理,以便及早发现怀孕和分娩期间的并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Inadequacy of antenatal care attendance and its determinants amongst pregnant women in Ethiopia based on the 2019 Mini-Ethiopian demographic health survey: secondary data analysis.

Background: Inadequacy of antenatal care (ANC) utilization is a prominent public health problem, causing poor pregnancy outcomes. In developing countries, including Ethiopia, having ANC coverage, many pregnant women do not achieve the first ANC visits in the first trimester and receive at least four ANC visits. Therefore, this study aimed to examine the magnitude and identify determinants of inadequacy of antenatal care attendance amongst pregnant women in Ethiopia.

Methods: Inadequate ANC attendance was defined as combining starting ANC visits after the first trimester and having fewer than four visits together. The study used secondary data from the 2019 mini-demographic and health survey. A weighted sample of 3927 pregnant women was included in this study. Data management and further analysis were performed using STATA 14 software. A multivariable generalized estimating equation analysis was used to identify determinants associated with inadequacy of antenatal care attendance. The Adjusted odds ratio with a 95% confidence interval was used to identify significant variables for inadequate antenatal care visits.

Result: Overall, 78.5% of pregnant women did not attend adequate antenatal care visits during pregnancy. In multivariable generalized estimating equation analysis, women aged 25 to 34 years (AOR = 0.77, 95% CI: 0.61-0.95), being educated (AOR = 0.31; 95% CI: 0.22-0.45), and being wealthier index (AOR = 0.67, 95% CI: 0.51-0.88) were less likely to inadequate antenatal care attendance. Whereas being rural residents (AOR = 1.49; 95% CI:1.08-2.07), no television exposure (AOR = 1.51; 95% CI:1.1-2.06), having more family members in the household (AOR = 1.81; 95% CI: 1.11-2.95), and women from semi-peripheral region (AOR = 1.92; 95% CI: 1.42-2.59) were higher odds of being associated with inadequacy of antenatal care attendance.

Conclusions: The prevalence of Inadequate antenatal care attendance amongst pregnant women in Ethiopia is still High. The study identifies significant variables that could be positively and negatively associated with inadequate antenatal care visits. Health education interventions should target uneducated, poorer, and rural women to attend early antenatal care and use at least four antenatal care utilization for early detection of complications during pregnancy and delivery.

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来源期刊
BMC Pregnancy and Childbirth
BMC Pregnancy and Childbirth OBSTETRICS & GYNECOLOGY-
CiteScore
4.90
自引率
6.50%
发文量
845
审稿时长
3-8 weeks
期刊介绍: BMC Pregnancy & Childbirth is an open access, peer-reviewed journal that considers articles on all aspects of pregnancy and childbirth. The journal welcomes submissions on the biomedical aspects of pregnancy, breastfeeding, labor, maternal health, maternity care, trends and sociological aspects of pregnancy and childbirth.
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