{"title":"孟加拉国年轻成年妇女婚后继续教育及其与利用专业产妇保健服务的关系。","authors":"Sihab Howlader, Md Aminur Rahman, Md Mosfequr Rahman","doi":"10.1371/journal.pone.0316117","DOIUrl":null,"url":null,"abstract":"<p><p>The relationship between women's education and the utilization of adequate maternal healthcare services has been well documented. However, the literature on how the continuation of women's post-marital education affects the utilization of maternal healthcare services is limited. Therefore, this study investigates such relationships. This study aims to examine the association between the continuation of education after marriage and the utilization of antenatal care (ANC) (≥ 4 ANC, a four-contact model; and ≥ 8 ANC, an eight-contact model) and delivery assistance received from skilled professionals among currently married young adult women in Bangladesh. This was a cross-sectional study of 1,731 young adult women aged 15-29 years from the Bangladesh Demographic and Health Survey, 2017-18. We adopted a multivariable logistic regression analysis to examine the relationships of interest. Results show that 60.9% of women received four or more professional ANCs, 15.5% received eight or more professional ANCs, and 69.9% received professional delivery care. Compared to young adult women who did not continue their education after marriage, women who continued were more likely to utilize ≥4 professional ANC (adjusted odds ratio [AOR] = 1.47; 95% confidence interval [CI] = 1.11-1.94), ≥8 professional ANC (AOR = 1.22; 95% CI = 1.01-1.74), and professional delivery care services (AOR = 1.78; 95% CI = 1.29-2.44). In addition, age at marriage, exposure to television, and the wealth index were also found to be associated with the utilization of professional maternal healthcare services. This finding implies that implementing policies and programs that encourage girls to continue their education after marriage could potentially increase the utilization of professional ANC and delivery care services in Bangladesh.</p>","PeriodicalId":20189,"journal":{"name":"PLoS ONE","volume":"19 12","pages":"e0316117"},"PeriodicalIF":2.6000,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11687904/pdf/","citationCount":"0","resultStr":"{\"title\":\"Continuation of education after marriage and its relationship with professional maternal healthcare utilization among young adult women in Bangladesh.\",\"authors\":\"Sihab Howlader, Md Aminur Rahman, Md Mosfequr Rahman\",\"doi\":\"10.1371/journal.pone.0316117\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The relationship between women's education and the utilization of adequate maternal healthcare services has been well documented. However, the literature on how the continuation of women's post-marital education affects the utilization of maternal healthcare services is limited. Therefore, this study investigates such relationships. This study aims to examine the association between the continuation of education after marriage and the utilization of antenatal care (ANC) (≥ 4 ANC, a four-contact model; and ≥ 8 ANC, an eight-contact model) and delivery assistance received from skilled professionals among currently married young adult women in Bangladesh. This was a cross-sectional study of 1,731 young adult women aged 15-29 years from the Bangladesh Demographic and Health Survey, 2017-18. We adopted a multivariable logistic regression analysis to examine the relationships of interest. Results show that 60.9% of women received four or more professional ANCs, 15.5% received eight or more professional ANCs, and 69.9% received professional delivery care. Compared to young adult women who did not continue their education after marriage, women who continued were more likely to utilize ≥4 professional ANC (adjusted odds ratio [AOR] = 1.47; 95% confidence interval [CI] = 1.11-1.94), ≥8 professional ANC (AOR = 1.22; 95% CI = 1.01-1.74), and professional delivery care services (AOR = 1.78; 95% CI = 1.29-2.44). In addition, age at marriage, exposure to television, and the wealth index were also found to be associated with the utilization of professional maternal healthcare services. This finding implies that implementing policies and programs that encourage girls to continue their education after marriage could potentially increase the utilization of professional ANC and delivery care services in Bangladesh.</p>\",\"PeriodicalId\":20189,\"journal\":{\"name\":\"PLoS ONE\",\"volume\":\"19 12\",\"pages\":\"e0316117\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2024-12-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11687904/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"PLoS ONE\",\"FirstCategoryId\":\"103\",\"ListUrlMain\":\"https://doi.org/10.1371/journal.pone.0316117\",\"RegionNum\":3,\"RegionCategory\":\"综合性期刊\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"MULTIDISCIPLINARY SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"PLoS ONE","FirstCategoryId":"103","ListUrlMain":"https://doi.org/10.1371/journal.pone.0316117","RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"MULTIDISCIPLINARY SCIENCES","Score":null,"Total":0}
引用次数: 0
摘要
妇女教育与充分利用产妇保健服务之间的关系已得到充分记录。然而,关于妇女继续接受婚后教育如何影响孕产妇保健服务利用的文献有限。因此,本研究对这种关系进行了研究。本研究旨在探讨婚后继续教育与产前保健(ANC)利用之间的关系(ANC≥4,一个四接触模型;以及≥8次ANC(8次接触模式),以及孟加拉国已婚年轻成年妇女从熟练专业人员那里获得的分娩援助。这是一项对2017-18年孟加拉国人口与健康调查中1731名15-29岁年轻成年女性的横断面研究。我们采用多变量逻辑回归分析来检验感兴趣的关系。结果:60.9%的妇女接受了4次及以上的专业人工流产,15.5%的妇女接受了8次及以上的专业人工流产,69.9%的妇女接受了专业的分娩护理。与结婚后没有继续接受教育的年轻成年女性相比,继续接受教育的女性更有可能使用≥4个专业ANC(调整后优势比[AOR] = 1.47;95%可信区间[CI] = 1.11-1.94),≥8个专业ANC (AOR = 1.22;95% CI = 1.01-1.74),专业分娩护理服务(AOR = 1.78;95% ci = 1.29-2.44)。此外,还发现结婚年龄、看电视时间和财富指数与利用专业产妇保健服务有关。这一发现表明,在孟加拉国实施鼓励女孩婚后继续接受教育的政策和方案,可能会增加专业ANC和分娩护理服务的使用率。
Continuation of education after marriage and its relationship with professional maternal healthcare utilization among young adult women in Bangladesh.
The relationship between women's education and the utilization of adequate maternal healthcare services has been well documented. However, the literature on how the continuation of women's post-marital education affects the utilization of maternal healthcare services is limited. Therefore, this study investigates such relationships. This study aims to examine the association between the continuation of education after marriage and the utilization of antenatal care (ANC) (≥ 4 ANC, a four-contact model; and ≥ 8 ANC, an eight-contact model) and delivery assistance received from skilled professionals among currently married young adult women in Bangladesh. This was a cross-sectional study of 1,731 young adult women aged 15-29 years from the Bangladesh Demographic and Health Survey, 2017-18. We adopted a multivariable logistic regression analysis to examine the relationships of interest. Results show that 60.9% of women received four or more professional ANCs, 15.5% received eight or more professional ANCs, and 69.9% received professional delivery care. Compared to young adult women who did not continue their education after marriage, women who continued were more likely to utilize ≥4 professional ANC (adjusted odds ratio [AOR] = 1.47; 95% confidence interval [CI] = 1.11-1.94), ≥8 professional ANC (AOR = 1.22; 95% CI = 1.01-1.74), and professional delivery care services (AOR = 1.78; 95% CI = 1.29-2.44). In addition, age at marriage, exposure to television, and the wealth index were also found to be associated with the utilization of professional maternal healthcare services. This finding implies that implementing policies and programs that encourage girls to continue their education after marriage could potentially increase the utilization of professional ANC and delivery care services in Bangladesh.
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