孟加拉国妇女保健决策自主权的决定因素:混合效应逻辑回归分析。

IF 2.4 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Rafsaniat Binte Mustafiz, Syed Sharaf Ahmed Chowdhury, Satyajit Kundu, Nurjahan Binte Munaf, Azaz Bin Sharif
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引用次数: 0

摘要

背景:观察到妇女保健决策自主权在改善孕产妇和儿童健康结局中发挥重要作用。然而,缺乏在孟加拉国背景下处理这一问题的研究。因此,本研究旨在估计孟加拉国妇女中医疗保健决策自主的患病率及其决定因素。方法:来自2017-18年孟加拉国人口与健康调查(BDHS)的18,890(加权)妇女医疗保健自主权数据。采用多水平(混合效应)逻辑回归模型探讨医疗保健自主性的决定因素。结果:医疗自主总体加权患病率为76.5% (95% CI: 75.85-77.06)。有医疗自主权的几率更高的女性属于25 - 34年(优势比:1.69,95% CI: 1.52—-1.87),和35-49年(优势比:1.89,95% CI: 1.65—-2.17),达到二级(优势比:1.31,95% CI: 1.14—-1.50),和高等教育(优势比:1.61,95% CI: 1.33—-1.94),有工作的人(优势比:1.37,95% CI: 1.26—-1.50),读报纸/杂志每周至少一次(优势比:1.45,95% CI: 1.13—-1.84),有1 - 2(优势比:1.91,95% CI: 1.67—-2.17),和3或更多(优势比:1.94,95% CI:1.65-2.27)活的儿童,最近3年内没有生育(aOR: 1.17, 95% CI: 1.06-1.29),以及来自城市地区(aOR: 1.43, 95% CI: 1.25-1.63)。结论:大约四分之一的妇女在医疗保健决策方面没有自主权。因此,有必要实施战略和政策,使妇女能够在其生活的保健方面获得能力和权力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Determinants of healthcare decision-making autonomy among Bangladeshi women: mixed-effect logistic regression analysis.

Background: Women's healthcare decision-making autonomy is observed to play a significant role in improving maternal and child health outcomes. However, there is a dearth of research that addressed this issue in the Bangladeshi context. Therefore, this study aimed to estimate the prevalence of healthcare decision-making autonomy and its determinants among Bangladeshi women.

Methods: Data on 18,890 (weighted) women's healthcare autonomy were driven from the Bangladesh Demographic and Health Survey (BDHS) 2017-18. A multilevel (mixed-effect) logistic regression model was applied to explore the determinants of healthcare autonomy.

Results: Overall weighted prevalence of healthcare autonomy was 76.5% (95% CI: 75.85-77.06). The odds of having healthcare autonomy were higher among women belonging to 25-34 years (aOR: 1.69, 95% CI: 1.52-1.87), and 35-49 years (aOR: 1.89, 95% CI: 1.65-2.17) age group, attaining secondary (aOR: 1.31, 95% CI: 1.14-1.50), and higher education (aOR: 1.61, 95% CI: 1.33-1.94), who were employed (aOR: 1.37, 95% CI: 1.26-1.50), who read newspaper/magazine at least once a week (aOR: 1.45, 95% CI: 1.13-1.84), having 1-2 (aOR: 1.91, 95% CI: 1.67-2.17), and 3 or more (aOR: 1.94, 95% CI: 1.65-2.27) living children, gave no birth in the last 3 years (aOR: 1.17, 95% CI: 1.06-1.29), and from urban areas (aOR: 1.43, 95% CI: 1.25-1.63).

Conclusion: Around one-quarter of the women were not autonomous regarding their healthcare decision-making. So, it is necessary to implement strategies and policies that can enable and empower women in the healthcare aspects of their lives.

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来源期刊
BMC Women's Health
BMC Women's Health OBSTETRICS & GYNECOLOGY-
CiteScore
3.40
自引率
4.00%
发文量
444
审稿时长
>12 weeks
期刊介绍: BMC Women''s Health is an open access, peer-reviewed journal that considers articles on all aspects of the health and wellbeing of adolescent girls and women, with a particular focus on the physical, mental, and emotional health of women in developed and developing nations. The journal welcomes submissions on women''s public health issues, health behaviours, breast cancer, gynecological diseases, mental health and health promotion.
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