了解孟加拉国终止妊娠的风险因素和人口归因分数：来自孟加拉国人口和健康调查数据的见解（2014-2022）

IF 2.4 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Clinical Practice Pub Date : 2025-09-30 DOI:10.1155/ijcp/8867628

Sumaya Sultana, Khondokar Naymul Islam, Benojir Ahammed

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引用次数: 0

摘要

背景：终止妊娠对孟加拉国等低收入和中等收入国家的妇女构成了重大的公共卫生挑战，但对其趋势和风险因素的了解仍然有限。本研究旨在通过分析孟加拉国PT的相关风险因素和人口归因分数（paf）来解决这一差距。方法本研究分析了孟加拉国人口与健康调查（2014-2022年）的数据，采用一致的方法对育龄妇女进行了分析。使用逻辑回归模型和PAF来评估PT的危险因素并量化其贡献，使用5%的显著性水平。结果本研究共分析了46410份记录，其中2014年17,071份，2017 - 18年19,508份，2022年9831份。PT的总患病率为20.62%。2014年的具体年度比率为19.21%，2017-18年为20.21%，2022年为23.86%。在所有年份中，PT的重要危险因素包括母亲年龄≥20岁（AOR = 2.70, 95% CI: 2.39-3.04），有工作（AOR = 1.18, 95% CI: 1.12-1.23），超重/肥胖（AOR = 1.20, 95% CI: 1.14-1.26），有≥2个孩子（AOR = 1.32, 95% CI: 1.24-1.40），居住在城市地区（AOR = 1.09, 95% CI: 1.04-1.15），以及18岁前的第一次性行为（AOR = 1.10, 95% CI: 2.39-3.04）：PAF分析显示，母亲年龄（≥20岁）是影响PT风险的最重要因素，占PT风险的60.59%，其次是≥2个子女（18.59%）、超重/肥胖（8.82%）、18岁前首次性行为（6.76%）和就业状况（6.67%）。本研究确定了孟加拉国PT的关键危险因素，包括母亲年龄、工作状态、肥胖和18岁前的第一次性行为。为了减轻这些风险，有针对性的公共卫生干预措施、生殖健康教育和改善产前护理对于确保孟加拉国更好的产妇保健和减少PT患病率至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Understanding Risk Factors and Population Attributable Fractions for Ever-Terminated Pregnancy in Bangladesh: Insights From Bangladesh Demographic and Health Survey Data (2014–2022)

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Understanding Risk Factors and Population Attributable Fractions for Ever-Terminated Pregnancy in Bangladesh: Insights From Bangladesh Demographic and Health Survey Data (2014–2022)

Background

Pregnancy termination (PT) poses significant public health challenges for women in low- and middle-income countries such as Bangladesh, yet understanding its trends and risk factors remains limited. This study aims to address this gap by analyzing the associated risk factors and population attributable fractions (PAFs) for PT in Bangladesh.

Methods

This study analyzed data from Bangladesh Demographic and Health Surveys (2014–2022) using consistent methodologies among women of reproductive age. Logistic regression models and PAF were used to assess the risk factors for PT and quantify their contributions, using a 5% level of significance.

Results

A total of 46,410 records were analyzed in this study, comprising 17,071 from 2014, 19,508 from 2017 to 18, and 9831 from 2022. The overall prevalence of PT was 20.62%. Year-specific rates were 19.21% in 2014, 20.21% in 2017-18, and 23.86% in 2022. Across all years, significant risk factors for PT included a maternal age of ≥ 20 years (AOR = 2.70, 95% CI: 2.39–3.04), being employed (AOR = 1.18, 95% CI:1.12–1.23), and overweight/obese (AOR = 1.20, 95% CI: 1.14–1.26), having ≥ 2 children (AOR = 1.32, 95% CI: 1.24–1.40), residing in urban areas (AOR = 1.09, 95% CI: 1.04–1.15), and first sex before 18 years of age (AOR = 1.10, 95% CI: 1.04–1.17), all of which were associated with an increased risk of PT. PAF analysis highlighted maternal age (≥ 20 years) as the most influential factor, accounting for 60.59% of PT risk, followed by ≥ 2 children (18.59%), overweight/obese (8.82%), first sex before 18 years (6.76%), and employment status (6.67%).

Conclusions

This study identifies key risk factors for PT in Bangladesh, including maternal age, working status, obesity, and first sex before 18 years of age. To mitigate these risks, targeted public health interventions, reproductive health education, and improved prenatal care are essential to ensure better maternal health and reducing PT prevalence in Bangladesh.

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来源期刊

International Journal of Clinical Practice 医学-医学：内科

CiteScore

5.30

自引率

0.00%

发文量

274

审稿时长

3-8 weeks

期刊介绍： IJCP is a general medical journal. IJCP gives special priority to work that has international appeal. IJCP publishes: Editorials. IJCP Editorials are commissioned. [Peer reviewed at the editor''s discretion] Perspectives. Most IJCP Perspectives are commissioned. Example. [Peer reviewed at the editor''s discretion] Study design and interpretation. Example. [Always peer reviewed] Original data from clinical investigations. In particular: Primary research papers from RCTs, observational studies, epidemiological studies; pre-specified sub-analyses; pooled analyses. [Always peer reviewed] Meta-analyses. [Always peer reviewed] Systematic reviews. From October 2009, special priority will be given to systematic reviews. [Always peer reviewed] Non-systematic/narrative reviews. From October 2009, reviews that are not systematic will be considered only if they include a discrete Methods section that must explicitly describe the authors'' approach. Special priority will, however, be given to systematic reviews. [Always peer reviewed] ''How to…'' papers. Example. [Always peer reviewed] Consensus statements. [Always peer reviewed] Short reports. [Always peer reviewed] Letters. [Peer reviewed at the editor''s discretion] International scope IJCP publishes work from investigators globally. Around 30% of IJCP articles list an author from the UK. Around 30% of IJCP articles list an author from the USA or Canada. Around 45% of IJCP articles list an author from a European country that is not the UK. Around 15% of articles published in IJCP list an author from a country in the Asia-Pacific region.