埃塞俄比亚育龄妇女终止妊娠的患病率及其相关因素——基于2011年埃塞俄比亚人口和健康调查,2016年

Birhanu Jikamo Bago, D. T. Hibstu, Samuel Hailu Woldemariam
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引用次数: 7

摘要

背景:全世界每年因意外怀孕发生2000万例不安全堕胎,其中95%发生在发展中国家。埃塞俄比亚的产妇死亡人数在世界上排名第五,其中约三分之二的死亡是由于不安全堕胎造成的。本研究的目的是利用2011年埃塞俄比亚人口与健康调查确定埃塞俄比亚育龄妇女终止妊娠的流行率及其相关因素。方法:采用二级数据确定埃塞俄比亚育龄妇女终止妊娠的流行率及其相关因素。调查对象包括调查前5年终止妊娠的15-49岁年龄组妇女。使用Stata版本12对数据进行了清理、编码和分析。采用多重逻辑回归来确定与终止妊娠相关的因素。通过计算截断点15%处s系数的相对变化来研究混杂因素和相互作用效应的存在。结果:埃塞俄比亚育龄妇女终止妊娠率为9%。产妇接触介质(AOR=1.24, 95% CI: 1.06, 1.43)、妇女年龄(AOR=3.05, 95% CI: 2.36, 4.05)、不使用避孕措施(AOR=1.43, 95% CI: 1.22, 1.67)和丈夫职业状况(AOR=1.77, 95% CI: 1.29, 2.42)是与终止妊娠呈正相关的因素。结论:相当比例的妇女选择了终止妊娠。产妇接触大众媒体、避孕药具使用、妇女职业、婚姻状况、妇女年龄和丈夫职业是导致终止妊娠的主要因素。必须强调获得计划生育、大众媒体宣传、关于早婚后果的健康教育和创造就业机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Pregnancy Termination and Its Associated Factors Among Women of Reproductive Age Group in Ethiopia Using 2011 Ethiopian Demography and Health Survey, 2016
Background: Worldwide 20 million unsafe abortions took place each year as a result of unintended pregnancies, with 95% of these performed in developing countries. Ethiopia ranks fifth in the number of maternal deaths in the world and about two third of these deaths are due to unsafe abortions. The aim of this study was to determine the prevalence of pregnancy termination and associated factors among women of reproductive age group in Ethiopia using 2011 Ethiopian Demography and Health Survey. Methods: A secondary data was used to determine the prevalence of pregnancy termination and associated factors among women of reproductive age group in Ethiopia. Women in the age group of 15-49 years who had terminated pregnancy five years preceding the survey were included. The data were cleaned, coded and analyzed using Stata version 12. Multiple logistic regressions were used to identify factors associated with termination of pregnancy. Presence of confounders and interaction effects was investigated by computing relative changes on s coefficients at a cutoff point 15%. Results: The prevalence of termination of pregnancy was 9% among reproductive age group women in Ethiopia. Maternal media exposure (AOR=1.24, 95% CI: 1.06, 1.43), age of women (AOR=3.05, 95% CI: 2.36, 4.05), contraceptive non-user (AOR=1.43, 95% CI: 1.22, 1.67) and occupational status of the husband (AOR=1.77, 95% CI: 1.29, 2.42) were positively associated factors with termination of pregnancy. Conclusion: Considerable proportion of women practiced termination of pregnancy. Maternal mass media exposure, contraceptive use, women occupation, marital status, age of women and husband occupation were the main factors for pregnancy termination. Emphasis needs to be given on access to family planning, mass media exposure, health education on consequences of early marriage and creating job opportunities.
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