scholarly journals Smoking Intensity and Associated Factors among Male Smokers in Ethiopia: Further Analysis of 2016 Ethiopian Demographic and Health Survey

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Simegnew Handebo ◽  
Setognal Birara ◽  
Ayenew Kassie ◽  
Adane Nigusie ◽  
Wallelign Aleminew
Keyword(s):  
Cigarette Smoking ◽  
Health Survey ◽  
Rural Areas ◽  
Associated Factors ◽  
Negative Binomial ◽  
Demographic And Health Survey ◽  
Eastern Ethiopia ◽  
Smoking Intensity ◽  
Drunk Alcohol ◽  
Selection Of

Background. Smoking invariably has health, social, economic, and environmental consequences in Ethiopia. Reducing and quitting cigarette smoking improves individual health and increases available household funds for food, education, and better economic productivity. Therefore, this study is aimed at assessing cigarette smoking intensity and associated factors among male smokers in Ethiopia. Methods. The data were extracted from the 2016 national cross-sectional Ethiopian Demographic and Health Survey. Our study used data from the standardized and adapted men’s questionnaire. The study included a total of 391 (weighted) smokers who at least smoked one manufactured cigarette per day. The data were collected using a two-stage cluster design which includes selection of enumeration areas and then selection of households. The number of manufactured cigarettes smokers smoked per day was used to measure smoking intensity. Descriptive statistics were used to summarize the study findings. Bivariable and multivariable truncated negative binomial Poisson regression models were employed to determine smoking intensity. Results. The finding showed that on average men smoked weighted nine cigarettes per day. One in every five of the smokers (21.2%) smoked 10 cigarettes per day. Smokers living in rural areas (IRR=0.43, 95% CI: 0.244, 0.756), currently married (IRR=0.64, 95% CI: 0.46, 0.91), formerly married (IRR=0.54, 95% CI: 0.30, 0.96), richer men (IRR=0.63, 95% CI: 0.43, 0.90), and richest men (IRR=0.49, 95% CI: 0.28, 0.87) were associated with lower smoking intensity. Smokers in the Somali (IRR=2.80, 95% CI: 1.29, 6.11), Harari (IRR=3.46, 95% CI: 1.14, 10.51), and Dire Dawa (IRR=3.09, 95% CI: 1.23, 7.80) regions; older age (IRR=1.77, 95% CI: 1.31, 2.40); affiliated with Protestant religion (IRR=1.81, 95% CI: 1.12, 2.92); poorer men (IRR=1.64, 95% CI: 1.19, 2.27); watched television (IRR=1.18, 95% CI: 1.04, 1.35); drunk alcohol (IRR=1.37, 95% CI: 1.03, 1.82); and completed primary (IRR=1.15, 95% CI: 1.01, 0.317) and higher education (IRR=2.96, 95% CI: 1.88, 4.67) were positively associated with smoking intensity. Conclusion. Male smokers in Ethiopia smoked intensively with an average of nine manufactured cigarettes per day. Tobacco control interventions should target the following: Eastern Ethiopia regions, older aged, affiliated with Protestant religion, poorer men, watched television, drunk alcohol, and primary and higher educational level.

scholarly journals Complementary feeding practices and associated factors among mothers of children aged 6-23 months in Ethiopia: Secondary data analysis of Ethiopian mini demographic and health survey 2019

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Sewunet Sako Shagaro ◽  
Be’emnet Tekabe Mulugeta ◽  
Temesgen Dileba Kale
Keyword(s):  
Nutrition Education ◽  
Health Survey ◽  
Motor Development ◽  
Rural Areas ◽  
Associated Factors ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Demographic And Health Survey ◽  
Feeding Practice ◽  
Related Factors

Abstract Background Optimal nutrition in early child’s life plays a vital role in improving mental and motor development, reduces the possibility of contracting various infectious diseases and related deaths, decreases the risk of obesity, and fosters better overall development. However, 45% of deaths in children under five years of age that occur globally is attributed to nutrition-related factors and the majority of these deaths occur in low-and middle-income countries. Therefore, this study aims to assess complementary feeding practices and associated factors among mothers of children aged 6–23 months in Ethiopia. Method The study used the Ethiopian mini demographic and health survey 2019 data. A two-stage stratified cluster sampling technique was used to select 1465 mothers of children aged 6–23 months in Ethiopia. Two-level multilevel mixed-effects logistic regression model analysis was computed, and variables with p-value of less than 5% and an adjusted odds ratio with a 95% confidence interval in the final model were reported as statistically significant factors with appropriate complementary feeding practice. Result The overall prevalence of appropriate complementary feeding practice among mothers of children aged 6–23 months was 9.76%. In our study, mothers who attended primary[AOR = 2.72; 95%CI: 1.47–5.01], secondary[AOR = 2.64; 95%CI: 1.18–5.92] and higher school[AOR = 5.39; 95%CI: 2.29–12.64], being from medium income household[AOR = 2.89; 95%CI: 1.41–5.92], attended 1–3 times ANC visits in index pregnancy[AOR = 0.41; 95%CI: 0.18–0.89], mothers who have 12–17 months[AOR = 1.96; 95%CI: 1.16–3.33] and 18–23 months old children[AOR = 2.61; 95%CI: 1.49–4.54], currently breastfeeding mothers[AOR = 3.69; 95%CI: 1.73–7.91], mothers from pastoralist contextual regions[AOR = 0.29; 95%CI: 0.09–0.91], and mothers who have resided in rural areas[AOR = 0.49; 95%CI: 0.25–0.97] were factors significantly associated with appropriate complementary feeding practice. Conclusion This study showed low prevalence of appropriate complementary feeding practice. Therefore, the concerned health authorities need to strengthen the existing approaches designed for provision of nutrition education particularly targeting mothers who are unschooled, who have 6–11 months old children, live in pastoralist regions and reside in rural parts of the country, and create strategies that improve maternal job opportunities.

scholarly journals AIDS awareness and associated factors among men in Bangladesh: evidence from Bangladesh Demographic and Health Survey 2007

Mediscope ◽  
2015 ◽  
Vol 1 (1) ◽  
pp. 1-13
Author(s):  
Md Shawkatuzzaman Laskar ◽  
Easin Ali Gazi ◽  
Banga Kamal Basu ◽  
Amin Farhana ◽  
Md Shakil
Keyword(s):  
Health Survey ◽  
Rural Areas ◽  
Associated Factors ◽  
Multivariate Logistic Regression Analysis ◽  
Demographic And Health Survey ◽  
Easy Access ◽  
Male Population ◽  
Single Sex ◽  
Aids Awareness ◽  
Married Men

Awareness is the key to prevention of acquired immunodeficiency syndrome (AIDS). It is important to identify associated factors and the aim of the present paper was to explore AIDS awareness among the country representative male population in Bangladesh along with identifying the associated factors. To assess the AIDS awareness among ever-married men in Bangladesh, this study used data extracted from the Bangladesh Demographic and Health Survey 2007. Of the 3771 ever-married men included in the study, most were Muslims (89.8%) and from rural areas (61.7%). Of the respondents, 85.9% had ever heard of AIDS. More than 70% of the respondents reported that a healthy looking person can have HIV, a person can get AIDS by using unsterilized needle or syringe and a person can get AIDS through unsafe blood transfusions, but always using condoms during sex and having single sex partner who has no other partner might reduce chances of getting AIDS. Multivariate logistic regression analysis revealed that AIDS awareness was strongly and positively associated with education of the respondents, varied significantly across different parts of the country. AIDS awareness was higher among urban residents than rural, and among them who had access to newspaper or magazine, television and radio than those who had not. AIDS awareness may be further increased providing easy access to education, mass-media, and promotion of condom use for prevention of AIDS in Bangladesh. DOI: http://dx.doi.org/10.3329/mediscope.v1i1.21630 Mediscope Vol. 1, No. 1: 2014, Pages 1-13

scholarly journals Prevalence of Underweight and Its Associated Factors among Reproductive Age Group Women in Ethiopia: Analysis of the 2016 Ethiopian Demographic and Health Survey Data

2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Ayelign Mengesha Kassie ◽  
Biruk Beletew Abate ◽  
Mesfin Wudu Kassaw ◽  
Teshome Gebremeskel Aragie
Keyword(s):  
Health Survey ◽  
Rural Areas ◽  
Associated Factors ◽  
Educational Status ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Age Group ◽  
Healthy Weight ◽  
Rural Dwellers ◽  
Reproductive Age Group

Background. Underweight is defined as being below the healthy weight range. Underweight in reproductive age group women not only affects women but also increases the risk of an intergenerational cycle of malnutrition and child mortality. Various factors are linked with underweight among women. However, studies on the prevalence of underweight and its associated factors among women are limited in Ethiopia. Hence, this study aimed to assess the prevalence of underweight and its associated factors among reproductive age group women in Ethiopia. Methods. For this study, data were drawn from the 2016 Ethiopian demographic and health survey (EDHS). From the total, 15,683 women participants of the 2016 EDHS; a subsample of 2,848 participants aged 15–49 years who had a complete response to all variables of interest were selected and utilized for analysis. Data were analyzed using SPSS version 20 software program. Pearson’s chi-squared test was used to assess the frequency distribution of underweight and is presented with different sociodemographic characteristics. Logistic regression models were applied for analysis. A two-sided p value of less than 0.05 was used to declare a statistically significant association between the independent variables and underweight among women. Results. The prevalence of underweight among reproductive age group women in Ethiopia was 17.6%. The majority, 78.3% of underweight women, were rural dwellers. The odds of being underweight was higher among the young aged women, among those residing in rural areas, in those with higher educational status, and in those who have one or more children. On the other hand, the odds of underweight among respondents living in Benishangul, SNNPR, and Addis Ababa were less compared to those living in Dire Dawa. Similarly, the odds of underweight among participants with a higher level of husband or partner educational status and among those who chew Khat were less compared to their counterparts. Conclusion. Underweight among reproductive age group women in Ethiopia is still a major public health problem, particularly among rural dwellers. Underweight was significantly associated with different sociodemographic variables. Hence, context-based awareness creation programs need to be designed on the prevention methods of underweight in Ethiopia, giving especial emphasis to those residing in rural areas.

scholarly journals Geographical variations and associated factors of defaulting from immunization among children aged 12 to 23 months in Ethiopia: using spatial and multilevel analysis of 2016 Ethiopian Demographic and Health Survey

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Mukemil Awol ◽  
Zewdie Aderaw Alemu ◽  
Nurilign Abebe Moges ◽  
Kemal Jemal
Keyword(s):  
Multilevel Analysis ◽  
Health Survey ◽  
Associated Factors ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Scan Statistics ◽  
Moran’S I ◽  
Moran's I ◽  
Depth Analysis ◽  
Global Moran’S I

Abstract Background In Ethiopia, despite the considerable improvement in immunization coverage, the burden of defaulting from immunization among children is still high with marked variation among regions. However, the geographical variation and contextual factors of defaulting from immunization were poorly understood. Hence, this study aimed to identify the spatial pattern and associated factors of defaulting from immunization. Methods An in-depth analysis of the 2016 Ethiopian Demographic and Health Survey (EDHS 2016) data was used. A total of 1638 children nested in 552 enumeration areas (EAs) were included in the analysis. Global Moran’s I statistic and Bernoulli purely spatial scan statistics were employed to identify geographical patterns and detect spatial clusters of defaulting immunization, respectively. Multilevel logistic regression models were fitted to identify factors associated with defaulting immunization. A p value < 0.05 was used to identify significantly associated factors with defaulting of child immunization. Results A spatial heterogeneity of defaulting from immunization was observed (Global Moran’s I = 0.386379, p value < 0.001), and four significant SaTScan clusters of areas with high defaulting from immunization were detected. The most likely primary SaTScan cluster was seen in the Somali region, and secondary clusters were detected in (Afar, South Nation Nationality of people (SNNP), Oromiya, Amhara, and Gambella) regions. In the final model of the multilevel analysis, individual and community level factors accounted for 56.4% of the variance in the odds of defaulting immunization. Children from mothers who had no formal education (AOR = 4.23; 95% CI: 117, 15.78), and children living in Afar, Oromiya, Somali, SNNP, Gambella, and Harari regions had higher odds of having defaulted immunization from community level. Conclusions A clustered pattern of areas with high default of immunization was observed in Ethiopia. Both the individual and community-level characteristics were statistically significant factors of defaulting immunization. Therefore, the Federal Ethiopian Ministry of Health should prioritize the areas with defaulting of immunization and consider the identified factors for immunization interventions.

scholarly journals Evidence from 2016 Ethiopian demographic and health survey data: association between post health education maternal knowledge and neonatal danger signs

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mesfin Wudu Kassaw ◽  
Ayele Mamo Abebe ◽  
Biruk Beletew Abate ◽  
Seteamlak Adane Masresha ◽  
Ayelign Mengesha Kassie ◽  
...  
Keyword(s):  
Health Education ◽  
Survey Data ◽  
Health Survey ◽  
Rural Areas ◽  
Maternal Education ◽  
Female Child ◽  
Demographic And Health Survey ◽  
Maternal Knowledge ◽  
Danger Signs ◽  
Health Survey Data

Abstract Background Globally, 4 million infants die in their first 4weeks of life every year; above 8 million infants died before their first year of birthday, and nearly 10 million children died before their 5th birthday. Majority of the deaths were occurred at home because of not receiving health care. In Ethiopia, 120,000 infants died during their first 4 weeks of life. The aim of this study was to assess maternal knowledge about neonatal danger signs and its associations after they had been thought by health professionals in Ethiopia. Methods This study used the 2016 Ethiopian Demographic and Health Survey data (EDHS) as a data source. The 2016 EDHS data were collected using a two stage sampling method. All the regions were stratified into urban and rural areas. The study sample taken from the 2016 EDHS data and used in this further analysis was 325. A logistic regression model was used to assess the associations with post health education maternal knowledge on neonatal danger signs. Results In this study, mothers who had poor knowledge about neonatal danger signs (NDS) were 69.8 % (227) (95 %CI (64.8, 74.8 %). In the final logistic model, wanted no more child ((AOR = 4.15), (95 %CI = 1.12, 15.41)), female child ((AOR = 0.58), (95 %CI = 0.34, 0.98)), primary level maternal education ((AOR = 0.42), (95 %CI = 0.19, 0.92)), secondary level maternal education ((AOR = 0.37), (95 %CI = 0.16, 0.91)), and average size of child ((AOR = 2.64), (95 %CI = 1.26, 5.53)), and small size child ((AOR = 4.53), (95 %CI = 1.52, 13.51)) associated with post health education maternal knowledge about NDS. Conclusion The mothers’ knowledge about NDS is poor even they were gave a birth in health facilities. Wanting of additional child, child sex, maternal education and size of child were associated with NDS knowledge. This indicates that the mode of health education provided for mother might not be appropriate and needs protocol changes.

scholarly journals Individual and contextual factors associated with barriers to accessing healthcare among women in Papua New Guinea: insights from a nationwide demographic and health survey

2020 ◽  
Author(s):  
Abdul-Aziz Seidu ◽  
Ebenezer Agbaglo ◽  
Louis Kobina Dadzie ◽  
Bright Opoku Ahinkorah ◽  
Edward Kwabena Ameyaw ◽  
...  
Keyword(s):  
Papua New Guinea ◽  
Health Survey ◽  
Rural Areas ◽  
Contextual Factors ◽  
Statistical Significance ◽  
New Guinea ◽  
Wealth Quintile ◽  
Demographic And Health Survey ◽  
Outcome Variable ◽  
Factors Associated

Abstract Background This study sought to assess the individual and contextual factors associated with barriers to accessing healthcare among women in Papua New Guinea. Methods The study was conducted among 14 653 women aged 15–49 y using data from the 2016–2018 Papua New Guinea Demographic and Health Survey. The outcome variable was barriers to accessing healthcare. Descriptive and multilevel logistic regression analyses were conducted. Statistical significance was declared at P &lt; 0.05. Results Women aged 15–19 y were more likely to experience at least one barrier compared with those aged 40–49 y (adjusted OR [AOR]=1.48; 95% CI 1.18 to 1.86). Women with secondary/higher education (AOR=0.68; 95% CI 0.57 to 0.81), women in the richest wealth quintile (AOR=0.36; 95% CI 0.28 to 0.46) and those in the least disadvantaged socioeconomic status (AOR=0.46; 95% CI 0.33 to 0.64) had lower odds of having challenges with at least one barrier to healthcare. However, living in rural areas increased the odds of facing at least one barrier to healthcare (AOR=1.87; 95% CI 1.27 to 2.77). Conclusions This study has demonstrated that both individual and contextual factors are associated with barriers to healthcare accessibility among women in Papua New Guinea. To enhance the achievement of the Sustainable Development Goals 3.1, 3.7 and 3.8, it is critical to deem these factors necessary and reinforce prevailing policies to tackle barriers to accessing healthcare among women in Papua New Guinea.

Safety Evaluation of Destination Lighting Treatment at Stop Controlled Cross-Intersections

2018 ◽  
Vol 2672 (16) ◽  
pp. 113-121 ◽  
Author(s):  
Amrita Goswamy ◽  
Shauna Hallmark ◽  
Theresa Litteral ◽  
Michael Pawlovich
Keyword(s):  
Rural Areas ◽  
Negative Binomial ◽  
Safety Evaluation ◽  
Negative Binomial Regression ◽  
State Agencies ◽  
Crash Frequency ◽  
Binomial Regression ◽  
Manual Selection ◽  
Roadway Lighting ◽  
Selection Of

Intersection crashes during nighttime hours may occur because of poor driver visual cognition of conflicting traffic or intersection presence. In rural areas, the only source of lighting is typically provided by vehicle headlights. Roadway lighting enhances driver recognition of intersection presence and visibility of signs and markings. Destination lighting provides some illumination for the intersection but is not intended to fully illuminate all approaches. Destination lighting has been widely used in Iowa but the effectiveness has not been well documented. This study, therefore, sought to evaluate the effect on safety of destination lighting at rural intersections. As part of an extensive data collection effort, locations with destination/street lighting were gathered with the assistance of several state agencies. After manual selection of a similar number of control intersections, propensity score matching using the caliper width technique was used to match 245 treatments with 245 control sites. Negative binomial regression was used to evaluate crash frequency data. The presence of destination lighting at stop-controlled cross-intersections generally reduced the night-to-day crash ratio by 19%. The presence of treatment or destination lighting was associated with a 33%–39% increase in daytime crashes across all models but was associated with an 18%–33% reduction in nighttime crashes. Injuries in nighttime crashes decreased by 24% and total nighttime crashes reduced by 33%. Property damage crashes were reduced by 18%.

scholarly journals Association Between Household Air Pollution and Infant and Child Mortality in Myanmar: Evidence From The First Demographic and Health Survey

2021 ◽  
Author(s):  
Juwel Rana ◽  
Md Nuruzzaman Khan ◽  
Rakibul M Islam ◽  
Razia Aliani ◽  
Youssef Oulhote
Keyword(s):  
Air Pollution ◽  
Child Mortality ◽  
Health Survey ◽  
Rural Areas ◽  
Demographic And Health Survey ◽  
Household Air Pollution ◽  
Cluster Sampling ◽  
High Exposure ◽  
Under Five ◽  
Under Five Children

Abstract Background: Household air pollution (HAP) from solid fuel use (SFU) for cooking has been considered a public health threat, particularly for women and children in low and middle-income countries (LMICs), with limited evidence. This study was undertaken to investigate the effects of HAP on neonatal, infant, and under-five child mortality in Myanmar. Methods: This cross-sectional study employed data from the Myanmar Demographic and Health Survey (MDHS), the first nationally representative survey conducted in 2016. Data were collected from MDHS based on stratified two-stage cluster sampling design applied in urban and rural areas. The sample consists of 3249 under-five children in the household with a 98% response rate. Exposure measures were HAP (coal and biomass) and level of exposure to HAP (no exposure, moderate and high exposure). The main outcomes were neonatal, infant, and under-five child mortality reported by mothers presented in rates and risk ratios with 95% confidence intervals, accounting for survey weight and cluster variation. Results: The prevalence of SFU was 79.0%. The neonatal, infant and under-five child mortality rates were 26, 45, and 49 per 1,000 live births, respectively. The risks of infant (aRR 2.02; 95% CI: 1.01-4.05) and under-five mortality (aRR 2.16; 95% CI: 1.07-4.36) mortality were higher among children from households with SFU compared to children from households using clean fuel. When applying an augmented measure of exposure to HAP by incorporating SFU and the kitchen's location, the likelihoods of infant and under-five mortality were even higher among moderate and highly exposed children than unexposed children with similar trends. Neonatal mortality was not associated with either HAP exposure or levels of exposure to HAP.Conclusion: Infants and under-five children are at higher risk of mortality from exposure to HAP. Increasing access to cookstoves and clean fuels is imperative to reduce the risk of infant and under-five child mortality in LMICs, including Myanmar.

scholarly journals Examining the Determinants of Contraceptive Use in Northern Nigeria

2020 ◽  
Author(s):  
Natasha M Aduloju-Ajijola ◽  
Omokhudu Idogho ◽  
Farouk Yusuf ◽  
Fatima Muhammed ◽  
Jennifer Anyanti
Keyword(s):  
Health Survey ◽  
Rural Areas ◽  
Contraceptive Use ◽  
Demographic And Health Survey ◽  
Modern Contraceptive ◽  
Northern Nigeria ◽  
Fertility Rates ◽  
Modern Contraceptive Method ◽  
Northern Regions ◽  
Radio Programs

Abstract Background: The Northern part of Nigeria, has higher rates of child marriage, lower levels of contraceptive use, lower rates of antenatal care, fewer births delivered in a health facility, and higher total fertility rates and adolescent fertility rates than Southern regions. The purpose of this study is to identify predictors of current and intentions to use contraception, among young women of Northern Nigeria. Methods: The data analyzed in this study are from 2018 Nigeria Demographic and Health Survey, part of the Demographic and Health Survey by USAID. Results: Participants (N = 10066) ranged in age from 15 to 24 (mean = 19, sd = 2.76) from the three northern regions of Nigeria, primarily lived in rural areas (68.7%, n = 7107). We found that, 83.3 percent of the sample had heard of modern contraceptive methods, though only 3.6 (n = 357.2) were currently using a modern contraceptive method, and 43.4 (n = 4286.4) intended to use them. Conclusion: The primary predictors of contraceptive use include literacy, wealth, educational levels, being the decision maker regarding contraceptives, age of first sex, wanting more children, and decisional autonomy in the home. Since the literacy is low, interventions should utilize pictures and radio programs, traditional and religious leaders, and incorporate men.

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