scholarly journals Usage of Contraceptive and Birth Interval in Ethiopia: Systematic Review and Meta-analysis

2021 ◽  
Vol 7 (1) ◽  
pp. 7
Author(s):  
Abiyu Ayalew Assefa ◽  
Kaleab Tesfaye Tegegne ◽  
Eleni Tesfaye Tegegne ◽  
Mekibib Kassa Tessema ◽  
Andualem Zenebe ◽  
...  
BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037976
Author(s):  
Mesfin Wudu Kassaw ◽  
Ayele Mamo Abebe ◽  
Biruk Beletew Abate ◽  
Ayelign Mengesha Kassie ◽  
Murat Açık

IntroductionAccording to the UNICEF, WHO and World Bank joint estimation, 1 in every 13 children suffered from wasting globally. The highest burden of undernutrition recorded in Asia and Africa. Wasting remains a considerable public health problem in Ethiopia despite the introduction of exhaustive nutritional programmes. As reported in the literature, the prevalence of wasting in Ethiopia has remained high over the last four decades. In Ethiopia, more than one-third of child deaths are associated with malnutrition. The current nutritional interventions implemented in Ethiopia need to be evidence based. For this purpose, systematic review is preferable as it can present a more reliable and precise estimate than individual studies. The aim of this review is to assess the pooled prevalence of wasting and its association with birth interval in Ethiopia.MethodologyStudies published after 20 January 2012 will be retrieved from databases, mainly PubMed/Medline, Scopus, Embase, CINAHL and HINARI. The articles retrieved from databases will be selected after reading the title, abstract and full text. Three reviewers will independently assess the quality of each study using both the Joanna Briggs Institute and Ottawa Scale critical appraisal checklists. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist will be used to maintain scientific strength. Funnel plots, Egger’s test and Begg’s test will be used to deal with publication bias, and I2, forest plots and Cochrane’s Q square statistics will be used for heterogeneity. Potential causes of heterogeneity will be explored through sensitivity and subgroup analyses. Because heterogeneity among studies is inevitable, given the wide geographical area and variety of study designs, the Der-Simonian and Laird random-effects model will be used. The presence of a statistical association between birth interval and wasting will be declared if the p value is <0.05 with the 95% CI.Ethics and disseminationEthical issues will not be applicable to this review and meta-analysis. This review and meta-analysis will report the pooled prevalence of wasting and its association with birth interval in Ethiopia. Effort will be made to publish the findings in a peer-reviewed journal such as the Ethiopian Journal of Health and Development, and the findings will be presented at national conferences. A hard copy will also be sent to Woldia University and Debre Berhan University.


2020 ◽  
Author(s):  
Shikur Mohammed ◽  
Mahlet Abayneh ◽  
Delayehu Bekele ◽  
Grace Chan ◽  
Alemayehu Worku ◽  
...  

Abstract Background: World health organization recommends that women wait at least 2 years after a live birth to reduce the risk of adverse birth outcomes, like preterm birth, in the subsequent pregnancy. However, studies have reported inconsistent finding regarding short birth interval as risk factor for preterm birth. Therefore, the aim of this systematic review and meta-analysis is to summarize and estimate the pooled effect of short birth interval on preterm birth among pregnant women with previous live birth.Methods: The search strategy aimed to find both published and unpublished studies. The search was conducted from MEDLINE/PubMed, EMBASE, CINAHL, Web of science, MedNar, Google, Google scholar and African Journals online (AJOL). Observational studies which reported the association between short birth interval and preterm birth were included. The methodological quality of selected papers was assessed by two independent individuals prior to their inclusion in the review using standardized Joanna Briggs Institute (JBI) quality assessment tools. The analysis was done using RevMan software. A random effect meta-analysis was used to estimate the pooled effect with a 95% confidence interval. Forest plot was used to visualize the presence of heterogeneity. Funnel plot was used to check for publication bias.Results: From a total of 234 published and unpublished studies identified, 10 studies that were conducted from 2015 to 2019 in Sub-Saharan African countries were included in the analysis. The meta-analysis result showed that Short birth interval had significant effect on preterm birth. The odds of having preterm birth was 2.21 times higher (OR = 2.21, 95% CI = 1.53, 3.21) among pregnant women with short (less than 2 years) birth interval compared to their counter parts. The sub-group analysis showed that the case-control studies showed statistically significant association between short birth interval and preterm birth, but not the cohort studies.Conclusion: Based on our review findings we may recommend that health planner or clinical practitioners should counsel or educate women, considering the health and economic consequence of premature birth, to increase birth interval to at least two years.


2021 ◽  
Author(s):  
Yali Wei ◽  
Yan Meng ◽  
Na Li ◽  
Qian Wang ◽  
Liyong Chen

The purpose of the systematic review and meta-analysis was to determine if low-ratio n-6/n-3 long-chain polyunsaturated fatty acid (PUFA) supplementation affects serum inflammation markers based on current studies.


2020 ◽  
Vol 90 (5-6) ◽  
pp. 535-552 ◽  
Author(s):  
Mahdieh Abbasalizad Farhangi ◽  
Mahdi Vajdi

Abstract. Backgrounds: Central obesity, as a pivotal component of metabolic syndrome is associated with numerous co-morbidities. Dietary factors influence central obesity by increased inflammatory status. However, recent studies didn’t evaluate the association between central obesity and dietary inflammation index (DII®) that give score to dietary factors according to their inflammatory potential. In the current systematic review and meta-analysis, we summarized the studies that investigated the association between DII® with central obesity indices in the general populations. Methods: In a systematic search from PubMed, SCOPUS, Web of Sciences and Cochrane electronic databases, we collected relevant studies written in English and published until 30 October 2019. The population of included studies were apparently healthy subjects or individuals with obesity or obesity-related diseases. Observational studies that evaluated the association between DII® and indices of central obesity including WC or WHR were included. Results: Totally thirty-two studies were included; thirty studies were cross-sectional and two were cohort studies with 103071 participants. Meta-analysis of observational studies showed that higher DII® scores were associated with 1.81 cm increase in WC (Pooled weighted mean difference (WMD) = 1.813; CI: 0.785–2.841; p = 0.001). Also, a non-significant increase in the odds of having higher WC (OR = 1.162; CI: 0.95–1.43; p = 0.154) in the highest DII category was also observed. In subgroup analysis, the continent, dietary assessment tool and gender were the heterogeneity sources. Conclusion: The findings proposed that adherence to diets with high DII® scores was associated with increased WC. Further studies with interventional designs are necessary to elucidate the causality inference between DII® and central obesity indices.


2020 ◽  
Vol 146 (5) ◽  
pp. 411-450 ◽  
Author(s):  
Tobias Markfelder ◽  
Paul Pauli

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