Comparative assessment of overweight/obesity among rural and urban reproductive-age women in Ethiopia: Evidence from a cross-sectional 2016 national survey

2021 ◽  
pp. 026010602098234
Author(s):  
Gizachew Worku Dagnew ◽  
Melash Belachew Asresie
Keyword(s):  
Family Size ◽  
Health Problem ◽  
Rural Women ◽  
Alcohol Intake ◽  
Statistical Significance ◽  
Public Health Problem ◽  
Reproductive Age ◽  
P Value ◽  
Cross Sectional ◽  
Reproductive Age Women

Background: Overweight/obesity has become a global health problem for both developed and developing regions. Nowadays, overweight/obesity among childrearing-age women has become rapidly increasing in both urban and rural areas. Aim: This study aimed to assess the variation of overweight/obesity among urban and rural reproductive-age women in Ethiopia. Methods: For this study, the 2016 Ethiopia Demographic and Health Survey data were used. The survey was a community-based cross-sectional study, which used a two-stage stratified cluster sampling technique to select the participants. A total of 13,451 reproductive-age women were included in the analysis. Both descriptive and analytical analysis was performed. A p-value of less than 0.05 was used as the measure of statistical significance. Results: The prevalence of overweight/obesity among urban reproductive-age women was statistically higher ( p = 21.5%; 95% confidence interval (CI): 18.2–25.1) than the rural women ( p = 3.5%; 95% CI: 2.9%–4.2%). Women who attend secondary or above education, women in the age groups 25–34 and ≥ 35 years, and high wealth index (rich) had higher odds of overweight/obesity in both urban and rural women. Moreover, women who were married, who had a large family size, and who have a history of alcohol intake had higher odds of overweight/obesity among urban women. Conclusions: Overweight/obesity among reproductive-age women is a public health problem in Ethiopia, especially for women who are living in urban settings. Therefore, it is important to establish targeted overweight reduction programs with particular emphasis on urban, older aged, educated, and married women. Additionally, encouraging the limitation of the number of family size and alcohol intake can reduce women’s overweight/obesity.

scholarly journals PENGGUNAAN KONTRASEPSI HORMONAL DAN OBESITAS PADA WANITA USIA SUBUR DI INDONESIA: ANALISIS DATA IFLS 5 TAHUN 2014

2020 ◽  
Vol 10 (2) ◽  
pp. 101-110
Author(s):  
Yusri Kartika ◽  
Sudarto Ronoatmodjo
Keyword(s):  
Contraceptive Use ◽  
Cox Regression ◽  
Hormonal Contraception ◽  
Hormonal Contraceptive ◽  
Reproductive Age ◽  
Hormonal Contraceptives ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Reproductive Age Women

Abstract Background: Prevalence of obesity in adult females in Indonesia is 32,9% in 2013. Hormonal contraceptives (pills, injections and implants) are widely used by reproductive-age women in Indonesia, and the prevalence is 45%. Objective: The aim of this study is to identify whether reproductive-age women who use hormonal contraceptives are at risk of developing obesity compared to WUS who do not use hormonal contraceptives. Method: The design of this study is a cross sectional study using secondary data (5th Indonesia Family Life Survey, and the sample is reproductive-age women (15-49 years old) consisting of 6045 respondents. The variables of this study are obesity, hormonal contraceptive use, age, education, occupation, and duration of contraceptive use. Data were analysed by using Cox Regression. Result: The results of bivariate analysis showed that hormonal contaceptive use, age, education, occupation, and duration of contraceptive use were associated with obesity among reproductive-age womenand statistically significant (P-Value <0,05). Multivariate analysis showed that hormonal contraceptive use did not increase the risk of obesity among reproductive-age women in Indonesia (PR 0.939; CI 95% 0.869 - 1.013). Conclusion: The use of hormonal contraception did not increase the risk of obesity among reproductive-age women. Key words: Hormonal Contraception; Obesity; Reproductive Age-Women Abstrak Latar belakang : Prevalensi obesitas pada perempuan dewasa di Indonesia sebesar 32,9 persen pada tahun 2013. Kontrasepsi hormonal (pil, suntikan dan implan) merupakan jenis kontrasepsi yang paling banyak digunakan oleh wanita usia subur (WUS) di Indonesia, dengan prevalensi sebesar 45%. Tujuan : untuk mengetahui apakah wanita usia subur (WUS) yang menggunakan kontrasepsi hormonal berisiko mengalami obesitas dibandingkan WUS yang tidak menggunakan kontrasepsi hormonal.  Metode : Desain penelitian ini adalah studi cross- sectional dengan menggunakan data sekunder IFLS 5 tahun 2014. Sampel adalah WUS (15-49 tahun) sebanyak 6.045 responden. Variabel dalam penilitian ini adalah obesitas pada WUS, penggunaan kontrasepsi hormonal, umur, pendidikan, pekerjaan, serta lama penggunaan kontrasepsi. Analisis data yang digunakan adalah Cox Regression. Hasil : Hasil analisis bivariat menunjukkan bahwa variabel penggunaan kontrasepsi hormonal, umur, pendidikan dan status pekerjaan, serta  lama penggunaan kontrasepsi berhubungan dengan obesitas pada WUS (p-value <0,05). Analisis multivariat menunjukkan bahwa penggunaan kontrasepsi hormonal tidak meningkatkan risiko obesitas secara bermakna pada WUS di Indonesia (PR 0,939; CI 95% 0,869 – 1,013). Kesimpulan: Penggunaan kontrasepsi hormonal tidak meningkatkan risiko WUS untuk mengalami obesitas.   Kata kunci: Kontrasepsi Hormonal; Obesitas; Wanita Usia Subur

scholarly journals Prevalence of anaemia and its epidemiological correlates among women of reproductive age group in an urban slum of Mumbai

2017 ◽  
Vol 4 (8) ◽  
pp. 2841 ◽  
Author(s):  
Rushali R. Lilare ◽  
Durgesh Prasad Sahoo
Keyword(s):  
Economic Status ◽  
Age Groups ◽  
Public Health Problem ◽  
Urban Slum ◽  
Reproductive Age ◽  
P Value ◽  
Major Public Health Problem ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Rich Food

Background: Anaemia is a major public health problem affecting children, adolescent, women of reproductive age groups and lactating mothers worldwide. As per NFHS-IV data, prevalence of anaemia in India is 53%. This study was done to assess the prevalence of anaemia and its epidemiological correlates among women in reproductive age groups in an urban slum of Mumbai. Methods: This community based cross-sectional study was carried out in an urban slum in Mumbai. Total 315 women in the reproductive age groups (15-49 years) were enrolled in the study. Samples were selected by stratified random sampling from various sectors. All respondents were interviewed and haemoglobin estimation was done with Sahli’s method. Data was analysed using SPSS version 20.0 and chi-square test was used to find out the association between two qualitative variables. Results: The prevalence of mild, moderate and severe anaemia was 37.1%, 9.5% and 2.9% respectively. The factors associated with anaemia were education (p value=0.0001), socio-economic status (p value=0.001), consumption of iron rich food (p value=0.0001) and interval between two successive pregnancy in years (p value=0.0001). Conclusions: The findings of the present study revealed that education, socioeconomic status, consumption of iron rich food, interval between successive pregnancies affect the overall blood haemoglobin level on a long run. Community awareness regarding education and schooling of girls will help to increase the education level of women and would indirectly help to increase the health awareness and decrease the prevalence of anaemia. 

scholarly journals Utilization of Family Planning and Associated Factors among Reproductive Age Women with Disability in Arba Minch Town, Southern Ethiopia.

2019 ◽  
Author(s):  
Yibeltal Mesfin ◽  
Feleke Gebremeskel ◽  
Wubshet Estifanous ◽  
Yordanos Gizachew ◽  
Seid Jemal ◽  
...  
Keyword(s):  
Family Planning ◽  
Associated Factors ◽  
Reproductive Age ◽  
Southern Ethiopia ◽  
P Value ◽  
Significant Variable ◽  
Cross Sectional ◽  
Women With Disabilities ◽  
Reproductive Age Women ◽  
Women With Disability

Abstract Introduction globally, one type of contraceptive was used by around 63 percent of women. Women with disabilities account for 10 percent of all women and make up three-quarters of the disabled people in low and middle-income countries. Objective to assess utilization of family planning and associated factors among reproductive-age women with disability group in Arba Minch town, southern Ethiopia from 1st March to April 15, 2019. Methods community-based cross-sectional study with simple random sampling was used to select 4l8 reproductive age women with disabilities. Data were collected using a structured questionnaire and interview by eight trained females who completed grade twelve two of which communicate by speaking and sign language. Data were entered using Epi info 7 and exported to SPSS version 20 for analysis. A statically significant variable in the final model was declared by AOR, 95%CI and p-value <0.05. Result in the current study family planning utilization among all reproductive-age women with disabilities was 33.7%. Family planning utilization was 2.2 times higher among those who have employed compared with those with not employed (AOR2.2 95% CI, 1.77- 4.15). Women who had a positive attitude were 2.3 times more likely to use family planning than negative attitudes (AOR 2.3:95% CI, 1.21- 3.87). Besides these women who got married were almost four times more likely to use family planning methods than unmarried (AOR 3.9:95% CI, 2.31-6.63).Conclusion The level of family planning utilization was low among reproductive women with disabilities and factors associated were attitude, marital status, & employed status, therefore governmental and non-governmental organization should promote for women with disabilities to change the attitude and creating job opportunities.

scholarly journals Pregnancy Rate After Myomectomy and Associated Factors Among Reproductive Age Women Who Had Myomectomy at Saint Paul’s Hospital Millennium Medical College, Addis Ababa: Retrospective Cross-sectional Study.

2021 ◽  
Author(s):  
meseret olana jeldu ◽  
Tadios Mekonnen asress ◽  
temesgen tantu arusi ◽  
Muluken Gunta gutulo
Keyword(s):  
Pregnancy Rate ◽  
Associated Factors ◽  
Addis Ababa ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Reproductive Age Women

Abstract Introduction: Uterine myoma occurs in 20-50% of reproductive age women. Uterine myomas may be associated with 5-10% of cases of infertility, but it is the sole cause or factor in only 2-3% of all infertility cases. Myomectomy is surgery done to remove myoma regardless of the methods.Objective: to assess impact of myomectomy on pregnancy rate and associated factors among reproductive age women who had myomectomy at St. Paul’s Hospital Millennium Medical College, in Addis Ababa. Methodology: Hospital based retrospective cross-sectional study was conducted to determine pregnancy rate after myomectomy & its associated factors. Patients who had myomectomy in SPHMMC from September, 2012 to September, 2017 were enrolled. Information was retrieved from hospital records & phone interviews with the patients. The strength of statistical association was measured by adjusted odds ratios and 95% confidence intervals. Statistical significance was declared at p-value < 0.05. Result: Among 180 females participated in this study, 52.2% got pregnant after myomectomy. The result showed that females with age >35 years were 0.31 times less likely to get pregnant after surgery than those ages 20-25 years [AOR=0.31(95%CI: 0.29-0.54)]. People with no infertility before surgery were 1.19 times more likely to be pregnant after surgery than those with unexplained infertility before the surgery [AOR=1.19(95%CI: 1.06-1.57)]. People with two uterine incisions were 0.06 times less likely [AOR=0.06(95%CI: 0.043-0.51)] while those with three or more than three incisions were 0.02 times less likely [AOR=0.02(95%CI: 0.002-0.22)] to get pregnant compared with those with one incision on uterine wallConclusion: Age, number of incision and infertility before surgery were significantly associated with rate of pregnancy after myomectomy.

scholarly journals RISK FACTORS DETERMINANTS ANEMIA EVENTS IN ADOLESCENT PUSKESMAS IN KOTA SELATAN

2020 ◽  
Vol 8 (3) ◽  
pp. 194
Author(s):  
Endah Yulianingsih ◽  
Hasnawatty Surya Porouw
Keyword(s):  
Public Health ◽  
Adolescent Girls ◽  
Health Problem ◽  
Maternal Education ◽  
Public Health Problem ◽  
Dominant Factor ◽  
P Value ◽  
Global Public Health ◽  
Cross Sectional ◽  
Prevalence Of Anemia

Anemia is a global public health problem that needs special attention. Anemia in adolescent girls is a common problem, especially in developing countries (WHO, 2008). Anemia is a health problem that is most often found in countries both developed and developing, including Indonesia .. The prevalence of anemia in Indonesia is not so much with the global anemia prevalence rate is 21.7% where the prevalence of anemia has been entered into the category of public health problems was that it should receive special attention. Teenagers are particularly at risk age group the incidence of anemia due to nutritional needs particularly iron exceeds the needs of other age groups due to accelerated growth and increased physical activity. This study aims to determine the factors associated with the incidence of anemia among adolescent girls in Puskesmas Kota Selatan Kota Gorontalo. Type with a cross-sectional study using bivariate test by chi-square test and multivariate logistic regression test. This research instrument using a questionnaire. The results of this study indicate that there is a relationship between the age of menarche (p = 0.001), knowledge (p = 0.000), maternal education (p = 0.000), the pattern of menstruation (p = 0.000), BMI (p = 0.009), menstruation (p = 0.003). The most dominant factor to the incidence of anemia among adolescent girls in Puskesmas South City Gorontalo is a factor of knowledge with p value 0.001 exp B = 2.650 (CI 1.643 to 4770), which means that respondents who have a good knowledge will likely 2,

scholarly journals PERBEDAAN HUBUNGAN PENGETAHUAN TENTANG KANKER SERVIKS DENGAN KANKER SERVIKS FATALISM PADA WANITA USIA REPRODUKSI DAN PASCA REPRODUKSI

2016 ◽  
Vol 8 (02) ◽  
Author(s):  
Sri Wahyuni
Keyword(s):  
Cervical Cancer ◽  
Random Sampling ◽  
Pearson Correlation ◽  
Reproductive Age ◽  
P Value ◽  
Stratified Random Sampling ◽  
Cancer Fatalism ◽  
Cross Sectional ◽  
Reproductive Age Women ◽  
The Relationship

ABSTRAKLatar Belakang:  Kanker serviks adalah kanker ke dua terbanyak  pada wanita  di  dunia. Memprihatinkan  lagi penderita  datang  sudah  dalam stadium lanjut. Hal ini disebabkan  karena persepsi fatalism yang   tinggi dan  tingginya  fatalism  tersebut  karena  pengetahuan   tentang  kanker serviks yang kurang. Beberapa penelitian menyebutkan persepsi fatalism terbanyak dijumpai pada wanita tua. Tujuan: Untuk mengetahui perbedaan hubungan pengetahuan tentang kanker serviks dengan kanker serviks fatalism antara wanita usia reproduksi dan pasca reproduksi. Metode :      Jenis  penelitian  observasional  dengan  rancangan  cross sectional. Subyek penelitian adalah wanita usia usia reproduksi dan pasca reproduksi  di Kabupaten Klaten. Jumlah sampel pada penelitian ini sebanyak 207 wanita. Pengambilan sampel menggunakan teknik multistage stratified random sampling. Analisis data dengan summary mean, standar deviasi, distribusi frekwensi,  Independent t Test, Pearson Correlation dan regresi linier. Hasil:  Hasil  analisis  didapatkan  bahwa  terdapat hubungan  bermakna antara pengetahuan  kanker  serviks dengan  kanker  serviks  fatalism  pada usia pasca reproduksi dengan  nilai  r -0,68  dan  p value 0,000.  Secara  keseluruhan  terdapat hubungan  yang bermakna antara pengetahuan  tentang  kanker serviks dengan kanker  serviks   fatalism dengan nilai r = - 0,371 dan p value 0,000. Pendidikan terutama pendidikan rendah mempengaruhi kanker serviks fatalism. Kesimpulan :  1. Pengetahuan kanker  serviks  semakin  rendah  akan meningkatkan  kanker serviks fatalism, 2.Tidak bermakna hubungan tingkat pengetahuan dengan kanker serviks fatalism berdasarkan strata usia.Kata kunci: Pengetahuan, Usia, Kanker serviks fatalism.THE RELATIONSHIP DIFFERENCE BETWEEN KNOWLEDGE ABOUT CERVICAL CANCER AND CERVICAL CANCER FATALISM AMONG REPRODUCTION AND PASCA REPRODUCTION AGE WOMANABSTRACTBackground:  Cervical  cancer  is  the  second  most  common  cancer  in women worldwide. Unfortunately, most patients are detected in having this cancer when it is in an advanced stadium. This is due to a perception on high  level  of  fatalism  and  the  perception  is  caused  by  the  lack  of knowledge  about cervical  cancer.  Some studies  have reported  that the perception on fatalism is most found in elderly women. Objective: To study the relationship difference between knowledge about cervical cancer and cervical cancer fatalism among reproduction and pasca reproduction age woman. Method: This was a descriptive and analytic study with a cross-sectional study design  using quantitative  and qualitative  methods.  Subjects  were age  reproductive and post reproductive age women in Klaten District.  Samples  were  207  women selected with a technique of multistage stratified random sampling. Data were analyzed  with summary  mean,  standard  deviation,  frequency  and distribution, Independent t Test, and Pearson Correlation and linear regression. Results:  The  findings  revealed  that  there  was  a  relationship  in post reproductive age with the value of r = - 0,68 and p value 0,000. There are a relationship in generality with value of r = - 0,371 and p value 0,000. Howeever, education was related to cervical cancer fatalism. Conclusion :1. The lower  level  of knowledge  about  cervical  cancer  would increase  cervical  cancer  fatalism. 2. The relationship of knowledge about cervical cancer fatalism in post reproductive age women more significant than in reproductive age women.Keywords: Knowledge, cervical cancer fatalism, reproductive and post reproductive age women.

scholarly journals Correlation of Iodine content of mother’s milk and urine with their child’s TSH level

2015 ◽  
Vol 7 (1) ◽  
pp. 40-48 ◽  
Author(s):  
Shruti Singh ◽  
Madhab Lamsal ◽  
Nirmal Baral ◽  
Nisha Keshary Bhatta ◽  
Dhruba K Uprety
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Urinary Iodine ◽  
Public Health Problem ◽  
Iodine Content ◽  
Limited Attention ◽  
P Value ◽  
Cross Sectional ◽  
Mother's Milk ◽  
Mother’S Milk

Background: Iodine deficiency is still a significant public health problem. In the rural plains of Nepal, it remains a mild-to-moderate public health problem among pregnant and lactating women despite the availability of iodized salt. To date, only limited attention has been paid to breast-milk iodine content despite its importance in the intellectual development of infants.Objectives: (i) To determine iodine content in mother’s urine, mother’s milk and to measure their respective child’s TSH level. (ii) To correlate iodine content of mother’s urine with child’s TSH level and also mother’s milk content with child’s TSH level.Setting and Design: cross sectional study in human using consecutive sampling techniqueMaterials and Methods: Mother’s urinary and milk iodine level was measured by Ammonium Persulfate Digestion Microplate method using Sandell-Kolthoff reaction in a sealing cassette (Hitachi, Japan) and child’s TSH by ELISA commercial Kit from Eliscan (RFCL, India) based on classical sandwich technique.Statistical analysis used: Spearman’s correlation was performed in quantitative variables. A p-value less than 0.05 and 0.001 were considered statistically significant and highly significant respectivelyResults: The median mother’s urine was 174.96 µg/L(97.39-215.43)  and their respective median child TSH level was 3.86 mIU/L(2.66-4.80). Median mother’s milk iodine was 129.90 µg/L (94.14-165.94).There was significant negative correlation between mothers’ urinary iodine content and their child’s TSH (r2= -0.391, p = 0.005) and between mother’s urinary iodine and their child’s TSH (r2= -0.471, p = 0.001). There was positive correlation between mother’s milk iodine and mother urinary iodine but not statistically significant ((r2= 0.261, p = 0.067).Conclusion: Mothers urinary iodine, mother’s milk iodine and child TSH are interrelated with each other.Asian Journal of Medical Sciences Vol.7(1) 2015 40-48

scholarly journals Nutritional status and associated factors among high school adolescents in Debre Tabor Town, South Gondar Zone, Northcentral Ethiopia

BMC Nutrition ◽  
2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Melkamu Aderajew Zemene ◽  
Melaku Tadege Engidaw ◽  
Alemayehu Digssie Gebremariam ◽  
Desalegn Tesfa Asnakew ◽  
Sofonyas Abebaw Tiruneh
Keyword(s):  
High School ◽  
Nutritional Status ◽  
Associated Factors ◽  
Statistical Significance ◽  
Public Health Problem ◽  
P Value ◽  
Cross Sectional ◽  
Debre Tabor ◽  
The Government ◽  
South Gondar

Abstract Background Adolescents are among the nutritionally vulnerable group due to their nutritional demand for pubertal spurt. At this age, adequate nutrition, nutritional education, and counseling are very important to halt the consequence and its impact on this segment of the population. So, the aim of this study was to assess the prevalence and its associated factors of nutritional status among high school adolescents aged 10–19 years in Debre Tabor Town, South Gondar Zone, and North central Ethiopia. Methods A cross-sectional study was conducted from September to October 2017. A total of 349 high school adolescents were selected by using simple random sampling. Data were collected through face to face interview and physical measurement. The data were entered into Epi info version 7 software and then exported into SPSS version 20 software for further analysis. A p-value < 0.2 was used to select independent variables for multivariable logistic regression. A p-value ≤0.05 was used to declare the statistical significance. Also, odd ratios were calculated with a 95% of the confidence interval to check the existence of the association. Result A total of 327 adolescents participated in this study with the overall response rate of 93.69%. The magnitude of stunting and thinness was 15% (95% CI: 11, 19) and 4.9% (95% CI: 2.4, 7.4) respectively. Sex (AOR: 2.24, 95% CI: 1.15, 4.36), residency (AOR: 2.48, 95% CI: 1.28, 4.82), and family size (AOR: 3.41, 95% CI: 1.65, 7.05) were the associated factors for stunting. Residence (AOR: 3.67, 95% CI: 1.16, 11.56), and living away from the family (AOR: 4.37, 95% CI: 1.20, 15.95) were the associated factors for the development of thinness. Conclusion Stunting is a mild public health problem but not thinness. Sociodemographic variables were the determinant factors for the development of stunting and thinness. To halt this, integrated adolescent related school and nutrition services is very important with adequate and quality food access to adolescents. In addition to this the government shall have to increase the access of education.

scholarly journals Prevalence and associated factors of domestic violence against married rural women of Gurugram, Haryana

2019 ◽  
Vol 6 (9) ◽  
pp. 4116
Author(s):  
Shambhavi . ◽  
Balbir Singh Deswal ◽  
Shalini Ray ◽  
Manisha Singh
Keyword(s):  
Domestic Violence ◽  
Rural Women ◽  
Public Awareness ◽  
Urban Slum ◽  
Reproductive Age ◽  
P Value ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Life Years ◽  
Study Population

Background: The global health burden from domestic violence against women in reproductive age group is about 9.5 million disability adjusted life years (DALYs). Women suffering from violence have more chances of suffering from physical, emotional, and mental problems such as anxiety, depression and post-traumatic stress disorder. The objectives of the present study are to find the prevalence and awareness of domestic violence in an urban slum of Gurugram and to elicit associated risk factors and the reasons for tolerance of domestic violence.Methods: A community based, cross sectional study was conducted among married women (18-45 years) using a semi structured questionnaire in a rural area of Gurugram by systematic random sampling. Sample size collected was 900. Study population was enquired about the awareness regarding domestic violence, self-experience about domestic violence and about the form of violence experienced and the reasons for their tolerance. Data was entered and analyzed using Epi Info ver 7.Results: Total 980 subjects were enquired about their awareness and self-experience of domestic violence. Overall prevalence of domestic violence in the study population was 28%. Prevalence of domestic violence was statistically significantly associated with education, employment, duration of marriage (p value <0.05).The prevalence was highest of emotional violence (40.5%), followed by physical (33.4%), economic (21.4%) and sexual violence (4.7%).Conclusions: Public health professionals should emphasis on measures to raise public awareness so that women can talk freely about domestic violence and its consequences and help in mitigating this medico-social problem. 

scholarly journals Prevalence and associated factors of visual impairment among adults at Debre Berhan Town, North Shewa, Ethiopia.

2020 ◽  
Author(s):  
Natnael Lakachew Assefa ◽  
Addisu Admas ◽  
Nebiyat Adimasu
Keyword(s):  
Visual Acuity ◽  
Family History ◽  
Visual Impairment ◽  
Family Size ◽  
Associated Factors ◽  
Public Health Problem ◽  
P Value ◽  
Cross Sectional ◽  
Eye Trauma ◽  
Debre Berhan

Abstract Background: Visual impairment refers to presenting distance visual acuity worse than 6/18 in the worst eye. It remains a global challenge that greatly affects the mobility, social participation and the quality of life of the people. This study was aimed to determine the prevalence and associated factors of visual impairment among adults aged 18 years. Methods: A community-based cross-sectional study was conducted at Debre Berhan town. Systematic random sampling method was employed to select the study participants from adult’s aged ≥ 18 years. Data were collected by interview with a pre-tested semi structured questionnaire. Both anterior and posterior segment ocular examinations were done by Optometrists and Ophthalmologist. After all ocular examinations adult’s aged ≥ 18 years with presenting Visual acuity of < 6/18 in the worst eye were considered as visually impaired. Multivariate logistic regression was used to identify the determinant factors and p value less than 0.05 was considered as statistically significant. Results: A total of 416 participants were enrolled in the study with a 98.6% response rate. The prevalence of visual impairment among adults aged 18 years was 16.8% (95% CI: 13.5%-20.2%). Aged > 64 years (AOR=12.18, 95%CI: 4.47-33.20), illiterates AOR=3.02, 95% CI: 1.36-6.72), previous eye trauma (AOR=4.44, 95% CI: 1.64-12.04), family size > 5 (AOR: 4.44, 95% CI: 1.43-13.75) and family history of eye problem (AOR=7.02, 95% CI: 1.95-25.22) had statistically significant association with visual impairment.Conclusions: Prevalence of visual impairment among adults was found to be a significant public health problem. Older age, illiterates, previous eye trauma, large family size and family history eye problem were positively associated with visual impairment.

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