Deworming Coverage and its Predictors among Ethiopian Children Aged 24 to 59 Months: Further Analysis of EDHS 2016 Data Set

Intestinal parasitic infections are the major public health problem globally, mostly in developing countries. World Health Organization recommends deworming to all at-risk people living in endemic areas as a prevention or intervention strategy. Therefore this study aimed to assess the deworming coverage and its predictors among Ethiopian children aged 24-59 months. The study analyzed retrospectively cross-sectional data on a weighted sample of 5,948 children aged 24-59 months nested within 645 clusters after extracting from the Ethiopian Demographic health survey. Bivariable and multivariable logistic regression was employed to assess the association of variables. Predictors at p-value < 0.25 were entered into the multivariable logistic regression model, and statistical significance was declared at P-value < 0.05. In this study, the prevalence of maternal reported deworming supplements among children aged 24-59 months was 15.1%. Predictive variables significantly associated with deworming supplementation include maternal media exposure, maternal control of household healthcare decisions, institutional healthcare delivery, and child vitamin-A supplementation. Having history of a diarrheal disease, maternal and paternal education, and family size were also statistically significant predictors of deworming supplements. Therefore, deworming supplementation among children is low. Maternal education and employment, paternal education, family size, decision-making process, maternal media exposure, place of delivery, vitamin-A supplementation, and a having history of diarrhea were predictors of deworming supplements. Multifaceted interventions aimed at those predictors should be given emphasis.

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Geographical variation and associated factors of vitamin A supplementation among 6–59-month children in Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0261959 ◽

2021 ◽

Vol 16 (12) ◽

pp. e0261959

Author(s):

Girma Gilano ◽

Samuel Hailegebreal ◽

Binyam Tariku Seboka

Keyword(s):

Logistic Regression ◽

Spatial Distribution ◽

Vitamin A ◽

Addis Ababa ◽

Random Effect ◽

Media Exposure ◽

Null Model ◽

P Value ◽

Vitamin A Supplementation ◽

Place Of Delivery

Introduction Vitamin A has been one of the most important micronutrients which are necessary for the health of the children. In developing countries, the supplementation of vitamins under a regular schedule had different constraints. Awareness, access, and resource limitations were usually the problem. In the current study, we analyzed the data from the demographic health survey (EDHS) 2016 to uncover the spatial distribution, predictors, and to provide additional information for policymaking and interventions. Methods In this analysis, we applied intra-community correlation to measure the random effect; global Moran’s I to test the nature of variance in the null model; proportional change in variance to check the variance of null and neighborhood in subsequent models. We used STATA 15 for prediction; ArcGIS 10.7 for the spatial distribution of vitamin A supplementation; SaTscan 9.6.1 to specify location of clustering were the applied soft wares. After confirming that the traditional logistic regression cannot explore the variances, we applied multilevel logistic regression to examine predictors where p-value <0.25 was used to include variables into the model and p-value<0.05 was used to declare associations. We presented the result using means, standard deviations, numbers, and proportions or percent, and AOR with 95% CI. Result The vitamin A coverage was 4,029.22 (44.90%) in Ethiopia in 2016. The distribution followed some spatial geo-locations where Afar, Somali were severely affected (RR = 1.46, P-value < 0.001), some pockets of Addis Ababa (RR = 1.47, p-value <0.001), and the poor distribution also affected all other regions partially. Place of delivery 1.2(1–1.34), primary and secondary education 1.3 (1–1.6), media exposure 1.2(1.1–1.4), having work 1.4(1.2–1.5), and all visits of ANC were positively influenced the distribution. Conclusion The distribution of vitamin A coverage was not random as per the EDHS 2016 data. Regions like Afar, Somali, and some pocket areas in Addis inquires immediate interventions. Pastoralist, agrarian, and city administrations were all involved from severe to the lesser coverage in order. Since factors like Place of delivery, education, ANC, media exposure, and having work were showed positive associations, interventions considering awareness, access, and availability of service need more attention than ever.

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SUPLEMENTASI VITAMIN A PADA ANAK DIARE USIA 12– 59 BULAN

Journal of Holistic Nursing Science ◽

10.31603/nursing.v7i1.2977 ◽

2020 ◽

Vol 7 (1) ◽

pp. 46-53

Author(s):

Latifah Susilowati ◽

Masta Hutasoit

Keyword(s):

Vitamin A ◽

Health Workers ◽

Public Awareness ◽

World Health ◽

Morbidity Rate ◽

Case Group ◽

District Health ◽

Vitamin A Supplementation ◽

History Of ◽

Health Organization

Diarrhea is the leading cause of infant mortality in Indonesia. Data from the Bantul District Health Office showed that the diarrhea morbidity rate in 2015 was 4.57 per 1000 population. World Health Organization launched program to reduce morbidity and mortality due to pneumonia and diarrhea by recommending supplementation of vitamin A as an effort to maintain health since baby was born. The purpose of this study was to determine the correlation of vitamin A supplementation with the incidence of diarrhea in children aged 12 - 59 months in Kasihan 1 Public Health Center. This study was used case control design with a retrospective approach. The number of control and case group were 44 children of each. Researcher collected data of children aged 12 - 59 months who suffered diarrhea last 6 months then conducted a home visit to ask about the history of vitamin A supplementation in children. There was no statistically significant correlation between vitamin A supplementation and the incidence of diarrhea in children aged 12 - 59 months. Health workers especially nurses need to increase public awareness of vitamin A supplementation to children under five years old as a form of support for government program to prevent diarrhea.

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Risk Factors for Rubella Transmission in Kuyu District, Ethiopia, 2018: A Case-Control Study

Interdisciplinary Perspectives on Infectious Diseases ◽

10.1155/2019/4719636 ◽

2019 ◽

Vol 2019 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Abdulbari Abdulkadir ◽

Tsegaye Tewelde Gebrehiwot

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Vitamin A ◽

Family Size ◽

Case Control Study ◽

Case Control ◽

Housing Condition ◽

Living Room ◽

History Of ◽

Control Study

Background. Rubella is a vaccine-preventable disease associated with a significant morbidity and adverse pregnancy outcomes, mainly if acquired in the first trimester of pregnancy with serious consequences to the fetus. Despite increased episodes of rubella epidemics (127 outbreaks in 2009–2015), rubella national vaccination is not yet introduced in Ethiopia. In January 2018, an increase of fever and rash cases was reported in Kuyu District of Oromia. We investigated the outbreak to confirm rubella, determine risk factors, and guide interventions. Methods. We identified rubella cases from health centers and conducted a case-control study (1 case : 2 controls) with 150 participants, from March 12 to 15, 2018. Cases were people who presented with fever and rash or laboratory-confirmed cases. Controls were age matched (<15 yrs) with neighbors selected purposively. We interviewed parents by a structured questionnaire and observed the housing condition. Variables include sex, age, vaccination status, family size, contact history, housing condition, and travel history. Simple logistic regression was used to select the candidate variable at a P value <0.25. We identified risk factors at P<0.05 with AOR and 95% CI by multivariate logistic regression. Results. We identified 50 cases (with no death), and out of them, seven (14%) were confirmed cases (rubella IgM positive). The mean age of the cases was 6 ± 3 years and of the controls was 8 ± 4 years. Family size >5 (AOR = 2.4; 95% CI: 1.5–4.11), not well-ventilated living room (AOR = 4.7; 95% CI: 3.43–8.12), history of contact with rash people (AOR = 2.2; 95% CI: 1.6 3.5), no history of diarrhea in the last 14 days (AOR = 0.8; 95% CI: 0.6–0.9), and no history of vitamin A supplementation (AOR = 2.9; 95% CI: 1.7–2.6) were significant factors for rubella infection. Conclusions. We identified rubella outbreak in the rural area. Crowded living condition, large family size, not receiving vitamin A in the last 6 months, and contact with people with symptoms of rubella were factors that drove the outbreak, while not having diarrhea in the last 14 days was the protective factor. We recommended the introduction of rubella immunization national programs and advocated the policy on rubella vaccine and strengthening surveillance for congenital rubella syndrome and rubella.

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Assessment of Hospital Rooming-in Practice in Abu Dhabi, United Arab Emirates: A Cross-Sectional Multi-Center Study

Nutrients ◽

10.3390/nu12082318 ◽

2020 ◽

Vol 12 (8) ◽

pp. 2318

Author(s):

Zainab Taha ◽

Ahmed Ali Hassan ◽

Ludmilla Wikkeling-Scott ◽

Ruba Eltoum ◽

Dimitrios Papandreou

Keyword(s):

Logistic Regression ◽

Hospital Stay ◽

United Arab Emirates ◽

Gestational Age ◽

World Health ◽

Abu Dhabi ◽

Multivariable Logistic Regression Analysis ◽

Original Research ◽

Convenience Sample ◽

Multivariable Logistic Regression

The World Health Organization (WHO) recommends rooming-in to reduce infant mortality rates. Little research has been done to assess practices such as rooming-in and its relation to breastfeeding in the United Arab Emirates (UAE). The aim of this study was to examine the prevalence of rooming-in during hospital stay among mothers with infants six months old and below, in addition to other associated factors in Abu Dhabi, UAE. This study utilized a sub-sample extracted from a dataset based on a convenience sample of mothers who were recruited from governmental maternal and child health centers as well as from the community. The purpose of the original research was to evaluate infant and young children’s feeding practices. A pre-tested questionnaire was used during interviews with mothers once ethical clearance was in place. Multivariable logistic regression was conducted to describe the results. The original sample included 1822 participants, of which 804 infants met the inclusion criteria. The mean age for mothers and infants was 30.3 years and 3.5 months, respectively. The rate of rooming-in during hospital stay was 97.5%. Multivariable logistic regression analysis indicated factors associated with not rooming-in were low maternal age (Adjusted Odds Ratios (AOR) = 1.15, 95% confidence interval (CI): 1.03, 1.30), low gestational age (GA) (AOR = 1.90, 95% CI: 1.52, 2.36), abnormal pre-pregnancy body mass index (BMI) (AOR = 3.77, 95 % CI: 1.22, 11.76), and delayed initiation of breastfeeding (AOR = 4.47, 95 % CI: 1.08, 18.48). In the context of the high rate of rooming-in revealed in this study, there should be a focus on those groups who do not room-in (i.e., younger women and those with babies of a younger gestational age). Rooming-in practice provides self-confidence in taking care of a baby, knowledge about breastfeeding, and stimulates early-phase lactation.

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THE RELATIONSHIP OF VITAMIN A SUPPLEMENTATION, GIVING IMMUNIZATION, AND HISTORY OF INFECTION DISEASE WITH THE STUNTING OF CHILDREN AGED 24-59 MONTHS IN PUSKESMAS MULYOREJO, SURABAYA

Media Gizi Kesmas ◽

10.20473/mgk.v10i1.2021.72-79 ◽

2021 ◽

Vol 10 (1) ◽

pp. 72

Author(s):

Melvanda Gisela Putri ◽

Roedi Irawan ◽

Indri Safitri Mukono

Keyword(s):

Vitamin A ◽

Infectious Diseases ◽

Secondary Data ◽

Z Score ◽

Chi Square ◽

Cross Sectional ◽

Vitamin A Supplementation ◽

Chi Square Test ◽

History Of ◽

The Relationship

ABSTRAKLatar Belakang: Stunting merupakan suatu istilah yang menggambarkan kondisi pertumbuhan tinggi badan kurang berdasarkan umur disesuaikan dengan Z-Score (<-2SD). Stunting pada balita dapat diakibatkan oleh kurangnya asupan zat gizi yang diperlukan bagi pertumbuhan anak. Penelitian dilakukan untuk mengetahui hubungan suplementasi vitamin A, pemberian imunisasi dan riwayat penyakit infeksi yakni diare dan ISPA terhadap kejadian stunting.Tujuan: Mengetahui hubungan suplementasi vitamin A, pemberian imunisasi, dan penyakit infeksi terhadap stunting pada anak usia 24-59 bulan di Puskesmas Mulyorejo, Surabaya.Metode: Penelitian ini merupakan penelitian analitik observasional dengan metode cross sectional. Besar sampel adalah 107 anak usia 24-59 bulan di Puskesmas Mulyorejo, Surabaya. terdiri dari 25 anak kelompok stunting dan 82 anak kelompok non- stunting. Cara pengambilan data melalui data sekunder posyandu dan wawancara langsung orang tua anak dengan pengisian kuisioner. Data dianalisis menggunakan uji Chi-Square, Fisher Exact, dan Mann Whitney.Hasil: Penelitian ini menunjukkan hasil terdapat hubungan suplementasi vitamin A dengan stunting (p=0,000), tidak ada hubungan antara pemberian imunisasi terhadap stunting (p=0,332). Dalam riwayat penyakit infeksi, frekuensi diare dan ISPA ditemukan tidak ada hubungan dengan stunting (p=0,053 dan p=0,082), begitu pula pada lama diare dan lama ISPA tidak berhubungan dengan stunting (p= 0,614 dan p=0,918).Kesimpulan: Suplementasi vitamin A berhubungan signifikan dengan stunting yang diamati pada anak usia 24-59 bulan di Puskesmas Mulyorejo, Surabaya. Kata kunci: kejadian stunting, vitamin A, imunisasi, penyakit infeksi, anak usia 24-59 bulanABSTRACTBackground: Stunting is a term that describes condition of lower height-for-age Z-Score (<-2SD). Stunting among children can be caused by a lack of nutrients needed for children's growth. This study was conducted to determine the relationship between vitamin A supplementation, immunization and a history of infectious diseases, namely diarrhea and ARI to the incidence of stunting.Objectives: To determine the relationship between vitamin A supplementation, immunization, and history of infectious disease with the incidence of stunting in children aged 24-59 months at Puskesmas Mulyorejo, Surabaya.Methods: This study was an observational analytic study with cross sectional method. The sample size was 107 children aged 24-59 months at Puskesmas Mulyorejo, Surabaya. This study consisted of 25 children in the stunting group and 82 children in the non-stunting group. The method of data collection was through secondary data from posyandu and direct interviews with parents by filling out questionnaires. Data were analyzed using the chi-square test, fisher exact, and Mann Whitney.Results: The results of this study indicated that there was a relationship between vitamin A supplementation and with stunting (p = 0.000). There was no relationship between immunization and stunting (p = 0.332). In the history of infectious diseases, the frequency of diarrhea and ARI was found to have no relationship with stunting (p = 0.053 and p = 0.082), as well as the duration of diarrhea and duration of ARI there was no association with the stunting (p = 0.614 and p = 0.918).Conclusion: Vitamin A supplementation has significant relationship with stunting in children aged 24-59 months at Puskesmas Mulyorejo, Surabaya.

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Male Gender Increases the Risk of Liver Fibrosis in Patients with Thalassemia Major Independent of Iron Overload

Blood ◽

10.1182/blood.v128.22.3630.3630 ◽

2016 ◽

Vol 128 (22) ◽

pp. 3630-3630

Author(s):

Murtadha K. Al-Khabori ◽

Said Al Busaifi ◽

Al Ghaliya Al Omairi ◽

Moez Hassan ◽

Humoud Al Dhuhli ◽

...

Keyword(s):

Logistic Regression ◽

Liver Fibrosis ◽

Iron Overload ◽

Iron Concentration ◽

Thalassemia Major ◽

Male Gender ◽

Ultrasound Elastography ◽

P Value ◽

Positive Serology ◽

Multivariable Logistic Regression

Abstract Introduction and Objectives: Iron overload in patients with Thalassemia Major (TM) leads to various complications including liver fibrosis. The independent impact of gender on this risk has been previously investigated but not yet confirmed. We, therefore, planned to assess the independent impact of gender in patients with TM on the risk of liver fibrosis. Methods: We included 96 patients with TM followed and transfused in one academic tertiary hospital. Patients underwent assessment of liver fibrosis using ultrasound elastography (FibroScan device) with a cut off value of 7.8 kPa. The mean ferritin in the 5 years prior to elastography assessment was used to represent iron overload. Association was tested using Chi-squared and the independent impact of gender was confirmed in the multivariable logistic regression with a model that included mean ferritin and gender. Results: The median age of the 96 included patients was 26 years (Interquartile range [IQR]: 22-30). Males constituted 45% of patients and 33% of patients were splenectomised. The median alanine transaminase, aspartate transaminase, albumin and total bilirubin were 30 U/L (IQR: 18-64), 30 U/L (IQR: 18-46), 46 g/L (IQR: 44-48) and 21 µmol/L (IQR: 14-32) respectively. The median ferritin and liver iron concentration assessed by MRI T2* were 1293 µg/L (IQR: 753-2715) and 6.7 mg/gdw (IQR: 3.5-16.1) respectively. Thirty seven percent of patients had positive serology for HCV while 1% of patients had positive serology for HBV. The proportion of patients with fibrosis as assessed by elastography was 59%. The proportion of male patients with fibrosis was 70% compared to 51% in female patients with a trend towards statistical significance (odds ratio [OR] of 2.2 with a p value of 0.094). In the multivariable logistic regression model, both gender (OR of 3.0, P value of 0.0188) and ferritin (OR of 1.0004, p value of 0.0036) were statistically significant independent predictors of liver fibrosis. Conclusion: Male gender increases the risk of liver fibrosis independent from iron overload. Our study confirms the previously suspected but unproven association. Follow up and therapy may be tailored to include gender as a decision factor. Larger studies are needed to further confirm these results. Disclosures No relevant conflicts of interest to declare.

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Pregnancy Induced Hypertension and Associated Factors among Women Attending Delivery Service at Mizan-Tepi University Teaching Hospital, Tepi General Hospital and Gebretsadik Shawo Hospital, Southwest, Ethiopia

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v29i1.4 ◽

1970 ◽

Vol 29 (1) ◽

Author(s):

Tesfaye Abera Gudeta ◽

Tilahun Mekonnen Regassa

Keyword(s):

Logistic Regression ◽

Family History ◽

Associated Factors ◽

Kidney Diseases ◽

University Teaching ◽

P Value ◽

Pregnancy Induced Hypertension ◽

Delivery Service ◽

Induced Hypertension ◽

History Of

BACKGROUND: Disorders of pregnancy induced hypertensive are a major health problem in the obstetric population as they are one of the leading causes of maternal and perinatal morbidity and mortality. The World Health Organization estimates that at least one woman dies every seven minutes from complications of hypertensive disorders of pregnancy. The objective of this study is to assess pregnancy induced hypertension and its associated factors among women attending delivery service at Mizan-Tepi University Teaching Hospital, Gebretsadikshawo Hospital and Tepi General Hospital.METHODS: A health facility based cross-sectional study was carried out from October 01 to November 30/2016. The total sample size (422) was proportionally allocated to the three hospitals. Systematic sampling technique was used to select study participants. Variables with p-value of less than 0.25 in binary logistic regression were entered into the multivariable logistic regression to control cofounding. Odds ratio with 95% confidence interval was used. P-value less than 0.05 was considered as statistically significant.RESULTS: The prevalence of pregnancy induced hypertension was 33(7.9%); of which 5(15.2%) were gestational hypertension, 12 (36.4%) were mild preeclampsia, 15(45.5%) were severe preeclampsia and 1 (3%) eclampsia. Positive family history of pregnancy induced hypertension [AOR5.25 (1.39-19.86)], kidney diseases (AOR 3.32(1.04-10.58)), having asthma [AOR 37.95(1.41-1021)] and gestational age (AOR 0.096(0.04-.23)) were predictors of pregnancy induced hypertension.CONCLUSION: The prevalence of pregnancy induced hypertension among women attending delivery service was 7.9%. Having family history of pregnancy induced hypertension, chronic kidney diseases and gestational age were predictors of pregnancy induced hypertension.

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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU PENCEGAHAN PENULARAN HUMAN IMMUNODEFICIENCY VIRUS (HIV) OLEH IBU RUMAH TANGGA DI NGANJUK, JAWA TIMUR

Jurnal Kesehatan Reproduksi ◽

10.22435/kespro.v10i2.2085 ◽

2020 ◽

Vol 10 (2) ◽

pp. 89-99

Author(s):

Chahya Kharin Herbawani ◽

Dadan Erwandi

Keyword(s):

Logistic Regression ◽

Hiv Prevention ◽

Aids Prevention ◽

P Value ◽

Cumulative Number ◽

Multiple Logistic Regression ◽

Cross Sectional ◽

Prevention Behavior ◽

History Of ◽

Hiv Aids

Abstract Background: HIV/AIDS reports show an increasing number of AIDS cases and the cumulative number of AIDS among housewives at first rank. Objective: to determine factors related to HIV/AIDS prevention efforts for housewives in the Bagor Health Center area. Method: Quantitative research with cross-sectional design. Independent variable; age; education; family income; age at first sexual intercourse; knowledge of HIV/AIDS; risk perception; husband's work; history of VCT; access to condoms and information about HIV/AIDS. The dependent variable is HIV/AIDS prevention efforts. Total respondent were 150 housewives, data collection using a questionnaire that was adopted/modified from the Integrated Biological and Behavioral Surveillance questionnaire (STBP) 2011. Multivariate data analysis with multiple logistic regression Results: Factors related to HIV/AIDS prevention efforts in housewives were a history of VCT (p=0.028) and exposure to information about HIV/AIDS (p=0.014). History of VCT is the most influencing factor in HIV/AIDS prevention efforts in housewives (p value=0.040; OR=3.79 95% CI=1.06-13.537). Housewives who have done VCT are 3.79 times more likely to make HIV/AIDS prevention efforts than those who did not. Conclusion: Providing education and VCT testing can provide better HIV prevention behavior for housewives. Historical factors of VCT and information exposure play a role in HIV prevention behavior in housewives Key words: HIV/AIDS, reproductive health, VCT Abstrak Latar belakang: Laporan HIV/AIDS menunjukkan peningkatan jumlah kasus AIDS dan jumlah kumulatif AIDS pada ibu rumah tangga yang menempati urutan pertama Tujuan: mengetahui faktor-faktor yang berhubungan dengan upaya pencegahan HIV/AIDS pada ibu rumah tangga di wilayah Puskesmas Bagor. Metode: Penelitian kuantitatif dengan desain cross-sectional. Variabel independen; umur; pendidikan; penghasilan keluarga; umur pertama kali berhubungan seksual; pengetahuan HIV/AIDS; persepsi berisiko; pekerjaan suami; riwayat VCT; akses terhadap kondom dan keterpaparan informasi tentang HIV/AIDS. Variabel dependen adalah upaya pencegahan HIV/AIDS. Responden berjumlah 150 ibu rumah tangga, Pengumpulan data menggunakan kuesioner yang diadopsi/dimodifikasi dari kuesioner Surveilans Terpadu Biologis dan Perilaku (STBP) Tahun 2011. Analisis data multivariate dengan multiple logistic regression Hasil: Faktor yang berhubungan dengan upaya pencegahan HIV/AIDS pada ibu rumah tangga adalah riwayat VCT (p=0,028) dan keterpaparan informasi tentang HIV/AIDS (p=0,014). Riwayat VCT merupakan faktor paling mempengaruhi upaya pencegahan HIV/AIDS pada ibu rumah tangga (p value=0,040; OR=3,79 95% CI=1,06-13,537). Ibu rumah tangga yang telah melakukan VCT 3,79 kali lebih cenderung untuk melakukan upaya pencegahan HIV/AIDS baik dibandingkan yang tidak melakukan VCT. Kesimpulan: Pemberian edukasi dan pemeriksaan VCT dapat memberikan perilaku pencegahan HIV yang lebih baik pada ibu rumah tangga. Faktor riwayat VCT dan keterpaparan informasi berperan dalam perilaku pencegahan HIV pada ibu rumah tangga. Kata kunci: HIV/AIDS, kesehatan reproduksi, VCT

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Suicidal ideation, attempt, and determinants among medical students

10.21203/rs.2.14532/v1 ◽

2019 ◽

Author(s):

Getachew Tesfaw Desalegn ◽

Mesele Wondie ◽

Saron Dereje ◽

Adanech Addisu

Keyword(s):

Logistic Regression ◽

Medical Students ◽

Suicidal Ideation ◽

Associated Factors ◽

Screening Program ◽

Well Being ◽

World Health ◽

P Value ◽

Binary Logistic Regression Analysis ◽

The University

Abstract Background Suicidal ideation and attempt are highly prevalent among medical students compared to the general population and negatively impacts the quality of life, physical, and mental well being of students. However, research into suicidal ideation and attempt among medical students in low and middle-income countries are limited. Therefore, this study aimed to explore the suicide ideation and attempt and associated factors among medical students in Ethiopia.Methods An institution based cross-sectional study was conducted from March to June 2019 at the University of Gondar among medical students. A simple random sampling technique used to get study units by their identification card. Suicide ideation and attempt were assessed by using World Health Organization Composite International Diagnostic Interview (CIDI) to assess suicide ideation and attempt. Data were collected using self-administered questionnaires. Binary logistic regression analysis was used to identify associated factors between suicidal ideation and attempt with the explanatory variables at p-value <0.05 was considered statistically significant.Results The prevalence of suicidal ideation and attempt among study participants was found to be 14% and 7.4% with 95% CI (10.9, 18.1) and (5.1, 10.2), respectively. In multivariate logistic regression; female sex (AOR: 5.21, 95% CI: 2.42, 11.20), depression (AOR: 10.12, 95% CI; 4.80, 21.52), current khat chewing (AOR: 4.46, 95% CI; 132, 15.02), and poor social support (AOR: 4.46, 95% CI: 1.43, 13.87) were factors significantly associated with suicidal ideation. Being female (AOR: 8.08, 95% CI: 3.04, 21.39), depression (AOR: 10.66, 95% CI; 4.01, 28.01 ) and history of mental illness (AOR: 5.53, 95% CI; 1.20, 25.50) were factors significantly associated with suicidal attempt.Conclusion In the current study, the prevalence of suicidal ideation among medical students was low compared to other studies, but the suicidal attempt was high. The University of Gondar better to instate a screening program for every medical student for early diagnosis and intervention of suicide ideation and attempt.

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Prevalence of antenatal depression and its associated factors among pregnant mothers who attend antenatal care service at Jinka public health facilities, Jinka town, SNNPR, Ethiopia,

10.21203/rs.2.15295/v2 ◽

2021 ◽

Author(s):

Aynalem Yetwale ◽

Teklemariam Gultie ◽

Dessalegn Ajema ◽

Semahegn Tilahun ◽

Bezawit Afework

Keyword(s):

Public Health ◽

Logistic Regression ◽

Antenatal Care ◽

Care Service ◽

Antenatal Depression ◽

Health Facilities ◽

P Value ◽

Public Health Facilities ◽

Care Assessment ◽

History Of

Abstract Background Antenatal depression is the most common psychiatric disorder during pregnancy and it’s associated with psychosocial and obstetric factors. Antenatal depression has serious consequences for the mother and fetus, such as recurrent spontaneous abortions, pregnancy induced hypertension, pre-eclampsia, postpartum bleeding, pre-term delivery, postnatal depressive disorders and low birth weight. However it doesn’t get appropriate attention.Methods Institutional based cross-sectional study design was conducted on 446 pregnant women coming for antenatal care service at Jinka public health facilities, from June 01 to June 30, 2018. Data was collected through semi-structured and pretested questionnaire by face to face interview technique and Beck Depression Inventory was used to assess women’s depression condition. Collected data was entered in to Epi data version 3.3.1 after checking their completeness and exported to statistical package for social science version 20.0 for analysis. Logistic regression was used to find out association between explanatory and response variables. Explanatory variables which fulfill the assumption of logistic regression and had P-value less than 0.25 from bi-variable logistic regression were considered for the multivariable logistic regression model. Strength of association was evaluated using odds ratio at 95% confidence interval and P-value < 0.05 was considered to declare significant associations.Result The magnitude of antenatal depression in this study was 24.4%(20.2-28.5 at 95% CI) and it had statistically significant association with unmarried marital status AOR =13.39 [(95%CI); (3.11-57.7)], chronic medical illness AOR=3.97 [(95%CI); (1.07-14.7)], unplanned pregnancy AOR =6.76 [ (95%CI); (2.13-21.4)], history of abortion AOR =2.8 [(95%CI); (1.14-7.02)], history of previous pregnancy complication AOR =4.8 [(95%CI); (2.12-17.35)] and fear of pregnancy related complications AOR=5.4 [(95%CI); (2.32-12.4)].Conclusion and recommendation The magnitude of antenatal depression was high. So integrating mental health service in antenatal care assessment, provide comprehensive family planning service and improve obstetric service are recommended.

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