scholarly journals Prevalence and associated factors of caesarian section in Ethiopia: a multilevel analysis of the 2019 Ethiopia Mini Demographic Health Survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Samuel Hailegebreal ◽  
Girma Gilano ◽  
Binyam Tariku Seboka ◽  
Mohammedjud Hassen Ahmed ◽  
Atsedu Endale Simegn ◽  
...  
Keyword(s):  
Health Survey ◽  
Associated Factors ◽  
National Level ◽  
Educational Status ◽  
Caesarian Section ◽  
Modern Contraceptive ◽  
Age Group ◽  
Individual Level ◽  
Country Level ◽  
Level Data

Abstract Background Caesarian section is a vital emergency obstetric intervention for saving the lives of mothers and newborns. However, factors which are responsible for caesarian section (CS) were not well established in the country level data. Therefore, this study aimed to assess the prevalence and associated factors of caesarian section in Ethiopia. Methods Data from the Ethiopian Mini Demographic and Health survey 2019 were used to identify factors associated with the caesarian section in Ethiopia. We applied multi-level logistic regression and a p-value of <0.25 to include variables before modeling and a p-value<0.05 with 95% confidence interval (CI) for final results. Result The prevalence of caesarian section in Ethiopia was 5.44% (95% CI; 0.048-0.06) in2019. Women in age group of 30-39 and 40-49 years had a higher odd of caesarian section (AOR = 2.14, 95%CI = 1.55-2.94) and (AOR = 2, 95%CI = 1.20-3.97) respectively compared to women in age group of 15-29 years. Women with secondary and higher educational level had higher odds of caesarian section (AOR = 2.15, 95%CI = 1.38-3.34) and (AOR = 2.8, 95%CI = 1.73-4.53) compared to those in no education category. Compared to Orthodox, Muslims and Protestant religions had lower odds of caesarian section with AOR of 0.50 (0.34-0.73) and 0.53 (0.34-0.85). Having <2 births was also associated with the low caesarian section 0.61(0.52-1.22). Using modern contraceptive methods, having ANC visits of 1-3, 4th, 5 plus, and urban residence were associated with higher odds of caesarian section as 1.4 (1.05-1.80]), 2.2 (1.51-3.12), 1.7 (1.12-2.46), and 2.4 (1.65-3.44) 1.6(1.04-2.57) respectively. Conclusion Although evidence indicates that the caesarian deliveries increased both in developed and underdeveloped countries, the current magnitude of this service was very low in Ethiopia which might indicate missing opportunities that might costing lives of mothers and newborns. Women’s age, religion, educational status, parity, contraceptive method, and ANC visit were individual level factors influenced caesarian section. whereas, region and place of residence were community level factors affected caesarian section in the country. Depending on these factors, the country needs policy decisions for further national level interventions.

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.

Environmental Behavior in Cross-National Perspective

2016 ◽  
Vol 49 (1) ◽  
pp. 31-58 ◽  
Author(s):  
Ignacio Pisano ◽  
Mark Lubell
Keyword(s):  
Environmental Behavior ◽  
National Level ◽  
Developed Countries ◽  
Education Development ◽  
Proenvironmental Behavior ◽  
Individual Level ◽  
Country Level ◽  
National Differences ◽  
Cultural Research ◽  
Cross National

This article seeks to explain cross-national differences on environmental behavior. After controlling for a series of sociodemographic and psychosocial factors, it was predicted that national levels of wealth, postmaterialism, education development, and environmental problems are positively related to environmental behavior. The national-level variance is to a substantial degree explained by individual-level variables, capturing compositional effects. The remaining variance is explained by the contextual-level variables. All of the country-level variables are predictors in the expected direction, with the exception of environmental degradation, which is negatively related to behavior, and education development, which has no impact on private environmental behavior. More importantly, cross-level interactions show that in more developed countries, there are stronger relationships between proecological attitudes and reported proenvironmental behavior. These findings contribute to the growing cross-cultural research on environmental behavior pointing out the necessity of simultaneously assessing the effects of both individual and contextual-level forces affecting behavior across nations.

scholarly journals The closer to the Europe Union headquarters, the higher risk of COVID-19? Cautions regarding ecological studies of COVID-19

2020 ◽  
Author(s):  
Shuai Li ◽  
Xinyang Hua
Keyword(s):  
European Country ◽  
Ecological Study ◽  
Ecological Fallacy ◽  
Group Level ◽  
Ecological Studies ◽  
Public Concern ◽  
Individual Level ◽  
The Public ◽  
Country Level ◽  
Level Data

AbstractSeveral ecological studies of the coronavirus disease 2019 (COVID-19) have reported correlations between group-level aggregated exposures and COVID-19 outcomes. While some studies might be helpful in generating new hypotheses related to COVID-19, results of such type of studies should be interpreted with cautions. To illustrate how ecological studies and results could be biased, we conducted an ecological study of COVID-19 outcomes and the distance to Brussels using European country-level data. We found that, the distance was negatively correlated with COVID-19 outcomes; every 100 km away from Brussels was associated with approximately 6% to 17% reductions (all P<0.01) in COVID-19 cases and deaths in Europe. Without cautions, such results could be interpreted as the closer to the Europe Union headquarters, the higher risk of COVID-19 in Europe. However, these results are more likely to reflect the differences in the timing of and the responding to the outbreak, etc. between European countries, rather than the ‘effect’ of the distance to Brussels itself. Associations observed at the group level have limitations to reflect individual-level associations – the so-called ecological fallacy. Given the public concern over COVID-19, ecological studies should be conducted and interpreted with great cautions, in case the results would be mistakenly understood.

Incumbent Tenure Crowds Out Economic Voting

2019 ◽  
pp. 1-20
Author(s):  
Martin Vinæs Larsen
Keyword(s):  
Economic Voting ◽  
Local Economy ◽  
Government Support ◽  
Economic Conditions ◽  
Individual Level ◽  
Growing Stock ◽  
Country Level ◽  
Level Data ◽  
Economic Vote ◽  
The Government

AbstractDoes the importance of the economy change during a government's time in office? Governments arguably become more responsible for current economic conditions as their tenure progresses. This might lead voters to hold experienced governments more accountable for economic conditions. However, voters also accumulate information about governments' competence over time. If voters are Bayesian learners, then this growing stock of information should crowd out the importance of current economic conditions. This article explores these divergent predictions about the relationship between tenure and the economic vote using three datasets. First, using country-level data from a diverse set of elections, the study finds that support for more experienced governments is less dependent on economic growth. Secondly, using individual-level data from sixty election surveys covering ten countries, the article shows that voters' perceptions of the economy have a greater impact on government support when the government is inexperienced. Finally, the article examines a municipal reform in Denmark that assigned some voters to new local incumbents and finds that these voters responded more strongly to the local economy. In conclusion, all three studies point in the same direction: economic voting decreases with time in office.

Economic Inequality and Social Entrepreneurship

2017 ◽  
Vol 57 (6) ◽  
pp. 1150-1190 ◽  
Author(s):  
Saurav Pathak ◽  
Etayankara Muralidharan
Keyword(s):  
Income Inequality ◽  
Low Income ◽  
Social Entrepreneurship ◽  
Economic Inequality ◽  
Future Research ◽  
Income Mobility ◽  
Global Competitiveness ◽  
Individual Level ◽  
Country Level ◽  
Level Data

This article explores the extent to which income inequality and income mobility—both considered indicators of economic inequality and conditions of formal regulatory institutions (government activism)—facilitate or constrain the emergence of social entrepreneurship. Using 77,983 individual-level responses obtained from the Global Entrepreneurship Monitor (GEM) survey of 26 countries, and supplementing with country-level data obtained from the Global Competitiveness Report of the World Economic Forum, our results from multilevel analyses demonstrate that country-level income inequality increases the likelihood of individual-level engagement in social entrepreneurship, while income mobility decreases this likelihood. Further, income mobility negatively moderates the influence of income inequality on social entrepreneurship, such that the condition of low income mobility and high income inequality is a stronger predictor of social entrepreneurship. We discuss implications and limitations of our study, and we suggest avenues for future research.

scholarly journals The inequity of morbidity: Disparities in the prevalence of morbidity between ethnic groups in New Zealand

2020 ◽  
Vol 10 ◽  
pp. 2235042X2097116
Author(s):  
Jason Gurney ◽  
James Stanley ◽  
Diana Sarfati
Keyword(s):  
New Zealand ◽  
Ethnic Groups ◽  
Latin American ◽  
Middle Eastern ◽  
National Level ◽  
Morbidity Burden ◽  
Individual Level ◽  
Level Data ◽  
The Social ◽  
The Impact

Objective: The burden of chronic disease is not evenly shared within our society. In this manuscript, we use comprehensive national-level data to compare morbidity burden between ethnic groups in New Zealand. Methods: We investigated the prevalence of morbidity among all New Zealanders aged 18+ (n = 3,296,837), stratified by ethnic group (Māori, Pacific, Asian, Middle Eastern/Latin American/African, European/Other), using national-level hospitalisation and pharmaceutical data and two measures of morbidity (the M3 and P3 indices). Results and Conclusions: We observed substantial disparities for Māori and Pacific peoples compared to other ethnic groups for the vast majority of commonly-diagnosed morbidities. These disparities appeared strongest for the most-common conditions – meaning that Māori and Pacific peoples disproportionately shoulder an increased burden of these key conditions. We also observed that prevalence of these conditions emerged at earlier ages, meaning that Māori and Pacific peoples also experience a disproportionate impact of individual conditions on the quality and quantity of life. Finally, we observed strong disparities in the prevalence of conditions that may exacerbate the impact of COVID-19, such as chronic pulmonary, liver or renal disease. The substantial inequities we have presented here have been created and perpetuated by the social determinants of health, including institutionalised racism: thus solutions will require addressing these systemic issues as well as addressing inequities in individual-level care.

Europeans’ work and life – out of balance? An empirical test of assumptions from the “acceleration debate”

2015 ◽  
Vol 27 (1) ◽  
pp. 3-39 ◽  
Author(s):  
Nadine M Schöneck
Keyword(s):  
Empirical Test ◽  
Empirical Support ◽  
Work Life ◽  
Private Life ◽  
Work Life Balance ◽  
Life Balance ◽  
Individual Level ◽  
Country Level ◽  
Stage Of Development ◽  
Level Data

Advanced modernity is regarded as an era of time obsession and people in modernized societies seem to live harried lives. Leading time sociologists like Hartmut Rosa adopt a modernization–critical stance and ascribe an accelerated pace of life and frequent time scarcity to socioeconomic and technological advancement. According to these protagonists of the “acceleration debate,” time becomes increasingly precious due to severely changed conditions of work and private life. Against this background it can be assumed that many people may suffer from an unsatisfactory work–life balance. This study uses individual-level data from the fifth round of the European Social Survey (fielded in 2010/11) as well as suitable country-level data capturing key features of advanced modernity to empirically test assumptions arising from the “acceleration debate.” Results from multilevel analyses of 23 European countries provide some confirmation of these assumptions. While most macro indicators for 2010 reflecting a certain stage of development are uninfluential, a country's degree of globalization matters, and moreover growth rates of crucial macro indicators signaling paces of development exert an impact on people's work–life balance in the assumed direction: In countries with accelerations in terms of economic development, coverage of households with internet access and numbers of new cars working people show a significantly greater inclination toward an unsatisfactory work–life balance. Aside from results at the country-level individual-level determinants and group-specific differences of work–life balance under different conditions of advanced modernity are presented. This study's two main findings—(1) paces of development matter more than stages of development and (2) assumptions arising from the “acceleration debate” receive some empirical support—are thoroughly reflected on and discussed.

Civil Society and the Legacies of Dictatorship

2007 ◽  
Vol 59 (4) ◽  
pp. 539-567 ◽  
Author(s):  
Michael Bernhard ◽  
Ekrem Karakoç
Keyword(s):  
Civil Society ◽  
Hierarchical Linear Modeling ◽  
National Level ◽  
World Values Survey ◽  
Organizational Life ◽  
Linear Modeling ◽  
Individual Level ◽  
Civil Society Participation ◽  
Level Data ◽  
Different Types

The literature on civil society in postcommunist regimes highlights its weakness as compared with civil society in other democracies. In this article the authors make a general argument on how different patterns of antecedent dictatorship affect the development of civil society across a range of democracies. They examine the slow emergence of two behaviors associated with a robust civil society—participation in organizational life and in protest—and explain variation across countries as a function of regime history. They draw their individual-level data from the World Values Survey and analyze the behavior of over forty-one thousand citizens from forty-two democracies. Using methods of hierarchical linear modeling to control for both national-level and individual-level factors, the authors find that different types of dictatorship and variation in their duration produce different negative legacies for the development of civil society.

scholarly journals Alternative Legacies of Authoritarianism: Pro-dictator Bias in Ideology

2021 ◽  
Author(s):  
Sanghoon Kim-Leffingwell
Keyword(s):  
Survey Data ◽  
Political Ideology ◽  
Right Wing ◽  
Left Wing ◽  
Individual Level ◽  
The Past ◽  
Country Level ◽  
Level Data ◽  
Party Strength

How does an authoritarian past shape voters’ left-right orientation? Recent studies investigate “anti-dictator bias” in political ideology, where citizens in a former right-wing (left-wing) dictatorship may display a leftist (rightist) bias in their ideological self-identification. In this paper, I provide evidence for a “pro-dictator bias” where citizens hold ideological positions corresponding to those of the dictator depending on their experiences during and after transition. In countries with negotiated transitions and stronger former ruling parties, these successors could continue mobilizing the popular base of the former dictatorship with inherited advantages from the past and by invoking nostalgia through consistent reference to previous authoritarian achievements. I test this hypothesis with variables measuring successor party strength and the type of regime transition by combining individual-level survey data and country-level data. The findings emphasize the role of post-transition features in shaping alternative legacies on voter attitudes in former authoritarian societies.

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