Early contraceptive implants removal and its associated factors among women using implants at a National Referral Hospital, Kampala Uganda

Abstract Background Early discontinuation of implant contraceptive methods and reasons for discontinuation remains a major concern for family planning programs. Early discontinuation is related to higher rates of the overall fertility rate, unwanted pregnancies leading to possibly induced abortion. There is paucity of data on the practice of discontinuation of contraceptives in developing countries. The objective of the study was to determine the magnitude of early implants discontinuation among women receiving implants services in the study area and the factors associated with it. Methods A cross-sectional study was conducted from 2nd January to 3rd March 2020. Data were collected from 207 women who had come to remove implants on socio-demographic characteristics, obstetric history, duration of implant, and reasons for wanting to remove the implant. We computed the proportion of those who removed the implant before 18 months (early discontinuation). To assess the factors associated with early discontinuation, we estimated the prevalence ratios with a generalized linear model of the poisson family with a log link and robust error variance. Results The proportion of early implant discontinuation was 87/207(42%). Factor associated with early implant discontinuation included; experience of side effects (PR = 1.1; 95% CI 1.03–1.24; P = 0.001), not having received pre-insertion counseling about the benefits and side effects of contraceptive implants (PR = 1.5; 95% CI 1.02–1.30; P = 0.019) and staying in rural areas (PR = 1.1; 95% CI 1.03–1.27; P = 0.014). Conclusion Nearly one in every two mothers have early discontinuation of contraceptive implants. Factors associated with early implant removal include; experience of side effects, lack of counseling services, and staying in rural areas. There is a need for intervention to address high prevalence of early contraceptive removal through improving on counselling services about possible side effects.

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Early contraceptive implants removal and its associated factors among women using implants at National Referral hospital, Kampala Uganda.

10.21203/rs.3.rs-107083/v1 ◽

2020 ◽

Author(s):

Gerald Ssebatta ◽

Dan Kaye ◽

Scovia Mbalinda

Keyword(s):

Side Effects ◽

Rural Areas ◽

Health Workers ◽

Implant Removal ◽

P Value ◽

Multivariable Logistic Regression Model ◽

Early Discontinuation ◽

Cross Sectional ◽

Factors Associated ◽

Contraceptive Implants

Abstract Background. Early discontinuation of implant contraceptive methods and reasons for discontinuation remains a major concern for family planning programs and is generally higher in developing countries. Discontinuation is closely related to higher rates of the overall fertility rate, unwanted pregnancies leading to possibly induced abortion. The proportion and factors associated with early contraceptive implant removal are not well known in Uganda. The objective of the study was to determine the magnitude of early implants discontinuation among women receiving implants services in the study area and the factors associated with it. Methods: A facility-based cross-sectional study was conducted from 2nd January to 3rd March 2020 through a face-to-face interview. A total of 207 Implant user women were selected by systematic random sampling technique. SPSS version 20 was used for both data entry and analysis. Factors associated with early Implant discontinuation were analyzed using a binary and multivariable logistic regression model. Variables with a p-value of <0.05 and a 95% confidence interval were considered as statistically significant. Results. The proportion of early implant discontinuation was 42%. Factors associated with early implant discontinuation included; experience of side effects (OR= 2.629; 95%CI: 1.095-6.314; P= 0.031), not having received pre-insertion counseling about the benefits and side effects of contraceptive implants (OR= 2.565; 95%CI: 1.190-5.532; P= 0.016) and staying in rural areas (OR= 2.390; 95%CI: 1.229-4.648; P= 0.010). Conclusion. Nearly one in every two mothers have early discontinuation of contraceptive implants. Factors associated with early implant removal were the experience of side effects, lack of effective counseling before insertion, and staying in rural areas. Hence, health workers should provide adequate counseling services before insertion of the implant with emphasis on possible side effects and their immediate management. Spouses, where possible, should be involved during the counselling to increase implant retention. Also proper screening of women for pregnancy before insertion of an implant should be routine.

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Early Contraceptive Implants Removal and its Associated Factors Among Women Using Implants at a National Referral Hospital, Kampala Uganda

10.53902/tnhcr.2021.01.000510 ◽

2021 ◽

Vol 1 (2) ◽

Author(s):

Ssebatta G

Keyword(s):

Side Effects ◽

Rural Areas ◽

Associated Factors ◽

Health Workers ◽

Implant Removal ◽

P Value ◽

Multivariable Logistic Regression Model ◽

Early Discontinuation ◽

Factors Associated ◽

Contraceptive Implants

Background: Early discontinuation of implant contraceptive methods and reasons for discontinuation remains a major concern for family planning programs and is generally higher in developing countries. Discontinuation is closely related to higher rates of the overall fertility rate and unwanted pregnancies, leading to a possibly induced abortion. The proportion and factors associated with early contraceptive implant removal are not well known in Uganda. The study's objective was to determine the magnitude of early implant discontinuation among women receiving implant services in the study area and its associated factors. Methods: A facility-based cross-sectional study was conducted from 2nd January to 3rd March 2020 through a face-to-face interview. A total of 207 Implant user women were selected by systematic random sampling technique. SPSS version 20 was used for both data entry and analysis. Factors associated with early Implant discontinuation were analyzed using a binary and multivariable logistic regression model. Variables with a p-value of <0.05 and a 95% confidence interval were considered as statistically significant. Results: The proportion of early implant discontinuation was 42%. Factors associated with early implant discontinuation included; experience of side effects (OR=2.629; 95%CI:1.095-6.314; P=0.031), not having received pre-insertion counseling about the benefits and side effects of contraceptive implants (OR=2.565; 95%CI: 1.190-5.532; P= 0.016) and staying in rural areas (OR= 2.390; 95%CI: 1.229-4.648; P= 0.010). 1 Conclusion: Nearly one in every two mothers have early discontinuation of contraceptive implants. Factors associated with early implant removal were side effects, lack of effective counseling before insertion, and staying in rural areas. Hence, health workers should provide adequate counseling services before inserting the Implant, emphasising possible side effects and their immediate management. Spouses, where possible, should be involved during the counselling to increase implant retention. Also, proper screening of women for pregnancy before insertion of an implant should be routine.

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The Oral Health Situation of 12-Year-Old School Children in the Rural Region of Ilembula in Southwestern Tanzania: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182212237 ◽

2021 ◽

Vol 18 (22) ◽

pp. 12237

Author(s):

Lisa Zumpe ◽

Tobias Bensel ◽

Andreas Wienke ◽

Matilda Mtaya-Mlangwa ◽

Jeremias Hey

Keyword(s):

Dental Caries ◽

Rural Areas ◽

Primary Schools ◽

Cross Sectional Study ◽

Risk Indicators ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Prophylactic Measures ◽

The Mean

There has been no research on the prevalence of and factors associated with dental caries in rural southwestern Tanzania among schoolchildren. Determining the prevalence of and factors associated with dental caries will help to assess the need for dental intervention and prophylactic measures among children in the region. In February 2020, a cross-sectional study was conducted in the Wanging’ombe District of the Ilembula Ward. The data were collected through clinical examinations and personal interviews at two primary schools. Univariable and multivariable logistic regression analyses were performed to identify potential risk indicators for caries. The study included 319 students aged 11–12 years (average 11.92 ± 0.27 years). The mean Decayed, Missing and Filled Teeth index was 0.24 ± 0.68, and the mean Specific affected Caries Index was 1.66 ± 0.9. The greatest influences on the caries risk were poor oral hygiene (OR 8.05, 95% CI 0.49–133.23), low tooth brushing frequency (OR 3.03, 95% CI 1.26–7.26) and low level of education in parents (OR 2.63, 95% CI 0.99–6.98). Dental caries was low among students in rural areas in the Wanging’ombe District.

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PREVALENCE OF PREMATURE EJACULATION AND ERECTILE DYSFUNCTION AND THEIR ASSOCIATED FACTORS AMONG URBAN AND RURAL POPULATION OF MALAYSIA

Malaysian Journal of Public Health Medicine ◽

10.37268/mjphm/vol.17/no.3/art.224 ◽

2017 ◽

Vol 17 (3) ◽

pp. 86-96 ◽

Cited By ~ 1

Author(s):

Mohd Rohaizat Hassan ◽

Mohd Fadhli Samsuri ◽

Shamsul Azhar Shah ◽

Nazarudin Safian ◽

Zulkifli Md Zainuddin ◽

...

Keyword(s):

Erectile Dysfunction ◽

Rural Areas ◽

Rural Population ◽

Associated Factors ◽

Premature Ejaculation ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Urban And Rural Areas

The purpose of this study was to determine the prevalence and factors associated with of Premature Ejaculation &Erectile Dysfunctionamong Malaysian men. A cross-sectional study was conducted in urban and rural areas using standardized and validated self-administered questionnaires. A total of 319 samples were recruited for PE screening. The overall prevalence of PE was 31.7% with 20.7% and 40.8% for urban and rural area respectively. Depression, anxiety and frequent masturbation were significantly associated with PE. While For ED, infrequent sexual intercourse was the sole factor significantly associated with ED.PE and ED were highly prevalent in both urban and rural areas; with several significant preventable associated factors.

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Factors Associated with Systemic Bleeding in Bothrops Envenomation in a Tertiary Hospital in the Brazilian Amazon

Toxins ◽

10.3390/toxins11010022 ◽

2019 ◽

Vol 11 (1) ◽

pp. 22 ◽

Cited By ~ 10

Author(s):

Sâmella S. Oliveira ◽

Eliane C. Alves ◽

Alessandra S. Santos ◽

João Pedro T. Pereira ◽

Lybia Kássia S. Sarraff ◽

...

Keyword(s):

Rural Areas ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Control Group ◽

Cross Sectional ◽

Factors Associated ◽

Amazonas State ◽

Hemostatic Disorders ◽

To Receive ◽

De Medicina

Bothrops snakebites usually present systemic bleeding, and the clinical–epidemiological and laboratorial factors associated with the development of this manifestation are not well established. In this study, we assessed the prevalence of Bothrops snakebites with systemic bleeding reported at the Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, in Manaus, Amazonas State, Brazil, and the clinical–epidemiological and laboratorial factors associated with systemic bleeding. This is an observational, cross-sectional study carried out between August, 2013 and July, 2016. Patients who developed systemic bleeding on admission or during hospitalization were considered cases, and those with non-systemic bleeding were included in the control group. Systemic bleeding was observed in 63 (15.3%) of the 442 Bothrops snakebites evaluated. Bothrops snakebites mostly occurred in males (78.2%), in rural areas (89.0%) and in the age group of 11 to 30 years old (40.4%). It took most of the patients (59.8%) less than 3 h to receive medical assistance. Unclottable blood (AOR = 3.11 (95% CI = 1.53 to 6.31; p = 0.002)) and thrombocytopenia (AOR = 4.52 (95% CI = 2.03 to 10.09; p < 0.001)) on admission were independently associated with systemic bleeding during hospitalization. These hemostatic disorders on admission increase the chances of systemic bleeding during hospitalization. Prospective studies are needed to clarify the pathophysiology of systemic bleeding in Bothrops snakebites in the Amazon region.

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Prevalence and Associated Factors of Regular Nonsteroidal Anti-inflammatory Drugs used in a Rural Community, Thailand

Global Journal of Health Science ◽

10.5539/gjhs.v9n9p58 ◽

2017 ◽

Vol 9 (9) ◽

pp. 58 ◽

Cited By ~ 2

Author(s):

Pongsom Luanghirun ◽

Patid Tanaboriboon ◽

Pawaris Mahissarakul ◽

Chanikarn Tongruang ◽

Chanita Chaichirawiwat ◽

...

Keyword(s):

Side Effects ◽

Qualitative Study ◽

Associated Factors ◽

Cross Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Attitudes And Practices ◽

Pain Medications ◽

Inflammatory Drugs ◽

Anti Inflammatory

BACKGROUND: In Thailand, 67.2% of the population widely uses analgesics including nonsteroidal anti-inflammatory drugs (NSAIDs), which may lead to serious side effects. However, the information of regular NSAIDs used in Thailand is still limited.METHODS: A mixed method cross-sectional study was conducted. Quantitative data were collected using questionnaires to determine the prevalence and factors associated with regular NSAID use. The qualitative study was conducted using group and in-depth interviews to determine the knowledge, attitudes and practices of NSAID users.RESULTS: Of 771 participants, the prevalence of NSAID use was 31.1 and regular NSAID use was 7.4. Age, pain at the hips or thighs and pain score were independent factors associated with regular NSAID use. The qualitative study indicated that the use of NSAIDs was influenced by drug effectiveness, sources of NSAIDs and consideration of benefits and risks of the drugs.CONCLUSION: This was the first report on the prevalence and associated factors of regular NSAID use in Thailand. In this community, nonprescribed NSAIDs might cause some serious side effects and undesirable drug interaction. Information on side effects of pain medications should be disseminated to the public including guidelines on how to use pain medications.

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Risk status of pregnant women in rural areas of Belagavi: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20192296 ◽

2019 ◽

Vol 6 (6) ◽

pp. 2350

Author(s):

Katherine J. Bernard ◽

Sulakshana Baliga

Keyword(s):

High Risk ◽

Pregnant Women ◽

Rural Areas ◽

Cross Sectional Study ◽

High Risk Pregnancy ◽

Cross Sectional ◽

Risk Status ◽

Factors Associated ◽

Risk Pregnancy ◽

Status Assessment

Background: ‘High-risk’ pregnancies account for a significant proportion of perinatal morbidity and mortality worldwide. Simple prenatal scoring systems can be used to assess risk status of pregnancy and inform subsequent management. Their use in rural areas and low-resource settings could be of particular benefit. This study employed pregnancy risk status assessment in one such area of rural India. The objectives of the study were to estimate the prevalence of low, moderate and high-risk pregnancy among women in a rural area of Belagavi and to identify factors associated with high-risk pregnancy status.Methods: This community-based cross-sectional study was undertaken among 105 pregnant women of all trimesters presenting to antenatal clinics in the Kinaye area of Belagavi, Karnataka, during July 2018. Information on risk factors and socio-demographic details were collected using a questionnaire, and individual risk scores calculated through a scoring system. This was used to estimate prevalence of low, moderate and high-risk status among participants, and subsequently compared against selected variables to identify factors associated with high risk pregnancy status.Results: Prevalence of high-risk pregnancy among participants was 31.4%, moderate-risk 30.5%, low-risk 29.5% and ‘no risk’ 8.6%. Maternal undernutrition was an important factor associated with high-risk pregnancy.Conclusions: This study highlights the need for early identification and appropriate management of such cases, in order to prevent adverse perinatal outcomes. The prenatal scoring system used in this study offers a simple method for risk status assessment in pregnant women of all trimesters, suited for use in antenatal clinics in rural areas of India.

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Factors Associated with a Lack of Willingness to Vaccinate against COVID-19 in Poland: A 2021 Nationwide Cross-Sectional Survey

Vaccines ◽

10.3390/vaccines9091000 ◽

2021 ◽

Vol 9 (9) ◽

pp. 1000

Author(s):

Filip Raciborski ◽

Piotr Samel-Kowalik ◽

Mariusz Gujski ◽

Jarosław Pinkas ◽

Magdalena Arcimowicz ◽

...

Keyword(s):

Political Parties ◽

Rural Areas ◽

Cross Sectional Study ◽

Right Wing ◽

Sectional Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Factors Associated ◽

Internet Users ◽

The Right

We aimed to assess the factors associated with a lack of willingness to vaccinate against COVID-19 among adults in Poland three months after the introduction of mass vaccination against COVID-19 in Poland. This cross-sectional study was carried out between 8 and 18 April 2021 on a representative nationwide sample of 1131 inhabitants of Poland aged 18 and over. Almost one-third of adult inhabitants of Poland (30%; 95%CI: 27.4–32.7%) declared a lack of willingness to vaccinate against COVID-19. Females had higher odds of refusing COVID-19 vaccination compared with males (OR = 1.68; 95%CI: 1.25–2.27). The lack of higher education was significantly (p < 0.001) associated with greater odds of refusing the COVID-19 vaccination. Participants living in rural areas compared with those living in the largest cities (over 500,000 inhabitants) had three times higher odds of refusing the COVID-19 vaccination (OR = 3.20; 95%CI: 1.71–6.01). Respondents who declared willingness to vote for one of the right-wing political parties publicly supporting the anti-vaccination movement in Poland had eight times higher odds (OR = 8.01; 95%CI: 3.65–17.60) of refusing the COVID-19 vaccination compared with other groups. Moreover, those who had three children or more, respondents who declared passivity towards participating in religious practices as well as active internet users had significantly higher odds of refusing the COVID-19 vaccination.

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Factors Associated With Working in Remote Indonesia: A National Cross-Sectional Study of Early-Career Doctors

Frontiers in Medicine ◽

10.3389/fmed.2021.594695 ◽

2021 ◽

Vol 8 ◽

Author(s):

Likke Prawidya Putri ◽

Deborah Jane Russell ◽

Belinda Gabrielle O'Sullivan ◽

Rebecca Kippen

Keyword(s):

Workforce Development ◽

Rural Areas ◽

Financial Incentives ◽

Healthcare Access ◽

Cross Sectional Study ◽

Early Career ◽

Current Work ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated

Background: Doctor shortages in remote areas of Indonesia are amongst challenges to provide equitable healthcare access. Understanding factors associated with doctors' work location is essential to overcome geographic maldistribution. Focused analyses of doctors' early-career years can provide evidence to strengthen home-grown remote workforce development.Method: This is a cross-sectional study of early-career (post-internship years 1–5) Indonesian doctors, involving an online self-administered survey on demographic characteristics, and; locations of upbringing, medical clerkship (placement during medical school), internship, and current work. Multivariate logistic regression was used to test factors associated with current work in remote districts.Results: Of 3,176 doctors actively working as clinicians, 8.9% were practicing in remote districts. Compared with their non-remote counterparts, doctors working in remote districts were more likely to be male (OR 1.5,CI 1.1–2.1) or unmarried (OR 1.9,CI 1.3–3.0), have spent more than half of their childhood in a remote district (OR 19.9,CI 12.3–32.3), have completed a remote clerkship (OR 2.2,CI 1.1–4.4) or internship (OR 2.0,CI 1.3–3.0), currently participate in rural incentive programs (OR 18.6,CI 12.8–26.8) or have previously participated in these (OR 2.0,CI 1.3–3.0), be a government employee (OR 3.2,CI 2.1–4.9), or have worked rurally or remotely post-internship but prior to current position (OR 1.9,CI 1.2–3.0).Conclusion: Our results indicate that building the Indonesian medical workforce in remote regions could be facilitated by investing in strategies to select medical students with a remote background, delivering more remote clerkships during the medical course, deploying more doctors in remote internships and providing financial incentives. Additional considerations include expanding government employment opportunities in rural areas to achieve a more equitable geographic distribution of doctors in Indonesia.

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Obesity and associated risk factors in adolescents in rural areas of Buryatia, Russia

Obesity and metabolism ◽

10.14341/omet9532 ◽

2018 ◽

Vol 15 (3) ◽

pp. 42-48 ◽

Cited By ~ 2

Author(s):

Lyubov V. Rychkova ◽

Zhanna G. Ajurova ◽

Anna V. Pogodina

Keyword(s):

Risk Factors ◽

Breast Feeding ◽

Rural Areas ◽

Dietary Pattern ◽

Cross Sectional Study ◽

Normal Weight ◽

Skilled Worker ◽

Anthropometric Measures ◽

Cross Sectional ◽

Factors Associated

Background: According to WHO forecasts, childhood obesity can soon become equally dangerous to public health as malnutrition and infectious diseases. Elimination of modifiable risk factors is important for the disease and disease-associated complications prevention. At the same time it is shown that the risk factors can vary widely not only from country to country but also from area to area within one country. Aim: To establish risk factors associated with obesity in adolescents in rural areas of Buryatia, Russia. Materials and methods: The cross-sectional study included 1117 year old adolescents with normal weight (BMI 2575 percentile) and obesity (BMI 95 percentile). We assessed anthropometric measures of adolescents and their parents, sociodemographic characteristics, early-life exposures, eating and lifestyle patterns. Results: The study included 128 adolescents with normal weight and 72 adolescents with obesity. Both groups were comparable by sex, age and ethnicity. Factors, associated with obesity in rural adolescents, were: parents obesity (odds ratio (OR) 3.63 (95% confidence interval (CI) 1.926.87); the mothers body mass index (OR 1.17 (95% CI 1.11.25)); duration of breast-feeding less than 4 months (OR 2.42 (95% CI 1.145.13)); disturbed dietary pattern (OR 2.54 (95% CI 1.15.88)). Factors showing protective effect were total breast-feeding duration (OR 0.94 (95% CI 0.890.99)) and mothers employment as a skilled worker (OR 0.51 (95% CI 0.270.96)). Conclusions: Characteristics of family (obesity in parents, mothers BMI), breast-feeding less than 4 months and the disturbed dietary pattern are the risk factors associated with obesity in adolescents living in rural areas of Buryatia which are worth considering when local obesity prevention programs are being developed.

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