scholarly journals Prevalence And Factors Associated With Substance Use Among Street Children In Jimma Town, Oromiya National Regional State, Ethiopia: A Community Based Cross-Sectional StudyL STUDY

2020 ◽  
Author(s):  
Mengistu Ayenew ◽  
Teshome Kabeta ◽  
Kifle Woldemichael
Keyword(s):  
Substance Use ◽  
Logistic Regression ◽  
Street Children ◽  
World Health ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Cross Sectional ◽  
Factors Associated ◽  
The World ◽  
Jimma Town

Abstract Background: Street children constitute a marginalized population in most urban centers of the world. According to UN sources, there are up to 150 million street children in the world today. In Ethiopia, 150,000 children live on the streets in Ethiopia, about 60,000 of them in the capital. However, aid agencies estimate that the problem may be far more serious, with nearly 600,000 street children country-wide and over 100,000 in Addis Ababa. World Health Organization estimates that globally, 25- 90% of street children indulge in substance use. Even if substance use has become a common problem in Ethiopia, most of the studies done mainly focused among schools, college and university students. Research on street children and their substance use habits in Ethiopia, specifically in Jimma is limited that’s why the number of street children is not known. Objectives: To assess the prevalence and factors associated with substance use among street children in Jimma town of Ethiopia in 2019.Methods: Cross sectional study was undertaken from March 1-31, 2019. Complete enumeration of study subjects was done and all 312 children of the streets were included. Interviewer administered structured questionnaires was used to collect the data. Bivariable logistic regression was carried out to select candidate for multiple logistic regression analysis with p-value <0.25 at 95% confidence. Multiple logistic regression was carried out with those candidate variables using backward method and the association was declared with p value of <0.05 at 95% confidence level.Result: Three hundred twelve street children were included in the study. The prevalence of substance use was 96 (30.8%) with 95% CI [25-36.2]. Age>14 [AOR: 1.97 95%CI:1.00-3.889], attending grade 1-4th [AOR: 0.33 95%CI:0.151-0.737], attending 5th grade and above [AOR: 0.27 CI:0.093-0.756], child whose mother used substances [AOR: 7.78 95%CI:3.00-20.11], child didn’t know his maternal substance use status [AOR:5.1 95%CI: 2.19-11.81], child whose sibling use substance [AOR: 2.23 95%CI:1.254-5.63], best friend substance use [AOR: 11.01 95%CI:5.47-25.04] and staying 12-60 months on the street [AOR:3.00 95%CI:1.511-5.96] and staying >5 years on the street [AOR:4.6 95%CI:1.06-19.7] were significantly associated with substance use.Conclusion and recommendation: The prevalence of substance use among street children in Jimma town was high. Mothers and siblings have crucial roles in determining substance use behavior of the children. Stakeholders who are working on the improvement in the life of children of the street should try to satisfy the need of the children by intervening at individual level, at family or community level and at levels beyond community to lessen the problem to some extent. Researchers should do similar researches in more detail on these vulnerable but neglected groups of children to fully understand about the problem so the findings will be used as inputs for concerned bodies.

scholarly journals Prevalence And Factors Associated With Substance Use Among Street Children In Jimma Town, Oromiya National Regional State, Ethiopia: A Community Based Cross-Sectional Study

2020 ◽  
Author(s):  
Mengistu Ayenew ◽  
Teshome Kabeta ◽  
Kifle Woldemichael
Keyword(s):  
Substance Use ◽  
Logistic Regression ◽  
Street Children ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
The World ◽  
Jimma Town

Abstract Background Street children constitute a marginalized population in most urban centers of the world. According to UN sources there are up to 150 million street children in the world today. World Health Organization estimates that globally, 25- 90% of street children indulge in substance use. Research on street children and their substance use habits in Ethiopia, specifically in Jimma is limited.Objectives To assess the prevalence and factors associated with substance use among street children in Jimma town, EthiopiaMethods Cross sectional study was undertaken from March 1-31, 2019. Complete enumeration of study subjects was done and a total of 312 children of the street were included in the study. Bivariate logistic regression was carried out to select candidate for multivariable logistic regression analysis with p-value <0.25 at 95% confidence. Multi variable logistic regression was carried out with those candidate variables using backward method and association was declared with p value of <0.05 at 95% confidence level.Result Three hundred twelve street children with response rate of 96.2% were included in the study. The prevalence of substance use was 96(30.8%) with 95% CI [25-36.2]. Age>14 [AOR: 1.97 95%CI:1.00-3.889], attending grade 1-4th [AOR: 0.33 95%CI:0.151-0.737], attending grade 5th and above [AOR: 0.27 CI:0.093-0.756], child whose mother used substances [AOR: 7.78 95%CI:3.00-20.11], child didn’t know his maternal substance use status [AOR:5.1 95%CI: 2.19-11.81], child whose sibling use substance [AOR: 2.23 95%CI:1.254-5.63], best friend substance use[AOR: 11.01 95%CI:5.47-25.04] and staying 12-60 months on the street [AOR:3.00 95%CI:1.511-5.96] and staying >5 years on the street [AOR:4.6 95%CI:1.06-19.7] were significantly associated with substance use.Conclusion and recommendation The prevalence of substance use among street children in Jimma town was high. Mother and siblings have crucial role in determining substance use behavior of the children. Both governmental and non-governmental organizations working on children of the street should do intervention on Parents and friends since they are role models for the street children. Researchers should do more researches on these neglected groups of children.

scholarly journals Prevalence and Factors Associated With Substance Use Among Street Children in Jimma Town, Oromiya National Regional State, Ethiopia: A Community Based Cross-Sectional Study

2020 ◽  
Author(s):  
Mengistu Ayenew ◽  
Teshome Kabeta ◽  
Kifle Woldemichael
Keyword(s):  
Substance Use ◽  
Logistic Regression ◽  
Addis Ababa ◽  
Street Children ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Jimma Town

Abstract Background: Street children constitute a marginalized population in most urban centers of the world. According to UN sources, there are up to 150 million street children in the world today. The estimated number of children who live on the streets in Ethiopia was 150,000, of which about 60,000 of them in Addis Ababa. However, aid agencies estimate that the problem may be far more serious, with nearly 600,000 street children country-wide and over 100,000 in Addis Ababa. World Health Organization estimates that globally, 25- 90% of street children indulge in substance use. Even if substance use has become a common problem in Ethiopia, most of the studies done mainly focused among schools, college and university students. Research on street children and their substance use habits in Ethiopia was limited and specifically non in Jimma town. Objectives: To assess the prevalence and factors associated with substance use among street children in Jimma town of Ethiopia in 2019. Methods: Cross sectional study was undertaken from March 1-31, 2019. Complete enumeration of study subjects was done and all 312 children of the streets were included. Interviewer administered structured questionnaires was used to collect the data. Bi variable logistic regression was carried out to select candidate for multiple logistic regression analysis with p-value <0.25 at 95% confidence. Multiple logistic regression was carried out with those candidate variables using backward method and the associations predictors to the response variable was declared with p value of <0.05 at 95% confidence level. Result: Three hundred twelve street children were included in the study. The prevalence of substance use was 30.8% with 95% CI [25-36.2]. Age>14 [AOR: 1.97 95%CI:1.00-3.889], attending grade 1-4th [AOR: 0.33 95%CI:0.151-0.737], attending 5th grade and above [AOR: 0.27 CI:0.093-0.756], child whose mother used substances [AOR: 7.78 95%CI:3.00-20.11], child did not know his maternal substance use status [AOR:5.1 95%CI: 2.19-11.81], child whose sibling use substance [AOR: 2.23 95%CI:1.254-5.63], best friend substance use [AOR: 11.01 95%CI:5.47-25.04] and staying 12-60 months on the street [AOR:3.00 95%CI:1.511-5.96] and staying >5 years on the street [AOR:4.6 95%CI:1.06-19.7] were significantly associated with substance use. Conclusion and recommendation: The prevalence of substance use among street children in Jimma town was high. Mothers and siblings have crucial roles in determining substance use behavior of the children. Stakeholders who are working on the improvement in the life of children of the street should try to satisfy the need of the children by intervening at individual level, at family or community level and at levels beyond community to lessen the problem to some extent. Researchers should do similar researches in more detail on these vulnerable but neglected groups of children to fully understand about the problem so the findings will be used as inputs for concerned bodies.

scholarly journals Giving women WOICE postpartum: prevalence of maternal morbidity using the WHO-WOICE instrument

2019 ◽  
Author(s):  
Lamus MN ◽  
Stephanie Lozano ◽  
Charles CM ◽  
Guida JP ◽  
Parpinelli MA ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Logistic Regression ◽  
Descriptive Analysis ◽  
Perinatal Outcomes ◽  
Good Health ◽  
World Health ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
Factors Associated

Abstract Background There are no accurate estimates of the prevalence of non-severe maternal morbidities. Given the lack of instruments to fully assess these morbidities, the World Health Organization (WHO) developed an instrument called WOICE. Objective To evaluate the prevalence of non-severe maternal morbidities in puerperal women and analyses factors associated to impaired clinical, social and mental health conditions. Method A cross-sectional study with 519 postpartum women in a single encounter 6 to 12 weeks postpartum. The WOICE questionnaire included three sections: the first with maternal and obstetric history, sociodemographic data, risk and environment factors, violence and sexual health; The second considers functionality and disability, general symptoms and mental health; and the third includes data on physical and laboratory tests. Data collection was supported by Tablets with REDCAP software. Initially, a descriptive analysis was performed, with general prevalence of all variables contained in the WOICE, including scales on anxiety and depression (GAD-7 and PHQ-9- altered if ≥10), functionality (WHODAS- altered when ≥37.4) and data on violence and substance use. Subsequently, an evaluation of cases with alterations was performed, with a logistic regression to investigate factors associated to impaired non-clinical and clinical conditions. Results 517 women were included, majority (54.3%) multiparous, ages between 20 and 34 years (65.4%) and with partner (75,6%). Over a quarter had (26.2%) preterm birth, however good perinatal outcomes. Around a third (30.2%) reported health problems informed by the physician, although more than 80% considered having good or very good health. About 10% reported any substance and 5.9% suffered violence. Anxiety was identified in 19.8% of cases, depression in 36.9% and altered functioning in 4.4% of women. Logistic regression identified that poor overall health rating was associated to increased anxiety/depression and impaired functioning. Having a partner reduces the perception of women on the presence of clinical morbidities. Conclusion During postpartum care, women presented high frequency of anxiety and depression and relevant frequency of substance use and violence. These aspects of women´s health need further evaluation and specific interventions to improve quality of care.

scholarly journals Giving women WOICE postpartum: Prevalence of maternal morbidity using the WHO-WOICE instrument

2020 ◽  
Author(s):  
Martha Narvaez Lamus ◽  
Stephanie Lozano ◽  
Charles MPoca ◽  
Jose Paulo Guida ◽  
Mary Angela Parpinelli ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Logistic Regression ◽  
Descriptive Analysis ◽  
Perinatal Outcomes ◽  
Good Health ◽  
World Health ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
Factors Associated

Abstract BackgroundThere are no accurate estimates of the prevalence of non-severe maternal morbidities. Given the lack of instruments to fully assess these morbidities, the World Health Organization (WHO) developed an instrument called WOICE.ObjectiveTo evaluate the prevalence of non-severe maternal morbidities in puerperal women and analyses factors associated to impaired clinical, social and mental health conditions.MethodA cross-sectional study with 519 postpartum women in a single encounter 6 to 12 weeks postpartum. The WOICE questionnaire included three sections: the first with maternal and obstetric history, sociodemographic data, risk and environment factors, violence and sexual health; The second considers functionality and disability, general symptoms and mental health; and the third includes data on physical and laboratory tests. Data collection was supported by Tablets with REDCAP software. Initially, a descriptive analysis was performed, with general prevalence of all variables contained in the WOICE, including scales on anxiety and depression (GAD-7 and PHQ-9- altered if ≥ 10), functionality (WHODAS- altered when ≥ 37.4) and data on violence and substance use. Subsequently, an evaluation of cases with alterations was performed, with a logistic regression to investigate factors associated to impaired non-clinical and clinical conditions.Results517 women were included, majority (54.3%) multiparous, ages between 20 and 34 years (65.4%) and with partner (75,6%). Over a quarter had (26.2%) preterm birth, however good perinatal outcomes. Around a third (30.2%) reported health problems informed by the physician, although more than 80% considered having good or very good health. About 10% reported any substance and 5.9% suffered violence. Anxiety was identified in 19.8% of cases, depression in 36.9% and altered functioning in 4.4% of women. Logistic regression identified that poor overall health rating was associated to increased anxiety/depression and impaired functioning. Having a partner reduces the perception of women on the presence of clinical morbidities.ConclusionDuring postpartum care, women presented high frequency of anxiety and depression and relevant frequency of substance use and violence. These aspects of women´s health need further evaluation and specific interventions to improve quality of care.

scholarly journals Physical Violence Against Street Children and Its Associated Factors Among Street Children in Jimma Town, Southwest Ethiopia :- A Community Based Cross-Sectional

2020 ◽  
Author(s):  
Derese Bekele Daba ◽  
Kefyalew Taye Belete
Keyword(s):  
Logistic Regression ◽  
Associated Factors ◽  
Physical Violence ◽  
Street Children ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Jimma Town

Abstract Background: Violence against children is a major public health, human rights, and social problem, with potentially devastating and costly harming children in every country. Even though evidences showed that street children accumulate a range of experiences of violence from an early age, physical and sexual violence are the commonest among street children. Street children’s health is an area that is not well researched, especially the magnitude and forms of violence targeted to street children lack attention, in which only few qualitative studies have been done in different parts of Ethiopia in past remote years. Therefore, this study planned to determine the magnitude of physical violence and associated factors among street children, who were residing in Jimma town, March, 2019. Methods: A community based cross-sectional study was conducted among 312 street children. Pre tested Self-administered structured questioners were used for data collection. Data were entered to Epi data version 3.1 and exported to SPSS version 20 for statistical analysis. Principal Component Analysis (PCA) was used to create a dichotomous dependent variable. Independent variables with p-value ≤ 0.25 in bivariate analysis were included into multivariable logistic regression and variables with P-value < 0.05 in multivariable logistic regression were declared as statistically significant.Results: A community based cross-sectional study was conducted among 312 street children from March 1 st to 31 st 2019. The study found that the magnitude of low physical violence to be 52.9% (95% C.I: 47.1- 58.7%) and high physical violence 47.1% (95% C.I: 41.3-52.9%). Factors like sex (being males) (AOR: 2.70, 95% C.I: 1.00- 7.36), sleeping under bridge (AOR: 2.08, 95%C.I: 1.11-3.89), deliver message (AOR: 2.43, 95%C.I: 1.20- 4.93), attending/washing cars (AOR: 2.17, 95%C.I: 1.22- 3.93), and begging (AOR: 3.12: 95%C.I: 1.33- 7.27) as a means of income generation and those who were tensioned, anxious or feel insecure during their street life (AOR: 1.90, 95%C.I: 1.03- 3.51) had statistically significant association with low physical violence. Being female (AOR: 2.82, 95%C.I: 1.01- 8.06) was statistically associated with high physical violence whereas factors like spent night under plastic shelter (AOR: 2.36, 95%C.I: 1.02- 5.46), spent night under bridge (AOR: 0.47, 95%C.I: 0.25- 0.89), can read and write (AOR: 0.11, 95%C.I: 0.03- 0.41), Attended/ washed cars(AOR: 0.48, 95%C.I: 0.27- 0.88) and begging (AOR: 0.40, 95%C.I: 0.17-0.96) pose less risk of having high physical violence.Conclusion: Street children are experiencing low to high physical violence and a number of factors are contributing to this problem in the study setting. Intersectoral collaboration and efforts are needed to alleviate physical violence among street children. Policy formulation and law enforcement targeting to this street children and perpetrator is needed locally and nationally.

scholarly journals Multi-Dimensional Factors Associated with Illegal Substance Use Among Gay and Bisexual Men in Taiwan

2019 ◽  
Vol 16 (22) ◽  
pp. 4476 ◽  
Author(s):  
Dian-Jeng Li ◽  
Shiou-Lan Chen ◽  
Cheng-Fang Yen
Keyword(s):  
Substance Use ◽  
Logistic Regression ◽  
Early Adulthood ◽  
Gay And Bisexual Men ◽  
Stepwise Logistic Regression ◽  
Childhood And Adolescence ◽  
Bisexual Men ◽  
Cross Sectional ◽  
Factors Associated ◽  
And Bisexual

Illegal substance use in sexual minorities is an important health issue worldwide. The present cross-sectional study aimed to investigate the multi-dimensional factors associated with illegal substance use among gay and bisexual men in Taiwan. This questionnaire-survey study recruited 500 gay or bisexual men aged between 20 and 25 years. Their experiences of using eight kinds of illegal substances in the preceding month were collected. Their previous experiences of homophobic bullying, satisfaction with academic performance, truancy, perceived family and peer support in childhood and adolescence, and social-demographic characteristics, were also collected. Potential factors associated with illegal substance use were identified using univariate logistic regression, and further selected into a forward stepwise logistic regression model to identify the factors most significantly related to illegal substance use. A total of 22 (4.4%) participants reported illegal substance use in the preceding month, and mean age was 22.9 ± 1.6. Forward stepwise logistic regression revealed that being victims of homophobic cyberbullying in childhood and adolescence (odds ratio (OR) = 1.26; p = 0.011), disclosure of sexual orientation at junior high school (OR = 4.67; p = 0.001), and missing classes or truancy in senior high school (OR = 2.52; p = 0.041) were significantly associated with illegal substance use in early adulthood. Multi-dimensional factors in childhood and adolescence that were significantly associated with illegal substance use in early adulthood among gay and bisexual men were identified. Besides traditional bullying, the effect of cyberbullying and school performance on illegal substance use should not be ignored. This study is limited to the cross-sectional design and possible recall bias. Mental health professionals must routinely assess these significant factors to prevent and intervene in illegal substance use among gay and bisexual men.

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

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

scholarly journals Binary Logistic Model to Identify the Factors Associated with Households with Bank Accounts in Nepal

2020 ◽  
Vol 2 (2) ◽  
pp. 323-336
Author(s):  
Santosh Kumar Shah
Keyword(s):  
Logistic Regression ◽  
Financial Institutions ◽  
Goodness Of Fit ◽  
Receiver Operating Curve ◽  
P Value ◽  
Ratio Test ◽  
Multiple Logistic Regression ◽  
Goodness Of Fit Test ◽  
Factors Associated ◽  
Bank Accounts

Introduction: Banks play an important role in ensuringthe economicand social stability, and the sustainablegrowth of the economy. The savings and other accounts in financial institutions, including banks, finances, microfinances and cooperatives, enable people to execute important financial functions. Thus, households that have accounts in any of financial institutions can have access to various banking services. Objective: The objective of the study is to identify the factors associated with households having bank accounts in Nepal. Methods: The analysis is based on household data extracted from the dataset of Nepal Demographic and Health Survey, 2016. The dependent variable is dichotomous, as the households with bank accounts and without bank accounts in any formal financial channels. In order to identify the factors associated with households receiving financial services in Nepal, multiple logistic regression models were developed by examining the model adequacy test. Results: The study finds that a total of 66.9% of the households had bank accounts. Several variables were found to be 1% of significance level. The predictive power of the model is found to be 31.2% and multicollinearity among the independent variables was absent. The Hosmer-Lemoshow goodness of fit test revealed that the data were poorly (p-value=0.056) fitted by the model. However, Osius-Rojek goodness of fit test (z=0.11; p-value=0.911), Stukel test (Z=0.683, p-value=0.494), likelihood ratio test (χ2=2770; p-value<0.0001) and area under receiver operating curve (79.8%) revealed that fitted model was good. Conclusion: Multiple logistic regression model revealed that in mountainous and hilly regions, women-headed households have less chances of not having bank accounts compared to the Terai region and men-headed households. The chances of having a bank account in province-2 is even worse than in Karnali and other provinces. The odds of not having bank accounts gradually decreased with the increase in size of agricultural land, wealth index, increase in family size and the number of family members who have completed secondary education.

scholarly journals Family planning uptake in Kagera and Mara regions in Tanzania: a cross-sectional community survey

2020 ◽  
Author(s):  
Joseph Batholomeo Massenga ◽  
Ritha Norohna ◽  
Bayoum Awadhi ◽  
Dunstan Bishanga ◽  
Oliva Safari ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Family Planning ◽  
Community Health ◽  
Univariate Analysis ◽  
Unmet Need ◽  
Reproductive Age ◽  
P Value ◽  
Cross Sectional ◽  
Mixed Effect ◽  
Factors Associated

Abstract BackgroundIn Tanzania, 27.1% of all women of reproductive age are currently using modern contraception, and 16.8% have an unmet need for family planning. We therefore examined factors associated with family planning uptake after giving birth in two regions of Tanzania.MethodsSub-analysis of a cross-sectional household survey conducted in April 2016 in Mara and Kagera regions in Tanzania. A total of 1184 women aged 15-49 years, who had given birth less than two years prior to the survey were included. Logistic regression mixed effect modelling was used to examine factors associated with family planning uptake. Univariate analysis was used to present crude effects of covariates, followed by stepwise forward selection to build a multiple logistic regression model. A p-value ≥ 0.20 was applied as the criterion to retain a variable into the model.ResultsAmong 1184 women within two years after giving birth, 393 (33.2%) used family planning methods. After adjusting for (1) age, (2) level of education, (3) living in union, (4) being accompanied to ANC by a partner and (5) being able to mention at least one method, factors independently associated with family planning uptake included: (1) having discussed family planning with the partner (aOR 2.90; 95% CI 1.88-4.49), (2) having been counselled on family planning during ANC (aOR 2.15; 95% CI 1.48-3.13), (3) having discussed family planning with a community health worker (aOR 3.32; 95% CI 1.91-5.77), (4) having discussed family planning with a facility health care worker (aOR 1.79; 95% CI 1.22-2.62), (5) having primary or higher educational level (aOR 1.66; 95% CI 1.01-2.273) and (6) being in union (aOR 1.86; 95% CI 1.02-3.42).ConclusionSupportive constitutes including educational interaction with facility and community health workers, as well as having a supportive partner are facilitators to increased uptake of family planning among women in Tanzania

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