scholarly journals Age at First Marriage and Fertility Decline in Dabat Health and Demographic Surveillance System Site, northwest Ethiopia: Decomposition analysis

2020 ◽  
Author(s):  
Nega Mihret Alazbih ◽  
Assefa Hailemariam Kaya ◽  
Mezgebu Yitayal Mengistu ◽  
Kassahun Alemu Gelaye
Keyword(s):  
Fertility Decline ◽  
Surveillance System ◽  
Decomposition Analysis ◽  
Married Women ◽  
Demographic Surveillance System ◽  
Reproductive Age ◽  
P Value ◽  
Cross Sectional ◽  
First Marriage ◽  
Age At First Marriage

Abstract Background: Fertility declines in Ethiopia have been documented since 1990s. Amhara National Regional State has recorded the most noticeable fertility decline. However, specific factors that explain the incipient course of fertility decline area and their relative contributions were not well investigated.Hence, the purpose of this study was to determine the factors that contributed for fertility decline, and to assess the variations in fertility that can be attributed to both changes in characteristics and reproductive behaviors of women aged 15–49 years. Methods: Cross sectional censuses were carried out in Dabat Health and Demographic Surveillance System site in 2008 and 2014. Data for 4,775 and 10,807 women with reproductive age in 2008 and 2014 were used for the analysis. Poisson regression model was employed to assess the trends of determinants of fertility, and Multivariate Decomposition technique was applied to evaluate observed changes in fertility. Results: The findings indicated that there was a reduction of an average 641 births per 1,000 women of the reproductive age during the year 2014 compared to the year 2008 in the surveillance site(P-value <0.001; 95% CI: -669.5, -582.4). This overall change in fertility during the study period was attributed to changing characteristics of women (78%)(P-value <0.001; 95%CI: -537.65, -462.32), and their reproductive behavior (22%)(P-value <0.001; 95% CI: -214.56 to -67.368). The drivers of the recent fertility decline during the study period were the shift observed in the age at first marriage, the change in the proportion of currently married women, the shift in women’s birth to later age and the change in women's education. Conclusion: This study indicated that the overall reduction in fertility was attributed to both changing characteristics of women and their reproductive behavior.The major contributors to the changes in fertility were the postponing of women’s first marriage to later age and the change in the proportion of currently married women over the study period. Encouraging women to complete at least secondary education are important to increase the age at first marriage and birth which intern accelerate the current fertility transition.

scholarly journals Age at First Marriage and Fertility Decline in Dabat Health and Demographic Surveillance System Site, northwest Ethiopia: Decomposition analysis

2021 ◽  
Author(s):  
Nega Mihret Alazbih ◽  
Assefa Hailemariam Kaya ◽  
Mezgebu Yitayal Mengistu ◽  
Kassahun Alemu Gelaye
Keyword(s):  
Fertility Decline ◽  
Surveillance System ◽  
Northwest Ethiopia ◽  
Married Women ◽  
Demographic Surveillance System ◽  
Reproductive Age ◽  
P Value ◽  
Cross Sectional ◽  
First Marriage ◽  
Age At First Marriage

Abstract Background: Fertility declines in Ethiopia have been documented since 1990s. Amhara National Regional State has recorded the most noticeable fertility decline. However, specific factors that explain the incipient course of fertility decline in the study area and their relative contributions were not well investigated. Hence, the purpose of this study was to determine the factors that contributed for fertility decline, and to assess the variations in fertility that can be attributed to both changes in characteristics and reproductive behaviors of women aged 15–49 years between 2008 and 2014 in Dabat Demographic and Health Surveillance System Site, Northwest Ethiopia.Methods: Cross sectional censuses were carried out in Dabat Health and Demographic Surveillance System site in 2008 and 2014. Data for 4,775 and 10,807 women with reproductive age in 2008 and 2014 were used for the analysis. Poisson regression model was employed to assess the trends of determinants of fertility, and Multivariate Decomposition technique was applied to evaluate observed changes in fertility using data from two consecutive cross-sectional censuses of Dabat HDSS conducted in 2008 and 2014.Results: The findings indicated that there was a reduction of an average 640.69 births per 1,000 women of the reproductive age during the year 2014 compared to the year 2008 in the surveillance site (P-value <0.001; 95% CI: -669.5 to -582.4). This overall change in fertility during the study period was attributed to both changing characteristics of women (the distribution effect) (76%) (P-value < 0.001; 95%CI: -524.74, -453.13, and their reproductive behavior (the effect shown by regression coefficients of the variables on the outcome) (24%) (P-value <0.001; 95% CI: -224.36 to -79.14). The drivers of the recent fertility decline during the study period were the shift observed in the age at first marriage, the change in the proportion of currently married women, the shift in women’s birth to later age and the change in women's educational status.Conclusion: This study indicated that the overall reduction in fertility was attributed to both changing characteristics of women and their reproductive behavior. The major contributors to the changes in fertility were the postponing of women’s first marriage to later age and the change in the proportion of currently married women over the study period. Encouraging women to complete at least secondary education are important to increase the age at first marriage and birth which intern accelerate the current fertility transition.

scholarly journals Age at First Marriage and Fertility Decline in Dabat Health and Demographic Surveillance System Site, northwest Ethiopia: Decomposition analysis

2020 ◽  
Author(s):  
Nega Mihret Alazbih ◽  
Assefa Hailemariam Kaya ◽  
Mezgebu Yitayal Mengistu ◽  
Kassahun Alemu Gelaye
Keyword(s):  
Fertility Decline ◽  
Surveillance System ◽  
Northwest Ethiopia ◽  
Married Women ◽  
Demographic Surveillance System ◽  
Reproductive Age ◽  
P Value ◽  
Cross Sectional ◽  
First Marriage ◽  
Age At First Marriage

Abstract Background: Fertility declines in Ethiopia have been documented since 1990s. Amhara National Regional State has recorded the most noticeable fertility decline. However, specific factors that explain the incipient course of fertility decline in the study area and their relative contributions were not well investigated. Hence, the purpose of this study was to determine the factors that contributed for fertility decline, and to assess the variations in fertility that can be attributed to both changes in characteristics and reproductive behaviors of women aged 15–49 years between 2008 and 2014 in Dabat Demographic and Health Surveillance System Site, Northwest Ethiopia.Methods: Cross sectional censuses were carried out in Dabat Health and Demographic Surveillance System site in 2008 and 2014. Data for 4,775 and 10,807 women with reproductive age in 2008 and 2014 were used for the analysis. Poisson regression model was employed to assess the trends of determinants of fertility, and Multivariate Decomposition technique was applied to evaluate observed changes in fertility using data from two consecutive cross-sectional censuses of Dabat HDSS conducted in 2008 and 2014.Results: The findings indicated that there was a reduction of an average 641 births per 1,000 women of the reproductive age during the year 2014 compared to the year 2008 in the surveillance site (P-value <0.001; 95% CI: -669.5, -582.4). This overall change in fertility during the study period was attributed to both changing characteristics of women (the distribution effect) (78%) (P-value <0.001; 95%CI: -537.65, -462.32), and their reproductive behavior (the effect shown by regression coefficients of the variables on the outcome) (22%) (P-value <0.001; 95% CI: -214.56 to -67.368). The drivers of the recent fertility decline during the study period were the shift observed in the age at first marriage, the change in the proportion of currently married women, the shift in women’s birth to later age and the change in women's educational status.Conclusion: This study indicated that the overall reduction in fertility was attributed to both changing characteristics of women and their reproductive behavior. The major contributors to the changes in fertility were the postponing of women’s first marriage to later age and the change in the proportion of currently married women over the study period. Encouraging women to complete at least secondary education are important to increase the age at first marriage and birth which intern accelerate the current fertility transition.

scholarly journals Suboptimal birth spacing practice and associated factors among women of reproductive age in West Badwacho district, Hadyia zone, South Ethiopia, 2020: Cross-sectional study design

2021 ◽  
Author(s):  
Alemu Workineh Wassihun ◽  
Yilkal Simachew Hunegnaw ◽  
Teshome Abuka Abebo ◽  
Alex Yeshaneh Bekele
Keyword(s):  
Logistic Regression ◽  
Birth Interval ◽  
Associated Factors ◽  
Birth Spacing ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
P Value ◽  
Cross Sectional ◽  
First Marriage ◽  
Age At First Marriage

Abstract Introduction: Birth spacing is the time gaps between two consecutive life births. One of the key strategies to reduce fertility and promote the health status of mothers and their children is optimal birth spacing. Recent evidences showed that the health of mothers and children with the birth interval of 3 to 5 years is safer than 2 years or less. However, women still have shorter birth intervals and studies addressing their associated factors were scarce. Objectives: To assess prevalence of suboptimal birth spacing practice and its associated factors among women of reproductive age in West Badwacho district, Hadyia Zone, South Ethiopia, 2020.Method and materials: Community based cross sectional study was conducted from February to March, 2020. Multi stage sampling technique was used to select samples of 626 women. Structured and pretested interview based questionnaire was used to collect the data. Data was checked for completeness and entered using EPI data version 3.1 and analyzed using SPSS version 25. Bivariable logistic regression was done and variables with a p-value of < 0.25 in bi-variable logistic regression were recruited as candidate variable for the final multivariable logistic regression model and P value less than 0.05 at 95 % confidence level was taken as statistically significant. Result: The prevalence of suboptimal birth interval in this study was 60.4 %. Independent predictors of suboptimal birth spacing were: age at first marriage less than 18 years (AOR: 2.18, 95% CI=1.34,3.53), HEWs education about birth sapcing (AOR: 1.89, 95% CI=1.02,3.48), non -formal maternal education (A0R: 2.25, 95%CI=1.31,3.87), non -formal husband education (AOR: 2.64, 95%CI=1.74,4.01), sex of index child being female (AOR:1.58, 95%CI=1.06, 2.38),, having poor knowledge on optimal birth interval (AOR: 2.96, 95%CI=1.64,5.37), duration of breast feeding for less than 24 months (AOR: 4.64, 95%CI=2.32,9.29), and modern contraceptive non users (AOR: 6.31, 95%CI=3.99,9.96),Conclusion and recommendation: More than half of the study respondents were practicing suboptimal birth interval. Educational status, age at first marriage, HEWs education about birth sapacing, short duration of breastfeeding was some of the factors associated with the outcome variable. Thus, to optimize birth spacing, strategies of providing information using HEWs, education and communication targeting associated variables should be improved.

scholarly journals Uterine prolapse and associated factors among reproductive age women in Dawro zone, southwest Ethiopia: a community based cross sectional study

2020 ◽  
Author(s):  
Abebe Sorsa Badacho ◽  
Mengistu Auro Lelu ◽  
Zegeye Gelan
Keyword(s):  
Logistic Regression ◽  
Uterine Prolapse ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
First Marriage ◽  
Age At First Marriage ◽  
Assisted Delivery ◽  
History Of

Abstract Background: Uterine Prolapse is an important but one of the most neglected public health problems causing maternal morbidity and mortality among women of reproductive age in developing countries including Ethiopia. However, yet few data are available with respect to uterine prolapse. The objective of this study was to assess the prevalence of, and factors associated with uterine prolapse among women of reproductive age.Methods: A community based cross-sectional study was conducted in Loma Woreda, Dawro southwest Ethiopia, from November to December 2019. A total of 422 randomly selected women of reproductive age were participated in the study. Data were collected by face-to-face interview with pre-structured questionnaire and clinical diagnoses were carried out. Epi data 3.2.1 and SPSS version 24 were used for data entry, processing and analysis. Binary Logistic regression was used to find out the association between dependent and independent variables. Variables with P-value less than 0.25 in bivariate logistic regression were further examined using multivariate logistic regression to investigate an association between dependent variable and independent variables. Results: The mean age of the respondents was 35.4 years (±7.994 SD). This study identified that the prevalence of symptomatic and anatomical uterine prolapse was 6.6 %(28) and 5.9%(25) respectively. The prevalence of anatomical prolapse was used as a reference when determining the associated factors. Age at first marriage (AOR: 0.25, 95%CI (0.07, 0.89), place of delivery (AOR: 3.33, 95%CI (1.21, 9.13), birth attendant assisted delivery (AOR 0.21; 95%CI (0.06, 0.71) and history of abortion (AOR: 2.94, 95%CI (1.08, 7.97) were found to have significantly and independently associated with prevalence of uterine prolapse. Conclusion: Uterine prolapse is common among women of reproductive age group age at first marriage, place of delivery, birth attendant assisted delivery, and history of abortion were found to be independent predictors of prevalence of uterine prolapse.

scholarly journals Hubungan Paritas dan Menikah Usia Dini dengan Hasil Pemeriksaan Inspeksi Visual Asam Asetat (IVA)

2020 ◽  
Vol 5 (2) ◽  
pp. 86-91
Author(s):  
Sri Sumarni ◽  
Laylatul Hasanah
Keyword(s):  
Cervical Cancer ◽  
Acetic Acid ◽  
Community Health Center ◽  
Precancerous Lesion ◽  
Screening Tools ◽  
Early Marriage ◽  
P Value ◽  
Cross Sectional ◽  
First Marriage ◽  
Age At First Marriage

Cervical cancer is a neoplasm or malignancy in the cervix. The problem of cervical cancer in Indonesia is very distinctive, namely that many and more than 70% of cases are found at an advanced stage when they come to the hospital. One of the screening tools for cervical cancer is the IVA method. A positive IVA test is thought to be a precancerous lesion. IVA stands for Acetic Acid Visual Inspection. This method of examination is done by smearing the cervix or cervix with acetic acid. According to a preliminary study at Puskesmas Rubaru Kab. Sumenep found that from the results of the IVA examination, there were 10 women who tested positive for the IVA test (12%). The aim of this study was to analyze multiple children and sexual relations at a young age with the results of the IVA test. This research method is analytic with cross sectional approach. The total population is 72 people, the sample of this study is based on a sample size formula of 60 people who meet the inclusion criteria. The results showed that most of the age at first marriage were WUS ≤ 16 years, as many as 36 WUS (60%), almost half of WUS had children> 1 x, namely 18 WUS (30%), and a small proportion of WUS got positive results during the examination IVA tests were 10 WUS (16.7%). Based on the statistical test of each variable, it shows p value <α, so that H1 is rejected, meaning that there is a relationship between parity and early marriage with the results of the IVA test at the Rubaru Community Health Center, Rubaru District, Sumenep Regency.

scholarly journals THE INFLUENCE OF EDUCATION, WELFARE AND RESIDENTIAL AREA ON ADOLESCENT MARRIAGES

2021 ◽  
Vol 23 (1) ◽  
pp. 18
Author(s):  
Norma Yuni Kartika ◽  
Muhammad Efendi ◽  
Ellyn Normelani ◽  
Heru Heru ◽  
Sopyan Sopyan
Keyword(s):  
Rural Areas ◽  
Multivariable Analysis ◽  
Residential Area ◽  
Married Women ◽  
Cross Sectional ◽  
First Marriage ◽  
Poor Households ◽  
Age At First Marriage ◽  
Low Education ◽  
Age Of Marriage

The low median of age of first marriage in South Kalimantan is partly due to the high number of adolescent marriages that hinder the maturity age of marriage program. Adolescent marriages in this study is the age at first marriage for someone under the age of 20 years. This paper aims to analyze the factors that influence adolescent marriage in South Kalimantan. The study used a cross-sectional research design with data from the 2017 Indonesian Demographic and Health Survey (IDHS), South Kalimantan Province. The sample in this study were all married women aged 15-49 years who were respondents to the 2017 IDHS, which were divided into two categories as follows. (1) The category of adolescent marriage was the age of first marriage 15-19 years who met the criteria, amounting to 305 respondents. (2) The category of adult marriage is the age at first marriage of 20 years and over who meets the criteria, amounting to 328 respondents. The analysis in this study used univariable, bivariable and multivariable analysis. The results of the analysis show that 13.3 percent of women with low education, come from poor households and live in rural areas, cause adolescent marriages in South Kalimantan.

Spectrum of Pathological Lesions in Uterine Specimens with Focus on Gestational Trophoblastic Disease in Karachi

2020 ◽  
Keyword(s):  
Hydatidiform Mole ◽  
Endometrial Stromal Sarcoma ◽  
Gestational Trophoblastic Disease ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
P Value ◽  
Cross Sectional ◽  
Endometrial Polyps ◽  
Trophoblastic Disease ◽  
Proliferative Endometrium

Background: The most common benign pathological lesion in women of reproductive age is uterine leiomyoma. Gestational trophoblastic disease includes tumors and tumor like lesions originating from trophoblastic tissue. The aim of this study was to find the spectrum of molar pregnancy and uterine pathologies focusing on gestational trophoblastic disease as no study has been done in the past few years. Methods: Endometrial and uterine specimens of patients (n=436) between the ages of 15-65 years were collected from a private hospital in Karachi from December 2018 to December 2019. This cross-sectional study was carried out by pathological diagnosis of patients’ samples under light microscopy using hematoxylin and eosin staining. Stratification was done about age and nature of specimen to control the effect modifiers. The post stratification Chi square test was applied and p value <0.05 was considered significant. Results: Mean age of the patients was 36.1 years ±7.8. Total 436 uterine biopsies included 260(59.6%) hysterectomies, 56(12.8%) endometrial curetting’s, 117(26.8%) evacuation specimens and 3(0.7%) polypectomies. Common pathologies included 124(28.4%) leiomyomas, 61(14%) proliferative endometrium, 52(11.9%) adenomyosis and 32(7.3%) endometrial polyps. Gestational trophoblastic disease was seen in 9(2.06%). Seven (87.5%) were partial hydatidiform moles, one (12.5%) exaggerated placental site reaction and one choriocarcinoma. Mole was common between 26-30 years with mean age of 27.2 years and prevalence was 6/100 abortions. Conclusion: Leiomyoma was the commonest (28.4%) uterine pathology followed by proliferative endometrium (14.5%). However, endometrial stromal sarcoma and endometriosis were found 0.2% each. High prevalence of mole was seen in this study. Partial mole was most common and choriocarcinoma was least common. Keywords: Hydatidiform Mole; Pathology; Prevalence.

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

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

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

MULTILEVEL LINEAR REGRESSION ANALYSIS OF FACTORS INFLUENCING BODY MASS INDEX AMONG BANGLADESHI MARRIED NON-PREGNANT WOMEN

2016 ◽  
Vol 49 (4) ◽  
pp. 498-508 ◽  
Author(s):  
Md Kamruzzaman ◽  
A. S. M. A. Mamun ◽  
Sheikh Muhammad Abu Bakar ◽  
Aik Saw ◽  
T. Kamarul ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Regression Analysis ◽  
Linear Regression ◽  
Linear Regression Analysis ◽  
Reproductive Age ◽  
Cluster Effect ◽  
Women Of Reproductive Age ◽  
First Marriage ◽  
Factors Influencing ◽  
Age At First Marriage

SummaryThe aim of this study was to investigate the socioeconomic and demographic factors influencing the body mass index (BMI) of non-pregnant married Bangladeshi women of reproductive age. Secondary (Hierarchy) data from the 2011 Bangladesh Demographic and Health Survey, collected using two-stage stratified cluster sampling, were used. Two-level linear regression analysis was performed to remove the cluster effect of the variables. The mean BMI of married non-pregnant Bangladeshi women was 21.60±3.86 kg/m2, and the prevalence of underweight, overweight and obesity was 22.8%, 14.9% and 3.2%, respectively. After removing the cluster effect, age and age at first marriage were found to be positively (p<0.01) related with BMI. Number of children was negatively related with women’s BMI. Lower BMI was especially found among women from rural areas and poor families, with an uneducated husband, with no television at home and who were currently breast-feeding. Age, total children ever born, age at first marriage, type of residence, education level, level of husband’s education, wealth index, having a television at home and practising breast-feeding were found to be important predictors for the BMI of married Bangladeshi non-pregnant women of reproductive age. This information could be used to identify sections of the Bangladeshi population that require special attention, and to develop more effective strategies to resolve the problem of malnutrition.

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