scholarly journals Association Between Maternal High-risk Fertility Behavior and Pregnancy Intention Among Women Aged 15 to 49 in Rwanda: Analysis of the 2014-15 Rwanda Demographic and Health Survey

2021 ◽  
Author(s):  
Aurore Nishimwe ◽  
Philomene Uwimana ◽  
Liberee Rumagihwa ◽  
Alfred Rutagengwa ◽  
Laetitia Nyirazinyoye ◽  
...  
Keyword(s):  
High Risk ◽  
Unintended Pregnancy ◽  
Health Survey ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Pregnancy Intention ◽  
Fertility Behavior ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Cross Sectional

Abstract Background: Maternal high-risk fertility behaviors have been linked to negative maternal and child health outcomes that include anaemia, undernutrition, and child mortality. In this context, we examined the association between maternal high-risk fertility behavior and pregnancy intention among women of reproductive age in Rwanda.Methods: This cross-sectional study is based on secondary data from the 2014–15 Rwanda Demographic and Health Survey (n=5661). The outcome of interest was pregnancy intention of the last child defined as intended or unintended. Maternal high-risk fertility behaviors were measured using maternal age at delivery, birth order, and birth interval. Chi-square test and multivariable regression models were performed. Results: The prevalence of unintended pregnancy was 46.8% (n=2652). Overall, 35.8% (n=2017) of women experienced single high-risk fertility behavior, while 23.1% (n=1282) of women experienced multiple high-risk fertility behaviors. Compared to women who have not experienced high-risk fertility behavior, the multivariable odds ratio (95% CI) of unintended pregnancy among women in single-risk and multiple-risk fertility behaviors were 2.00 (1.75, 2.28; p <0.001) and 2.49 (2.09, 2.95; p <0. 001.), respectively.Conclusion: Exposure to high-risk fertility behaviors is positively associated with unintended pregnancy among women in Rwanda. Therefore, reproductive and sexual health services should pay special attention to women who are <18 years or >34 years old; who have more than three children already; or have children with less than 24 months’ interval between giving birth.

The Associations between Age, Occupation, Income, and Contraceptive Uptake in Women of Reproductive Age in Indonesia

2020 ◽  
Author(s):  
Lailatul Rohmah ◽  
◽  
Vitri Widyaningsih ◽  
Keyword(s):  
Health Survey ◽  
Low Income ◽  
Contraceptive Use ◽  
Social Factor ◽  
Cross Sectional Study ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Contraceptive Uptake

ABSTRACT Background: Personal and social factor play role in individual behavior, including women choice toward contraceptive uptake. Age, education, religious beliefs, knowledge of fertile days, and culture were factors that significantly predicted contraceptive use. The purpose of this study was to examine the associations between age, occupation, income, and contraceptive uptake in women of reproductive age in Indonesia. Subjects and Method: This was a cross sectional study. A sample of 49,627 women of reproductive age was selected for this study. The dependent variable was contraceptive uptake. The independent variables were age, occupation, and income. The data were obtained from Indonesian Demographic and Health Survey (IDHS) year 2017. The data were analyzed by a multiple logistic regression. Results: Contraceptive uptake in Indonesia was 59.7%. Contraceptive was used by women aged 15-49 years. Contraceptive uptake decreased with age <35 or ≥35 (OR= 0.52; 95% CI= 0.50 to o.55; p= 0.001), employed (OR= 0.72; 95% CI= 0.68 to 0.75; p<0.001), low education (OR= 1.77; 95% CI= 1.54 to 2.05; p<0.001), and low income (OR= 0.98; 95% CI= 0.94 to 1.02; p= 0.474). Conclusion: Age, employment, and education are associated with contraceptive uptake in women of reproductive age. Keywords: contraceptive uptake, Indonesian Demographic and Health Survey Correspondence: Lailatul Rohmah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6289691804847. DOI: https://doi.org/10.26911/the7thicph.03.108

scholarly journals Determinants of high-risk fertility behavior among reproductive-age women in Ethiopia using the recent Ethiopian Demographic Health Survey: a multilevel analysis

2020 ◽  
Vol 48 (1) ◽  
Author(s):  
Zemenu Tadesse Tessema ◽  
Koku Sisay Tamirat
Keyword(s):  
High Risk ◽  
Maternal Health ◽  
Health Survey ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Secondary Data ◽  
Fertility Behavior ◽  
Reproductive Age ◽  
Reproductive Age Women ◽  
Unwanted Pregnancies

Abstract Background High-risk fertility behavior is associated with numerous unfavorable child and maternal health outcomes such as chronic undernutrition, anemia, and child mortality. As far as our knowledge goes, there is not much study on determinants of high-risk fertility behavior in Ethiopia. Therefore, this study aimed to assess determinants of high-risk fertility behavior among reproductive-age women in Ethiopia. Method The study was based on secondary data analysis from the 2016 Ethiopia Demography and Health Survey. A total of 11,022 women who gave birth 5 years preceding the survey were included in this study. Kid’s Record (KR) dataset was used. The adjusted odds ratio (AOR) with its 95% confidence interval (CI) was calculated for those variables included in the multilevel logistic regression model. P value ≤ 0.05 was employed to declare the statistically significant variables. Results More than three-fourths (76.9%) of (95% CI 76.11 to 77.69) reproductive-age women had at least one high-risk fertility behavior. Attended primary and secondary education adjusted odds ratio (AOR) (AOR = 0.71; 95% CI 0.63, 0.80 and AOR = 0.73; 95% CI 0.60, 0.89, respectively), never used contraceptive (AOR = 1.25, 95% CI 1.12, 1.40), unwanted pregnancies (AOR = 1.40, 95% CI 1.23, 1.59), had no ANC visit (AOR = 1.19, 95% CI 1.05, 1.35), rural-dwelling (AOR = 1.26, 95% CI 1.04, 1.51), regions of Ethiopia [Somalia (AOR = 1.70; 95% CI 1.24, 2.32) and Amhara (AOR = 0.72; 95% CI 0.53, 0.96)] were determinants of high-risk fertility behavior. Conclusion Education, rural residence, unwanted pregnancies, no antenatal care follow-up, and never used contraceptives were determinants of high-risk fertility behavior. Therefore, increased maternal health services, special intervention for hotspot areas, and giving special attention to rural dweller women were highly recommended.

scholarly journals Factors Influencing the Uptake of Short-term Contraceptives Among Women of Reproductive Age in Afghanistan Further Analysis of Afghanistan Demographic and Health Survey 2015 (A Cross Sectional Study)

2021 ◽  
Author(s):  
Ahmad Siyar Noormal ◽  
Volker Winkler ◽  
Ali Maisam Eshraqi ◽  
Andreas Deckert ◽  
Shinkay Noormal ◽  
...  
Keyword(s):  
Health Survey ◽  
Contraceptive Use ◽  
Service Providers ◽  
Cross Sectional Study ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
Short Term ◽  
Cross Sectional ◽  
Afghan Women ◽  
Middle Socioeconomic Status

Abstract ObjectiveThe aim of this study is to assess factors that influence the uptake of short term contraceptives among married women aged between 15-49 years in Afghanistan.MethodThe cross sectional Afghanistan 2015 Demographic and Health Survey provided the dataset for this analysis. We included 22,974 women and applied multivariable logistic regression to investigate the influencing factors for the uptake of short term contraceptives.Results95% of Afghan women knew at least one type of contraception but only 16% were using short term contraceptives. Short term contraceptive use was most prevalent among women in the age group between 30 and 40 who were educated, employed, and rich. Most of users were living in the western parts of Afghanistan and belong to Balooch and Pashtun ethnic groups. Media exposure and women empowerment were also positively associated with the use of short term contraceptives. However, we did not find an association with living in urban or rural settings.ConclusionFP in Afghanistan requires multisectoral efforts, tailored to the needs of women stemming from low and middle socioeconomic status. Health promotion activities, empowering women, strengthening education, and training of Family Planning service providers on effective counseling are good options to address the issue.

scholarly journals Prevalence of High Risk HPV in HIV-Infected Women From Belém, Pará, Amazon Region of Brazil: A Cross-Sectional Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Jacqueline Cortinhas Monteiro ◽  
Ricardo Roberto de Souza Fonseca ◽  
Tuane Carolina de Sousa Ferreira ◽  
Luana Lorena Silva Rodrigues ◽  
Andreza Reis Brasil da Silva ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
High Risk ◽  
Hpv Infection ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Multiple Sexual Partners ◽  
Sexually Transmitted ◽  
High Risk Hpv

Human papillomavirus (HPV) is the most common sexually transmitted infection in the world. Several studies have shown a higher prevalence of HPV infection in HIV-infected women. The aim of this study was to determine the prevalence and the genotype diversity of HPV infection in HIV-infected women. From April 2010 to December 2012 cervical specimens were collected from 169 HIV-infected women who screening for cervical cancer at Reference Unit in Belém. The detection of HPV infection was performed by nested PCR and HPV type was performed using a commercial system. The prevalence of HPV infection was 63.3%. Of the 47 genotyped samples, 40.4% was found positive for high risk-HPV 16 and 12.8% for high risk-HPV 52. HPV infection was predominant in the group of women with no incidence of cytological abnormalities and more prevalent in women of reproductive age, unmarried, low education level, and who reported use condoms during sexual intercourse. It was observed an association between HPV infection and independent variables, such as condom use, multiple sexual partners, and history of sexually transmitted diseases. High-risk types of HPV infection were prevalent in our study. Infection with multiple high-risk HPV genotypes may potentiate the development of cervical cancer in HIV-infected women.

scholarly journals Profil Primigravida Muda dan Luaran Persalinan di Rumah Sakit Dr.Oen Surakarta

2018 ◽  
Vol 5 (1) ◽  
pp. 39
Author(s):  
Supanji Raharja ◽  
Ova Emilia ◽  
Poedji Rochjati
Keyword(s):  
Secondary Data ◽  
Cross Sectional Study ◽  
Young Age ◽  
Reproductive Age ◽  
Perinatal Morbidity ◽  
Sectional Study ◽  
Cross Sectional ◽  
Level Of Education ◽  
Adolescent Women ◽  
Important Health

Background: Pregnancy at a young age has become an important health problem both in developed and developing countries. Pregnancy at a young age increases the risk of maternal and perinatal morbidity and mortality. This is because adolescent women who are not ready both physically and psychologically to get pregnant.Obsjective: This study aims to identify and analyze labor in young primigravida (<20 years) with pathological labor in hospital Dr.Oen Surakarta.Method: This was an observational analytic study without intervention in the form of comparative cross sectional study conducted in young primigravida group age <20 years and primigravida group age 20 to 34 years old, who underwent labor in hospital delivery room. Dr.Oen Surakarta. This study used secondary data from the medical record of pregnant women who gave birth at RS.Dr.Oen Surakarta from January 1, 2011 to December 31, 201. A comparison between young primigravids (<20 years) in which pathologic pathways were performed with primigravida of reproductive age (20-34 years) experienced pathological labor were conducted.Result and Discussion: The number of deliveries in young primigravida (<20 years) was 61 people (6.65%) whereas in primigravida (21-35 years) there were 856 people (93.34%). Younger primigravids have lower levels of education than the primigravida age of reproductive age (p 0.00, CI 3.557 - 11.227). The younger primigravida has a tendency to give birth outside its residence area compared to primigravida of reproductive age (p 0.00; CI 0.050,178). Unmarried status in the young primigravida is greater than that of primigravida of reproductive age (p 0.00, CI 0.011 - 0,229) .An Antenatal Care on Primigravida reproductive age is more regular than young primigravida (p 0.03; CI 0.255 - 0.97) . Young primigravida tended to have anemia (p = 0.00, OR 8.4 CI 3.22 - 21.93) The risk of prematurity was higher in young primigravids than in the reproductive age primigravida (p 0.01, OR 2.9 CI 1, 16 - 7.25). Younger primigravids have a higher risk for pathologic delivery compared to primigravida of reproductive age (p 0.05 OR 0.56 CI 0.315 - 1.01).Conclusions: There are differences in terms, level of education, marital status, residence, regularity of ANC between young primigravida and prmigravida of reproductive age. The study found that young primigravids have a higher risk of occurrence of anemia, prematurity and pathologic delivery compared with healthy reproductive age primigravids.Keywords: young primigravida, primigravida healthy reproductive age, risk factors

scholarly journals Determinants of immunisation coverage of children aged 12–59 months in Indonesia: a cross-sectional study

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e015790 ◽  
Author(s):  
Putri Herliana ◽  
Abdel Douiri
Keyword(s):  
Health Survey ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Demographic And Health Survey ◽  
Immunisation Coverage ◽  
Design Data ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
The Mean ◽  
Immunisation Status

ObjectivesDespite the adoption of WHO’s Expanded Programme on Immunisation in Indonesia since 1977, a large proportion of children are still completely unimmunised or only partly immunised. This study aimed to assess factors associated with low immunisation coverage of children in Indonesia.SettingChildren aged 12–59 months in Indonesia.ParticipantThe socioeconomic characteristics and immunisation status of the children were obtained from the most recent Demographic and Health Survey, the 2012 Indonesia Demographic and Health Survey. Participants were randomly selected through a two-stage stratified sampling design. Data from 14 401 children aged 12–59 months nested within 1832 census blocks were included in the analysis. Multilevel logistic regression models were constructed to account for hierarchical structure of the data.ResultsThe mean age of the children was 30 months and they were equally divided by sex. According to the analysis, 32% of the children were fully immunised in 2012. Coverage was significantly lower among children who lived in Maluku and Papua region (adjusted OR: 1.94; 95% CI 1.42 to 2.64), were 36–47 months old (1.39; 1.20 to 1.60), had higher birth order (1.68; 1.28 to 2.19), had greater family size (1.47; 1.11 to 1.93), whose mother had no education (2.13; 1.22 to 3.72) and from the poorest households (1.58; 1.26 to 1.99). The likelihood of being unimmunised was also higher among children without health insurance (1.16; 1.04 to 1.30) and those who received no antenatal (3.28; 2.09 to 5.15) and postnatal care (1.50; 1.34 to 1.69).ConclusionsSocioeconomic factors were strongly associated with the likelihood of being unimmunised in Indonesia. Unimmunised children were geographically clustered and lived among the most deprived population. To achieve WHO target of protective coverage, public health interventions must be designed to meet the needs of these high-risk groups.

scholarly journals Factors Influencing the Uptake of Short Term Contraceptives Among Women in Afghanistan: Further Analysis of Afghanistan Demographic and Health Survey 2015 (A Cross Sectional Study)

2021 ◽  
Author(s):  
Ahmad Siyar Noormal ◽  
Volker Winkler ◽  
Ali Maisam Eshraqi ◽  
Andreas Deckert ◽  
Iftekhar Sadaat ◽  
...  
Keyword(s):  
Health Survey ◽  
Contraceptive Use ◽  
Service Providers ◽  
Cross Sectional Study ◽  
Demographic And Health Survey ◽  
Short Term ◽  
Cross Sectional ◽  
Afghan Women ◽  
Effective Counseling ◽  
Middle Socioeconomic Status

Abstract Objective: The aim of this study is to assess factors that influence the uptake of short term contraceptives among married women aged between 15-49 years in Afghanistan.Method: The cross sectional Afghanistan 2015 Demographic and Health Survey provided the dataset for this analysis. We included 22,974 women and applied multivariable logistic regression to investigate the influencing factors for the uptake of short term contraceptives.Results: 95% of Afghan women knew at least one type of contraception but only 16% were using short term contraceptives. Short term contraceptive use was most prevalent among women in the age group between 30 and 40 who were educated, employed, and rich. Most of users were living in the western parts of Afghanistan and belong to Balooch and Pashtun ethnic groups. Media exposure and women empowerment were also positively associated with the use of short term contraceptives. However, we did not find an association with living in urban or rural settings.Conclusion: FP in Afghanistan requires multisectorial efforts, tailored to the needs of women stemming from low and middle socioeconomic status. Health promotion 5 activities, empowering women, strengthening education, and training of FP service providers on effective counseling are good options to address the issue.

scholarly journals Predictive accuracy of perceived baby birth size for birth weight: a cross-sectional study from the 2016 Ethiopian Demographic and Health Survey

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e031986
Author(s):  
Dabere Nigatu ◽  
Demewoz Haile ◽  
Bereket Gebremichael ◽  
Yordanos M Tiruneh
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Health Survey ◽  
Predictive Accuracy ◽  
Cross Sectional Study ◽  
Demographic And Health Survey ◽  
Birth Size ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing

ObjectivesThe study was designed to evaluate the accuracy of maternally perceived baby birth size assessments as a measure of birth weight and examine factors influencing the accuracy of maternal size assessments.Study designCross-sectional study.SettingThe study is based on national data from the 2016 Ethiopian Demographic and Health Survey.ParticipantsWe included 1455 children who had both birth size and birth weight data.Main outcome measuresPredictive accuracy of baby birth size for low birth weight. Level of discordance between maternally perceived birth size and birth weight including factors influencing discordance.ResultsMother-reported baby birth size had low sensitivity (57%) and positive predictive value (41%) to indicate low birth weight but had high specificity (89%) and negative predictive values (94%). The per cent of agreement between birth weight (<2500 g vs ≥2500 g) and maternally perceived birth size (small size vs average or above) was 86% and kappa statistics indicated a moderate level of agreement (kappa=0.41, p<0.001). Maternal age, wealth index quintile, marital status and maternal education were significant predictors of the discordance between birth size and birth weight.ConclusionsMaternal assessment of baby size at birth is an inaccurate proxy indicator of low birth weight in Ethiopia. Therefore, a mother’s recall of birth size should be used as a proxy indicator for low birth weight with caution and should take maternal characteristics into consideration.

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