Determinants associated high-risk fertility behaviours among reproductive aged women in Bangladesh: a cross-sectional study

2021 ◽  
Author(s):  
Md. Ashfikur Rahman
Keyword(s):  
High Risk ◽  
Unwanted Pregnancy ◽  
Significant Proportion ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Negative Consequences ◽  
Chi Square ◽  
Cross Sectional ◽  
Fertility Behaviour

Abstract Background The high prevalence of maternal high-risk fertility behaviour (HRFB) has multiple negative consequences for both the mother and the child. However, very few studies to date have been done on this issue, thus, we set out to determine the factors that increase the risk of HRFB in Bangladeshi women of reproductive age 15-49 years. Methods The study utilised the latest Bangladesh Demographic and Health Survey (BDHS) 2017-18 dataset. The Pearson's chi-square test was performed to determine the relationships between the outcome and the independent variables, while multivariate logistic regression analysis was used to identify the potential determinants associated with HRFB. Results Overall 67.7% women had HRFB among them 45.6% were at single risk and 22.1% were at multiple high-risks. Women’s age (35-49 years: AOR=6.42 95% CI: 3.95-10.42 & 15-24 years: AOR=1.19, 95% CI: 1.03-1.38), practicing Islam (AOR=2.30, 95% CI: 1.18-7.58), having normal childbirth (AOR=1.37, 95% CI: 1.12-1.68), had more than three children (AOR=4.60, 95% CI: 4.14-6.15), unwanted pregnancy (AOR=9.98, 95% CI: 5.61-17.74) and not using birth control tools (AOR=1.33, 95% CI:1.14-1.55) were significantly associated with increasing risk of having HRFB. Alternatively, women and their partners’ higher education were associated with reducing HRFB. Conclusion A significant proportion of Bangladeshi women had high-risk fertility behaviour which is quite alarming. Therefore, the public health policy makers in Bangladesh should emphasis on this issue and design appropriate interventions to reduce the maternal HRFB.

scholarly journals Attitudes of women in Cambodia towards child physical abuse

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1866
Author(s):  
Koustuv Dalal ◽  
Reshma Parvin Nuri ◽  
Ming Shinn Lee, ◽  
Chao Kuang Lin ◽  
Mervyn Gifford ◽  
...  
Keyword(s):  
Physical Abuse ◽  
Economic Status ◽  
Significant Proportion ◽  
Cross Sectional Study ◽  
Child Physical Abuse ◽  
Reproductive Age ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Female Autonomy

Background: This study attempted to explore the women’s attitude towards child physical abuse in relation to the respondent’s background factors, personal issues and autonomy. Methods: This was a cross-sectional study of 18,749 women of reproductive age (15-49 years) using 2010 Cambodia Demographic and Health Survey. Chi-square tests and bivariate analyses were performed. Results: A significant proportion of women supported beating physically abusing sons (69.2%) and daughters (67.2%). Rural, non-Buddhist, those with no or primary education, poverty, seasonal or occasional employment seem to be risk factor for supporting child physical abuse by women (in bivariate analysis). Age, education and household economic status of the women are significantly relevant for child physical abuse (in bivariate analysis). Women who came from male-headed households more often supported beating their children. Female autonomy is an important factor for child physical abuse. Women who justify physical abuse towards wives were also generally supportive of child physical abuse. Conclusions: The current study provides knowledge about maternal factors such as age, education, economic status, rural/urban dwelling, two or more lifetime partners and autonomy in the supporting of beating sons and daughters. Further attention needs to be paid to increasing women’s education and autonomy in Cambodian family life.

Analisis Faktor Determinan yang berhubungan dengan Kepatuhan Rekomendasi Modifikasi Gaya Hidup Pasien Hipertensi

2020 ◽  
Vol 7 (2) ◽  
pp. 256-263
Author(s):  
Abdul Qodir
Keyword(s):  
Blood Pressure ◽  
Lifestyle Modification ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Lifestyle Modifications ◽  
Chi Square ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Consecutive Sampling ◽  
Knowledge Practice

Penatalaksanaan farmakologis dan non farmakologis dipercaya dapat mengontrol tekanan darah dan mencegah komplikasi, tetapi banyak pasien hipertensi tekanan darahnya tidak terkontrol. Hal tersebut dikarenakan kepatuhan yang buruk dalam melaksanakan rekomendasi gaya hidup. Penelitian ini bertujuan untuk menganalisis determinan faktor yang berhungan dengan kepatuhan melaksanakan rekomendasi modifikasi gaya hidup. Penelitian ini menggunakan metode cross-sectional di pukesmas dinoyo Kota Malang tahun 2019. Teknik pengambilan sampel menggunakan Consecutive Sampling. Kuesioner yang digunakan meliputi : karakteristik demografi, pengetahuan dan rekomendasi mofifikasi gaya hidup pasien hipertensi. Hubungan antara rekomendasi modifikasi gaya hidup dengan variabel independen dianalisis menggunakan uji chi square dan analisis regresi logistik. 140 pasien hipertensi berpartisipasi dalam penelitian ini (60 laki-laki, 80 wanita). Prevalensi kepatuhan adalah 28,6 %. Tingkat pengetahuan berhubungan signifikan  dengan kepatuhan melaksanakan rekomendasi gaya hidup (p=0,00). Jenis kelamin, usia, dan tingkat pendidikan tidak mempunyai hubungan signifikan dengan kepatuhan rekomendasi modifikasi gaya hidup (p= 0,06; p=0,21; p=0,87). Pengetahuan mempunyai hubungan yang signifikan dengan kepatuhan rekomendasi modifikasi gaya hidup. Management of pharmacological and non-pharmacological is believed to control blood pressure and prevent complications,  but many hypertensive patients have uncontrolled blood pressure. This is due to poor adherence to recommended lifestyle modifications. This study was aimed to determine the factors associated with adherence to recommended lifestyle modifications of hypertensive patients. A cross-sectional study was conducted in Pukesmas Dinoyo Malang in 2019. Consecutive Sampling was used to select study subjects. The questionnaire included information about demographic characteristics, knowledge, practice of lifestyle-modification measures. Associations between adherence to lifestyle modification and independent variables were analyzed using chi square and multivariate logistic regression analysis. 140 hypertensive patients participated in the study (60 men, 80 women). The prevalence of adherence was 28.6%. The level of knowledge was significant associated with adherence to recommended lifestyle modifications (p = 0.00). Genders , age, and educational level were no significant associated with to recommended lifestyle modifications (p= 0.06; p=0.21; p=0.87). Knowledge was significant associated with adherence to recommended lifestyle modifications of hypertensive patients.

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 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.

High-risk behaviors and demographic features: a cross-sectional study among Iranian adolescents

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Leila Ghahremani ◽  
Mahin Nazari ◽  
Maryam Changizi ◽  
Mohamad Hossein Kaveh
Keyword(s):  
High Risk ◽  
Risk Behaviors ◽  
Suicide Attempts ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
High Risk Behaviors ◽  
Education Levels ◽  
Demographic Features

Abstract Background and objectives High-risk behaviors are considered to be a serious threat among adolescents. This study aimed to investigate the frequency of unhealthy and high-risk behaviors and their relationship with demographic features in adolescents living in Shiraz, Iran. Materials and methods The present descriptive, cross-sectional study was conducted on 483 students in the 10th grade of high school. The data were collected using a demographic information form and a modified adolescents high-risk behaviors questionnaire. The reliability of the questionnaire was assessed using the test-retest method. Afterwards, the data were entered into the SPSS statistical software (IBM), version 22 and were analyzed using the chi-square (χ2) test, logistic regression analysis and one-way analysis of variance (ANOVA). Results High-risk health behaviors were significantly correlated to adolescents’ gender, parents’ occupations and education levels, length of residency in Shiraz and talking about important things with one’s parents (p < 0.03). Gender predicted 52% of variance of bullying behaviors at school [Exp(B) = 0.502, p < 0.03, 95% confidence interval (CI) = 0.261–0.996]. In fact, most high-risk behaviors were associated with gender (p < 0.001). Indeed, bullying was mostly reported in boys, while being hopeless or sad, suicide attempts and appropriate weight loss behaviors were mostly reported among girls. Additionally, the frequency of smoking cigarettes and using hookahs was higher among girls compared to boys (23.1% for smoking cigarettes and 39.6% for using hookahs). However, no significant correlation was observed between gender and smoking cigarettes and using hookahs (p > 0.704 for smoking cigarettes and p > 0.118 for using hookahs). The most prevalent high-risk behaviors were physical fighting (51.1%), being sad or hopeless (35.2%), alcohol abuse (26.7%), overweight (14.7%) and obesity (8.1%) in both genders. Based on the results, only 26.5% of the adolescents had sufficient physical activity. Besides, the adolescents’ weight scores were significantly correlated to eating green salads (p < 0.01), which was seen more among overweight adolescents. Conclusion The findings indicated that adolescents’ gender and their parents’ roles should be taken into consideration in designing health promotion programs, such as mental health and its related skills. This would eventually result in the prevention and reduction of unhealthy habits.

scholarly journals Women’s knowledge and participation in early detection of cervical cancer: a cross-sectional study

2020 ◽  
Vol 3 (1) ◽  
pp. 1-7
Author(s):  
Elia Ika Rahmawati ◽  
Dini Andriyani ◽  
Fathiyatur Rohmah
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
P Value ◽  
Women Of Reproductive Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Incidence And Mortality

Cervical cancer is a malignant disease that remains a major cause of morbidity and mortality among women in the world. In Indonesia, only 5% of women of reproductive age screen for cervical cancer. 76.6% of cervical cancer patients are detected with the disease when they entered the advanced stage. Early detection of cervical cancer is the key intervention in the reduction of incidence and mortality of cervical cancer. Other studies reported that the awareness of women of reproductive age to do cervical cancer screening is still very low due to a lack of knowledge about cervical cancer. This study aimed to determine the correlation of knowledge and participation in early detection of cervical cancer in women in reproductive age. This study used an analytical survey with a cross-sectional approach. The sampling technique used incidental sampling with a total of 36 women in reproductive age. Data analysis used Chi-Square test. Statistical results showed that there was a significant correlation between knowledge of women in reproductive age about cervical cancer and participation in early detection of cervical cancer, which is p value = 0.020 ( 0.05) and coefficient of contingency (r) = 0.423. The level of closeness of the correlation is medium. Therefore, there is a need for tailored services that could improve knowledge of women in reproductive age about cervical cancer to improve participation with a view to preventing cervical cancer by early detection.

scholarly journals Factors related to non-adherence to the realization of the Papanicolaou test

Rev Rene ◽  
2015 ◽  
Vol 16 (4) ◽  
pp. 532
Author(s):  
Márcia Aparecida Dos Santos Silva ◽  
Érica Mairene Bocate Teixiera ◽  
Rosangela Aparecida Pimenta Ferrari ◽  
Maria Elisa Wotzasek Cestari ◽  
Alexandrina Aparecida Maciel Cardelli
Keyword(s):  
Significant Proportion ◽  
Cross Sectional Study ◽  
Study Data ◽  
Reproductive Age ◽  
Service Organization ◽  
Health Attitudes ◽  
Papanicolaou Test ◽  
Cross Sectional ◽  
Primary Health ◽  
Beliefs And Attitudes

To identify reasons for low adherence to the Papanicolaou test in women seeking care in primary health care. Methods: cross-sectional study. Data collection carried out during home visits, applying questionnaire to characterize sociodemographic aspects as well as the reasons for non-adherence to examination and suggestions for facilitating adherence. Results: among 169 women, 67% were of reproductive age and 73.9% have finished elementary school. The failure to previously scheduled examination was due mainly to the beliefs and attitudes (36.1%) and service organization (25.4%). The feelings reported by women during the Papanicolaou test were shame (55.6%), discomfort (32.5%) and pain (20.7%). Conclusion: Although the screening of cervical cancer is essential for timely intervention, a significant proportion of women still does not adhere to examination by myths and taboos, beliefs, and health attitudes, as well as service organization.

scholarly journals Factors associated with level of birth preparedness among pregnant mothers at Kerugoya county referral hospital

2017 ◽  
Vol 4 (11) ◽  
pp. 3998
Author(s):  
Olive W. Karimi ◽  
Mary W. Murigi ◽  
Anne Pertet ◽  
Careena O. Odawa
Keyword(s):  
Antenatal Care ◽  
Statistical Significance ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Birth Preparedness ◽  
Maternal Child Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Awareness Campaigns

Background: Birth preparedness is the advance preparation made by an expectant mother which ensures access to skilled care. In Africa, the risk of pregnancy related deaths is 300 times more than in the developed world. In Kenya, out of 10 expectant mothers who access antenatal care services only 4 deliver in a health facility.Methods: This was a descriptive cross sectional study conducted at outpatient Maternal Child Health and Family Planning Clinic at Kerugoya County Hospital. The study utilized convenience sampling technique to determine the study population. The research instruments were an In-depth interview guide and semi-structured questionnaires. Data was managed using SPSS and analysis done using descriptive statistics and Chi-square tests. Statistical significance was set at p<0.05.Results: A sample of 202 women participated in the study. 47.5% of the participants were adequately prepared for birth. Having a higher level of education was significantly associated with birth preparedness (p=0.021). The number of children per woman had a significant influence on level of birth preparedness with women who had no children less likely to be prepared for birth compared to those with one or more children (p=0.002). Clients who attended Antenatal Care (ANC) at least 3 times were prepared for birth compared to those who visited either once or twice (p=0.027).Conclusions: Overall, women of reproductive age lack birth preparedness. There is therefore need to enhance birth preparedness awareness campaigns at ANC visits targeting women in their third trimester. 

scholarly journals Assessment of awareness and attitude towards counterfeit medicines among pharmacy professionals working in community drug retail outlets in Harar town, Ethiopia

2021 ◽  
pp. 01-11
Author(s):  
Eklas Abdunasir ◽  
Teshome Sosengo ◽  
Frehiwot Amare ◽  
Mohammed Yimam ◽  
Bisrat Hagos
Keyword(s):  
English Language ◽  
Significant Proportion ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Counterfeit Medicines ◽  
Counterfeit Medicine ◽  
Retail Outlets ◽  
Knowledge And Attitude ◽  
Study Participants

Background: Counterfeit medicines are drugs which are deliberately and fraudulently mislabeled with respect to identity and/or source. According to the WHO 2017 report, about 1% of prescribed medicines in the developed world and about 10-50% in parts of the developing world are estimated to be counterfeits. Objective: The objective of this study was to assess the knowledge and attitude of pharmacy profes-sionals towards counterfeit medicines in Harar town. Method: A cross sectional study was conducted among pharmacy professionals found in Harar town, East Ethiopia. All pharmacy professionals working in community drug retail outlets of Harar town was included in the study. Accordingly, 92 pharmacy professionals were included in the study. The data was collected by using self-administered questionnaire. The questionnaire was prepared in English language. Data was coded, entered and analyzed by using Statistical Package for Social Sci-ence version 22. Then chi-square(x2) test was performed to determine there exists association of so-cio-demographic characters, profession and year of service towards awareness and attitude about counterfeit medicines was investigated using. Result: A total of 92 respondents were included in the study. The majority, 76 (82.6%), of the study participants had information about counterfeit medicine. The 26(28.3%), 42(45.7%) and 24(26%) of the respondents replied that counterfeit medicines have problem of efficacy, safety and cause eco-nomic problem on sellers of genuine drugs respectively. Majority of the study of the study partici-pants were not aware of a way of identification of counterfeit medicines, with only 18(19.6%), 47(51.1%) and 27(29.3%), replied that counterfeit medicines can be identified by its effect, inspec-tion and cost respectively. Majority of the respondents, 60(65.2%), responded that pharmacy profes-sional that knowingly dispense counterfeit medicine are business man /women. Most of the re-spondents, 66(71.7%), replied that pharmacy professionals carry out the business of counterfeit medicines transaction because of big profit obtained from such an activity. gender, profession and year of service in serving as pharmacy professional was found to be significantly associated with awareness towards counterfeit medicines, (p<0.05). Conclusion: Significant proportion of the study participants were not aware of the problems associ-ated with counterfeit medicines as efficacy, safety and economic problems. Majority of the respond-ents still are unaware about ways of identification of counterfeit medicines as inspection, by effica-cy and cost. Keywords: Counterfeit medicines; Awareness; Attitude; Professionals; Drug retail outlets

scholarly journals Prevalence of Bacterial Vaginosis in Females of Child-Bearing Age and Utility of pH and Whiff Test in Diagnosis

2020 ◽  
pp. 51-56
Author(s):  
Fakhar Uddin ◽  
Faiza Zeeshan ◽  
Rakhshanda Younus ◽  
Haleema Yasmin ◽  
Saima Bugti ◽  
...  
Keyword(s):  
Bacterial Vaginosis ◽  
Vaginal Discharge ◽  
Local Population ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Child Bearing ◽  
Chi Square Test ◽  
The Mean

Background: To determine the prevalence of bacterial vaginosis among females of reproductive age and assessment of the effectiveness of pH and the Whiff test in its diagnosis. Methods: This was a cross-sectional study. A total of 100 subjects were included, coming with a complaint of vaginal discharge. The bacterial vaginosis was diagnosed by using the Nugent scoring system, Whiff and pH tests. The prevalence was calculated by descriptive statistics and using the Chi-square test and results were shown in percentages and mean with standard deviation. Results: The estimated prevalence of bacterial vaginosis among the local population of females of child-bearing age was found to be 39%. The mean age of females with bacterial vaginosis was 33.33±10.46 years. The Whiff test was positive in 89.74% cases, while pH was elevated in 94.87% females with bacterial vaginosis. Conclusion: Bacterial vaginosis is a frequent cause of vaginal discharge in females of reproductive age in Pakistan. The diagnosis can be easily made by using Whiff and pH tests even at resource-poor settings. Keywords: Bacterial vaginosis, Child-bearing age, pH test, Whiff test.

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