scholarly journals The smoking behavior of women of reproductive age in Nepal

2021 ◽  
Vol 9 (01) ◽  
pp. 8-18
Author(s):  
Ramesh Adhikari ◽  
Aakriti Wagle ◽  
Min Raj Adhikari

Smoking, the leading cause of preventable deaths worldwide, which is more detrimental to women not only increases the chances of infertility and miscarriage, but hastens the onset of menopause and causes women to be more susceptible to depression, decreased bone density, cataracts, and skin diseases. This paper investigates the smoking behavior and factors influencing smoking among women of reproductive age in Nepal. The study used secondary data from the 2016 Nepal Demographic and Health Survey. A total of 12,862 women of the reproductive age group were covered in the survey. The association between smoking and the explanatory variables was first assessed in bivariate analysis using the Chi-square test. The associations were further explored using multivariate logistic analysis. Nearly two-fifths (38%) of women were aged 15-24 years. Overall, 8% of women used tobacco products (smoking/chewing). Multivariate analysis showed that women aged 35 and above were almost seven times (aOR=6.52, CI=4.75-8.94) to be smokers than younger women. Separated/divorced/widowed women were nearly twice (aOR=1.86, CI=1.14-3.01) as likely to be smokers than their counterparts. Education is a significant predictor of smoking as women having primary (aOR=0.65, CI=0.54-0.78) and secondary/higher education (aOR=0.21, CI=0.16-0.26) were less likely to smoke than women with no education. Dalit women were nearly two times more likely to be smokers than higher caste Brahmin/Chhetri. Similarly, the richest and richer women were less likely to smoke than the poorest women. Age, education, marital status, caste/ethnicity, and wealth index were significant determinants of smoking among women. Hence, tobacco control interventions need to be focused on women of higher age groups and uneducated and poorer women. 

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Bruno F. Sunguya ◽  
Si Zhu ◽  
Rose Mpembeni ◽  
Jiayan Huang

Abstract Background Tanzania has made a significant improvement in wasting and underweight indicators. However, stunting has remained persistently higher and varying between regions. We analyzed Tanzania Demographic and Health Survey (TDHS) datasets to examine (i) the trend of stunting over the period of 25 years in Tanzania and (ii) the remaining challenges and factors associated with stunting in the country. Methods This secondary data analysis included six TDHS datasets with data of 37,409 under-five children spreading in 1991–1992(n = 6587), 1996(n = 5437), 1999(n = 2556), 2004–05(n = 7231), 2009–10(n = 6597), and 2015–16(n = 9001) conducted in all regions of Tanzania. Variables specific to children and their caregivers were analyzed using SPSS version 22. The variables considered include child anthropometric variables, caregiver’s demographic characteristics and household’s socio-economic factors. We used frequencies and percentages to compare stunting prevalence across the six surveys and chi-square test and three-level hierarchical logistic regression to examine the factors associated with stunting also applying sample weighting as advised by TDHS. Results The prevalence of stunting has declined by 30% over the period of 25 years in Tanzania. However, one in three children aged below five years remains stunted with overweight and obesity more than doubled (from 11 to 25%) in the same period among women of reproductive age. The factors associated with stunting included children living in female-headed households (AOR = 1.16, P = 0.014), aged 24–35 months (AOR = 1.75, P = 0.019), born with low birth weight (AOR = 2.14, P < 0.001) and with inconsistent or without breastfeeding (AOR = 3.46, P < 0.001 and AOR = 4.29, P = 0.001) respectively. The risk of stunting among children living in urban area (AOR = 0.56, P < 0.001), with higher caregiver’s education (AOR = 0.56, P = 0.018), obese mother (AOR = 0.63, P < 0.001), households with highest wealth index (AOR = 0.42, P < 0.001), and among girls (AOR = 0.77, P < 0.001). Conclusions The burden of stunting in Tanzania has declined by 30% in the past 25 years, but still affecting one in every three children. Efforts are needed to increase the pace of stunting decline especially among boys, children in rural areas, from poor, uneducated, and female-headed households, and through improving infant and young feeding practices. Effective and tailored nutrition-sensitive and specific interventions using multisectoral approaches should be considered to address these important determinants.


2020 ◽  
Author(s):  
Mekuanint Simeneh Workie

Abstract Background: Female genital mutilation could be a global public unhealthiness, and it's practiced by many communities in Africa, special Ethiopia. In Ethiopia, the factors related to FGM practices are poorly understood. Therefore, this study aimed to assess the prevalence of female genital mutilation and its associated factors with FGM among reproductive age women within the country. Method: A secondary data analysis was disbursed supported the Ethiopia Demographic and Health Survey 2016. Bayesian binary Logistic Regression GLMM, which allows taking into consideration both individual and population variability in model parameter estimate was employed.Results: The general prevalence of female genital mutilation among participants (15-49 years old) in Ethiopia was found to be 69.6%. From Bayesian random intercept binary logistic analysis it had been found that rural, Muslim, middle Wealth index, rich Wealth index people, Secondary and above were statistically significant with Female genital mutilation. Conclusion: Rural residence, Muslim religion, middle wealth index , rich wealth index, people 25-34 years old, the people 35-49 years old, ever heard of female genital mutilation, occupation of girls were positively related to female genital mutilation practice. On the opposite hand, husband/partner's primary education level, husband/partner's secondary and above educational level, husband/partner occupation (merchant and others) were negatively related to female genital mutilation. Despite the presence of various interventions, the prevalence of female genital mutilation continues to be very high within the country.


2020 ◽  
Vol 6 (1) ◽  
pp. 17-20
Author(s):  
Rahmawani Fauza ◽  
Debora Lestari Simamora

ABSTRAK   Hipertensi adalah masalah global. Data dari WHO menunjukkan bahwa angka kematian yang disebabkan oleh komplikasi hipertensi pada tahun 2013 mencapai 9,4 kematian di seluruh dunia. Analisis lebih lanjut yang dilakukan oleh RISKESDAS 2013 (Riset Kesehatan Dasar 2013) menggambarkan bahwa persentase hipertensi pada wanita usia reproduksi adalah 23,6%. Wanita dengan hipertensi kronis dapat menyebabkan komplikasi selama kehamilan dibandingkan dengan mereka yang tidak menderita hipertensi. Tujuan dari penelitian ini adalah untuk mengidentifikasi dan menganalisis faktor-faktor yang mempengaruhi hipertensi pada wanita pasangan usia reproduksi 15-49 tahun di Puskesmas Bangun Purba, Kabupaten Deli Serdang, pada tahun 2017. Penelitian ini adalah studi kasus kontrol yang tidak tertandingi. Penelitian ini dilakukan di Puskesmas Bangun Purba, Kabupaten Deli Serdang. Populasi adalah semua wanita pasangan usia subur yang hipertensi atau tidak yang datang berobat di Puskesmas Bangun Purba dari Januari 2016-Maret 2017 yaitu 541 wanita. Sampel terdiri dari 49 responden masing-masing dalam kelompok kasus dan kontrol. Analisis data terdiri dari analisis univariat, analisis bivariat dengan chi square. Hasil penelitian menunjukkan bahwa variabel usia mempengaruhi hipertensi pada wanita pasangan usia reproduksi 15-49 tahun. nilai OR = 3,6 (95% CI=1,448 - 9,054) Hal ini berarti bahwa responden yang berumur > 35 tahun beresiko 3,6 kali lebih besar mengalami dibandingkan dengan responden yang berumur ≤ 35 tahun.Berdasarkan analisis pengaruh obesitas terhadap hipertensi, diperolehnilaip< 0,05 Kesimpulannya, variabel konsumsi garam, obesitas dan usia mempengaruhi kejadian hipertensi dan variabel yang paling berpengaruh adalah variabel konsumsi garam. Pengaturan diet untuk mengonsumsi garam tidak lebih dari 5 gr sehari dan menjaga berat badan ideal bagi wanita pasangan usia reproduksi 15-49 tahun yang hipertensi atau tidak.  Kata kunci: Kejadian hipertensi, Pasangan usia subur, umur ABSTRACT Hypertension is a global problem. Data from WHO shows that the mortality rate caused by hypertension complications in 2013 reached 9.4 deaths worldwide. Further analysis conducted by RISKESDAS 2013 (Basic Health Research 2013) illustrates that the percentage of hypertension in women of reproductive age is 23.6%. Women with chronic hypertension can cause complications during pregnancy compared to those without hypertension. The purpose of this study was to identify and analyze the factors that influence hypertension in women of reproductive age groups 15-49 years at the Bangun Purba Health Center, Deli Serdang Regency, in 2017.This research is a case control study that is unmatched. This research was conducted at the Bangun Purba Health Center, Deli Serdang Regency. The population was all women of childbearing age couples who were hypertensive or not who came for treatment at Puskesmas Bangun Purba from January 2016-March 2017, namely 541 women. The sample consisted of 49 respondents each in a case and control group. Data analysis consisted of univariate analysis, bivariate analysis with chi square.The results showed that the age variable affected hypertension in female partners of reproductive age 15-49 years. OR value = 3.6 (95% CI = 1,448 - 9,054) This means that respondents aged> 35 years at risk are 3.6 times more likely to experience compared to respondents aged ≤ 35 years. Based on an analysis of the effect of obesity on hypertension, a value of <0.05In conclusion, the variable salt consumption, obesity and age affect the incidence of hypertension and the most influential variable is the salt consumption variable. Dietary arrangements to consume salt no more than 5 grams a day and maintain ideal body weight for women of reproductive age groups 15-49 years who are hypertensive or not.


2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Septia Haryani ◽  
Defrin Defrin ◽  
Yenita Yenita

AbstrakKanker serviks menempati urutan pertama penyebab kematian akibat kanker pada wanita usia reproduktif di negara berkembang. Jumlah paritas di Sumatera Barat masih cukup tinggi, paritas merupakan salah satu faktor risiko terjadinya kanker serviks yang berhubungan dengan hormon dan trauma saat persalinan. Tujuan penelitian ini adalah mengetahui prevalensi kanker serviks berdasarkan jumlah paritas di RSUP. DR. M. Djamil Padang. Penelitian ini merupakan penelitian deskriptif observasional. Data sekunder diambil dari rekam medik pasien kanker serviks di RSUP.Dr. M. Djamil Padang periode Januari 2011- Desember 2012. Penelitian ini dilakukan dari Oktober 2013 - Juni 2014. Pada penelitian ini didapatkan 63 kasus kanker serviks. Distribusi kanker serviks berdasarkan umur terbanyak pada kelompok umur >50 tahun sebanyak 27 kasus (42,9%), berdasarkan jenis pembayaran pasien kanker serviks banyak memakai jamkesmas sebanyak 21 kasus (38,1%), jenis histopatologi terbanyak ditemukan pada jenis karsinoma sel skuamosa sebanyak 46 kasus (73%) dan jumlah paritas yang terbanyak pada kelompok paritas 3-5 kali sebanyak 40 kasus (63,5%). Umur dan paritas tidak ada hubungannya dengan jenis kanker serviks.Paritas bukan merupakan faktor risiko terjadinya kanker serviks.Kata kunci: kanker serviks, paritas, histopatologi AbstractThe cervical cancer is the  first rank cause of cancer death in women of reproductive age in developing countries. The number of parity in West Sumatera is still high, parity is one of the risk factors for cervical cancer relating to hormone and birth trauma. The objective of this study was to identify the prevalence of cervical cancer based on parity in  Dr. M. Djamil Hospital Padang. This research was descriptive observational study. Secondary data was taken from medical record of cervical cancer patients in Dr. M.Djamil Hospital Padang from January 2011 until  December 2012. The study was held from October 2013 until June 2014.The research found 63 cases of cervival cancer. Distribution cervical cancer by the age of majority in the age group >50 years old were 27 cases (42,9%), based on kind of payment is mostly used jamkesmas were 21 cases (38,1%), based on histopathology of majority on squamous cell carcinoma is 46 cases (73%) and based on the highest number of parity is the parity group 3-5 were 40 cases (63,5%). People’s age and parity are not related to the type of cervical cancer. Parity is not a risk factor of having cervical cancer.Keywords: cervical cancer, parity, histopathology


2019 ◽  
Vol 1 (Number 2) ◽  
pp. 6-10
Author(s):  
Monowar Ahmad Tarafdar ◽  
Nadia Begum ◽  
Shila Rani Das ◽  
Sultana Begum ◽  
Mehruba Afrin ◽  
...  

This is a cross sectional study conducted among Currently Married Women of Reproductive Age (CMWRA) with a sample size of 476 selected purposively using a semi-structured questionnaire in 2018 at Moulvibazar Sadar to explore the factors affecting fertility. The result shows that 55.26% respondents were within 35 years age whereas only 4.28% from age group 46-49 years age group, 33% of the respondents got married at <16 years of age and 18.70% were illiterate, 47.90% had primary education. It is evident that 76% of the respondents were from rural area; 88% were Muslims, 29.41% from lower middle class followed by upper middle class (25.42%) and poorest comprised only 7.56%. The result explored that 73.91% of the respondents were from age group 41-45 got married before 16 years of age followed by 36-40 years (68.24%), 46-49 years (66%), 20-25 and 26-30 years age groups 52.38% and 52.75% respectively; 73.33% of respondents from rural area got married at <16 years of age, 68.42% of the Muslim at <16 years. The study explored that 96.39% from poorer section and 83.33% from poorest section got married at <16 years of age. Current study revealed that 82.91% of the respondents having secondary education got married before 16 years of age followed by illiterate (82.02%). It is explored that the age at marriage is statistically associated with residence, education, wealth index and religion (p= 0.001, 0.03, 0.001, 0.001 respectively). We conclude that the sociodemographic condition contributes mostly to fertility differentials in Bangladesh.


2018 ◽  
Vol 18 (17) ◽  
pp. 43-50
Author(s):  
Bidhya Shrestha

Contraceptive choices have an enormous impact on health, schooling and employment prospects. Access to full range of contraceptive method is vital for ensuring the health of youth. This study examined the association between youth empowerment in the domestic sphere and contraceptive use among currently married female youth in Nepal using the data of Nepal Demographic Health Survey, 2011. A sample of 2,553 currently married women of reproductive age 15-24 were chosen for this study. Bivariate analysis with cross tabulation and chi-square test were used to examine the association between each independent and dependent variables. Logistic regression model was employed for examining the effect of each independent variable as well as control variable on dependent variable. Result showed that the effect of youth empowerment remains statistically significant and has influence on their use of contraceptives, even after adding the control variables into the model. Youth who are empowered they use contraceptive about 2 times higher than those who are not empowered. Influence of some selected socio-economic and demographic variables on contraceptive are also examined. The study shows that the presence of son at home on contraceptive use is strongly associated (OR=4.58). Thus youth empowerment is necessary to increase contraceptive use.


2020 ◽  
Vol 5 (1) ◽  
pp. 78
Author(s):  
Wiwin Haryati ◽  
Asnawi Abdullah ◽  
Bakhtiar Bakhtiar

Smoking behavior among teenagers has been increasing worldwide, triggering youth morbidity and mortality rates associated with smoking illnesses. Performance accomplishment, source of self-efficacy, has a significant influence on the high proportion of teenage smoking behavior. The purpose of this study was to assess the relationship between performance accomplishment and teenage smoking behaviors. The study was conducted on April 16 – 23, 2015 in Aceh Province, Indonesia.  Data were collected by disseminating a Likert scale questionnaire, consisting of general perceived self-efficacy, including performance accomplishment.  The population of this study were 4,856 students, with a total sample of 368 students from 13 senior high schools. The study employed an analytic observational research design with the stratified proportional random sampling technique. Bivariate analysis by Chi-square test was applied to examine the data, processed by using SPSS version 20.0. The results indicated that there were significant relationships between self-efficacy and teenage smoking behavior (p=0.0001) and between performance accomplishment and teenage smoking behavior (p=0.0001). This study concluded that performance accomplishment has been strongly associated with the smoking behavior among young adults.


2020 ◽  
Vol 3 (3) ◽  
pp. 167-181
Author(s):  
Leyla N. Natsun

The health of women of reproductive age is the basis for forming the health of new generations of the population. Reducing preventable mortality and morbidity of women with diseases that reduce their reproductive potential, as well as motivating them to lead a healthy lifestyle are urgent tasks in the field of strengthening the demographic potential of the country. The purpose of this work is to analyze themain indicators that characterize the health of women of reproductive age in Russia, as well as the characteristics of behavioral factors that affect the health of this category of population. The information base of the study was made up of the works of domestic and foreign authors, statistical data, and materials of selective observation of behavioral factors affecting the health of the population (for 2018), conducted by the Federal state statistics service. It is shown that, despite the improvement of individual indicators of health of women of reproductive age, an actual threat to it is an increase in the incidence of neoplasms and infertility. Analysis of sample observation data allowed to expand the number of problems identified in the statistics. It was found that different age groups of women of reproductive age have different combinations of behavioral factors that affect health. In the future, it is planned to expand the results obtained by adding an analysis of regional sociological research data.


Author(s):  
Sea Septiana ◽  
◽  
Ira Marti Ayu ◽  

ABSTRACT Background: Based on RISKESDAS data from 2007, 2013, and 2018, the prevalence of injuries in Indonesia had increased from 7.5%, 8.2%, and 9.2% respectively. In 2018, the proportion of injuries ranked 12th place in morbidity in Indonesia with the highest cases in Central Sulawesi Province (13.8%). This study aimed to determine of injury inci­dents in the productive aged groups in Central Sulawesi. Subjects and Method: This was a cross-sectional design conducted in Central Sulawesi from October 2019 to January 2020. A total of 1,323 reproductive-aged household mem­bers was selected by random sampling method. The dependent variable was the incident of injury. The independent variables were age, gender, level of education, employment status, and nutritional status. The data were collected from secondary data of basic health research data in 2018 with household dan individual questionnaires. Bivariate analysis was performed by chi-square method. Results: The bivariate analysis showed that the incidence of injury among the productive aged groups increased with age (OR= 1.50; 95% CI= 1.10 to 2.05; p= 0.021), gender (OR= 1.29; 95% CI= 1.03 to 1.62; p=0.030), level of education (OR= 2.01; 95% CI= 1.14 to 3.56; p= 0.010), employment status (OR= 1.86; 95% CI= 1.19 to 2.90; p= 0.005), and nutritional status (OR= 0.77; 95% CI= 0.55 to 1.07; p= 0.033). Conclusion: The incidence of injury among the productive aged groups increases with age, gender, level of education, employment status, and nutritional status. Keywords: injury, incidents, determinants, productive age Correspondence: Sea Septiana. Universitas Esa Unggul. Jl. Arjuna Utara No. 9, Kebon Jeruk, West Jakarta, 11510. Email: [email protected]. Mobile: +628978233316 DOI: https://doi.org/10.26911/the7thicph.04.30


2020 ◽  
Author(s):  
Li Yinglan ◽  
Vicent Bankanie ◽  
Fabiola Vincent Moshi

Abstract BackgroundUptake of deworming drugs is one of the important antenatal strategies in preventing anaemia in pregnancy. Little is known about the factors associated with uptake of the de-worming drugs. This study aimed at identifying the factors associated with the uptake of de-worming drugs during pregnancy among women of reproductive age.Method: The study used data from the 2015-16 Tanzania HIV Demographic and Health Survey and Malaria Indicators Survey (2015-16 TDHS-MIS). A total of 6924 women of active reproductive age from 15 to 49 were included in the analysis. Both univariate and multiple regression analyses were used to determine the factors associated with uptake of deworming drugs among women of reproductive age in Tanzania.Results: Majority of interviewed women 3864(60.1%) took deworming drug while a total of 2560(39.9%) did not take deworming drugs. After controlling for confounders, factors associated with uptake of deworming drugs were early antenatal booking, (AOR=1.404 at 95% CI=1.24-1.59,p<0.001); age group of a woman [20 to 34years (AOR=1.382 at 95% CI=1.125-1.696, p=0.002), more than 34years (AOR=1.287 at 95% CI=1.004-1.65, p=0.046)] age less than 20 years was a reference population; rural residence (AOR=1.53 at 95% CI=1.099-2.128,p=0.012); wealth index [middle (AOR=1.151 at 95% CI=1.003-1.32,p=0.044), rich (AOR=1.378 at 95% CI=1.185-1.602, p<0.001) poor was a reference population; level of education [higher level (AOR=2.455 at 95% CI=1.189-5.067,p=0.015)] no formal education was a reference population; parity [para 5 and above (AOR=0.993 at 95% CI=0.824-1.197,p<0.001)] para one was the reference population; zones [Mainland rural (AOR=0.439 at 95% CI=0.307-0.628,p<0.001), Zanzibar Island (AOR=0.22 at 95% CI=0.158-0.306, p<0.001) and Pemba Island AOR=0.493 at 95% CI=0.337-0.723, p<0.001.ConclusionFactors associated with uptake of deworming drugs were early antenatal booking, age group, rural residence, zonal residence, wealth index, level of education, and parity. Considering the outcomes of anaemia in pregnancy, clinicians should consider all the modifiable factors affecting the uptake of the deworming drugs during pregnancy to every woman of reproductive age before and after conception. Whenever possible, it should be done even beyond antenatal clinics.


Sign in / Sign up

Export Citation Format

Share Document