埃塞俄比亚西北部阿姆哈拉州西马达区过去12个月内分娩的妇女的分娩地点偏好及其相关因素：一项基于社区的横断面研究。
Delivery place preference and its associated factors among women who deliver in the last 12 months in Simada district of Amhara Region, Northwest Ethiopia: a community based cross sectional study.
作者信息
Mekie Maru, Taklual Wubet
机构信息
Department of Midwifery, College of Health Sciences, Debre Tabor University, P.O. Box: 272, Debre Tabor, Ethiopia.
Department of Population Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
出版信息
BMC Res Notes. 2019 Mar 1;12(1):114. doi: 10.1186/s13104-019-4158-7.
OBJECTIVE
The aim of this study was to assess delivery place preference and its determinant factors in Simada District of Amhara Region, Northwest Ethiopia. Data was collected among 346 women who delivered in the last 12 months.
RESULT
Of the total 362 study participants, 346 were included in the analysis giving a response rate of 95.6%. More than half, 56.4% of the study participants reported home as their preferred delivery place. The odds of preferring home delivery was higher among women with low household income (AOR = 2.13, 95%, CI (1.06, 4.35)), and those who had < 4 antenatal care visits (AOR = 3.65, 95%, CI (1.58, 8.41)). Whereas, preference of home delivery was lower (AOR = 0.13, 95%, CI (0.05, 0.32)), (AOR = 0.40, 95%, CI (0.17, 0.98)), and (AOR = 0.31, 95%, CI (0.15, 0.67)) among women with facility delivery, within 5 km distance to health facility, and who had transport access respectively. Improving access of health facility to the nearest possible and improving transport access shall be emphasized to improve institutional delivery.
目的
本研究旨在评估埃塞俄比亚西北部阿姆哈拉地区西马达区的分娩地点偏好及其决定因素。对过去12个月内分娩的346名妇女进行了数据收集。
结果
在总共362名研究参与者中，346名被纳入分析，回复率为95.6%。超过一半（56.4%）的研究参与者报告称家中是他们首选的分娩地点。家庭收入低的妇女（调整后比值比[AOR]=2.13，95%置信区间[CI]为[1.06,4.35]）以及产前检查次数少于4次的妇女（AOR=3.65，95%CI为[1.58,8.41]）选择在家分娩的几率更高。然而，在有设施分娩的妇女、距离医疗机构5公里以内的妇女以及有交通便利的妇女中，选择在家分娩的比例较低（AOR分别为0.13，95%CI为[0.05,0.32]）、（AOR为0.40，95%CI为[0.17,0.98]）以及（AOR为0.31，95%CI为[0.15,0.67]）。应强调尽可能改善医疗机构的可达性并改善交通便利性，以提高机构分娩率。
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