Gebremariam Weldearegawi Gebrehiwot, Tekola Kidanemaryam Berhe, Fseha Teklehaymanot Berhane
Adigrat University College of Medicine and Health Science, Department of Public Health, Ethiopia.
Department of Nutrition and Dietetics, School of Public Health, College of Health Sciences, Mekelle University, Mekelle city, Tigray, Ethiopia.
J Pregnancy. 2019 Dec 24;2019:1694808. doi: 10.1155/2019/1694808. eCollection 2019.
Each year there were about 80 million women who experienced unintended pregnancy in the globe. In Ethiopia, around one third of women have experiences of unintended pregnancy. However, the magnitude of unintended pregnancy was not determined in the study area. Hence the aim of the study was to assess the magnitude and associated factors of unintended pregnancy among pregnant women.
Institutional based cross-sectional study design was employed among 345 participants. Participants were selected by systematic random sampling. Data was collected though face to face interview by structured questioner. It was entered, clean and analyzed using SPSS version 20. Descriptive analysis was done to see the frequency, percentage, mean and standard deviation. Adjusted odds ratio was computed at 95% confidence level to determine the effect of independent variable on the outcome variable. Variable at value < 0.05 was declared as statistically significant variable. Model goodness of fit was checked using Hosmer lemeshow test.
The overall magnitude of unintended pregnancy was 24.9%. Employed women were 60% less likely having unintended pregnancy (AOR 0.4, 95% CI: 0.015, 0.785).Single women were 1.4 times more likely reported unintended pregnancy (AOR 1.4, 95% CI: 1.005, 3.675). Unintended pregnancy among ever visited by health extension workers was 1.7 times higher than not visited (AOR 1.7, 95% CI: 1.09, 5. 128). Unintended pregnancy among who had information about family planning were about 70% less likely reported unintended pregnancy than their counterparties (AOR 0.3, 95% CI: 0 .067, 0.845). Marital status, occupational status, visited by health extension workers, having information about family planning, discussing with their partners about contraceptive were found the major factors of unintended pregnancy. Thus the district health office, Tigray regional health office and other stakeholder should work to improve family planning accessibility, awareness, and utilization to overcome the problem.
全球每年约有8000万女性经历意外怀孕。在埃塞俄比亚,约三分之一的女性有过意外怀孕经历。然而,研究地区意外怀孕的严重程度尚未确定。因此,本研究的目的是评估孕妇意外怀孕的严重程度及相关因素。
对345名参与者采用基于机构的横断面研究设计。参与者通过系统随机抽样选取。通过结构化问卷进行面对面访谈收集数据。使用SPSS 20版本进行数据录入、清理和分析。进行描述性分析以查看频率、百分比、均值和标准差。在95%置信水平下计算调整后的比值比,以确定自变量对结果变量的影响。值<0.05的变量被宣布为具有统计学意义的变量。使用Hosmer lemeshow检验检查模型拟合优度。
意外怀孕的总体严重程度为24.9%。就业女性意外怀孕的可能性降低60%(调整后的比值比为0.4,95%置信区间:0.015,0.785)。单身女性报告意外怀孕的可能性高出1.4倍(调整后的比值比为1.4,95%置信区间:1.005,3.675)。曾接受过健康推广工作者探访的女性意外怀孕的可能性比未接受探访的女性高1.7倍(调整后的比值比为1.7,95%置信区间:1.09,5.128)。了解计划生育信息的女性报告意外怀孕的可能性比未了解的女性低约70%(调整后的比值比为0.3,95%置信区间:0.067,0.845)。婚姻状况、职业状况、是否接受健康推广工作者探访、是否了解计划生育信息、是否与伴侣讨论避孕措施是意外怀孕的主要因素。因此,提格雷地区卫生局及其他利益相关者应努力提高计划生育服务的可及性、知晓率和利用率,以解决这一问题。