Department of Health Sciences, Global Health, University Medical Center Groningen, University of Groningen, 9713 AV Groningen, The Netherlands.
Jhpiego Ethiopia, Addis Ababa, Ethiopia.
Int J Environ Res Public Health. 2020 Apr 14;17(8):2682. doi: 10.3390/ijerph17082682.
The maternal mortality ratio and neonatal mortality rate remain high in Ethiopia, where few births are attended by qualified healthcare staff. This is partly due to care providers' mistreatment of women during childbirth, which creates a culture of anxiety that decreases the use of healthcare services. This study employed a cross-sectional design to identify risk factors for positive appraisal of mistreatment during childbirth. We asked 391 Ethiopian final year midwifery students to complete a paper-and-pen questionnaire assessing background characteristics, prior observation of mistreatment during education, self-esteem, stress, and mistreatment appraisal. A multivariable linear regression analysis indicated age ( = 0.005), stress ( = 0.019), and previous observation of mistreatment during education ( < 0.001) to be significantly associated with mistreatment appraisal. Younger students, stressed students, and students that had observed more mistreatment during their education reported more positive mistreatment appraisal. No significant association was observed for origin ( = 0.373) and self-esteem ( = 0.445). Findings can be utilized to develop educational interventions that counteract mistreatment during childbirth in the Ethiopian context.
在埃塞俄比亚，产妇死亡率和新生儿死亡率仍然很高，很少有分娩由合格的医疗保健人员照料。这在一定程度上是由于护理人员在分娩过程中对妇女的虐待，这造成了一种焦虑文化，降低了医疗服务的使用。本研究采用横断面设计，以确定对分娩期间虐待行为的积极评价的风险因素。我们要求 391 名埃塞俄比亚最后一年的助产学生填写一份纸质问卷，评估背景特征、教育期间观察到的虐待行为、自尊、压力和虐待评价。多变量线性回归分析表明，年龄（ = 0.005）、压力（ = 0.019）和教育期间观察到的虐待行为（<0.001）与虐待评价显著相关。年龄较小、压力较大的学生以及在教育期间观察到更多虐待行为的学生报告了更多的积极虐待评价。原籍国（ = 0.373）和自尊（ = 0.445）没有显著关联。研究结果可用于制定教育干预措施，以消除埃塞俄比亚背景下分娩期间的虐待行为。
