Gonfa Firanbon Teshome, Lemu Yohannes Kebede, Koricha Zewdie Birhanu
Department of Health, Behavior, and Society, Faculty of Public Health, Jimma University, Jimma, Ethiopia.
BMC Health Serv Res. 2021 Jan 12;21(1):56. doi: 10.1186/s12913-021-06067-2.
Non-communicable diseases (NCDs) are the dominant cause of global morbidity and mortality, especially in developing countries. Tackling NCDs is central to advancing women's and child health, and future generations. Many NCDs can be prevented with appropriate approaches across the maternal and child health life-cycle, throughout the years of reproductive age especially before conception and continuing through pregnancy. However, women's awareness of NCDs screening during the preconception period was not well known in many countries including Ethiopia. Therefore, this study aimed to assess women's awareness of common NCDs screening during the preconception period and associated factors in Manna District, Jimma Zone, Oromia Region, Ethiopia, 2019.
A community-based cross-sectional study was conducted from March 02 to April 10, 2019. The sample size was 636 pregnant women from eight randomly selected rural kebeles and a purposively taken urban kebele. The data were collected using a pre-tested structured questionnaire and entered into Epi data manager version 4.0.2 and exported to SPSS version 21. Descriptive, binary, and multivariable logistic regression analyses were carried out.
Of the total of 623 respondents, 459 (73.7%) of them had good awareness of common NCDs screening during the preconception period. Women who had formal education [AOR = 1.95, 95% CI: (1.31-2.89)], those who had planned pregnancy [AOR = 2.17, 95% CI: (1.47-3.19)], on ANC follow up [AOR = 1.79, 95% CI: (1.16-2.74], and those who had media (radio and/or television) in their house [AOR = 1.55, 95% CI: (1.05-2.29)] had good awareness on common NCDs screening during the preconception period compared to their counterparts.
In this study, nearly three-quarters of respondents had a good awareness of common NCDs screening during the preconception period. Women's educational status, pregnancy planning status, ANC visit, and having radio and/or television in the house were predictors of women's good awareness of common NCDs screening during the preconception period. Therefore, all concerned bodies are recommended to work toward increasing women's awareness using different approaches like awareness creation campaigns and counseling clients attending health facilities.
非传染性疾病(NCDs)是全球发病和死亡的主要原因,在发展中国家尤其如此。应对非传染性疾病对于促进妇女和儿童健康以及子孙后代的健康至关重要。通过在孕产妇和儿童健康生命周期中采取适当措施,特别是在整个育龄期,尤其是受孕前并持续到孕期,可以预防许多非传染性疾病。然而,在包括埃塞俄比亚在内的许多国家,妇女在受孕前阶段对非传染性疾病筛查的认知并不为人所知。因此,本研究旨在评估2019年埃塞俄比亚奥罗米亚州吉马地区曼纳区妇女在受孕前阶段对常见非传染性疾病筛查的认知及其相关因素。
2019年3月2日至4月10日进行了一项基于社区的横断面研究。样本量为来自八个随机选择的农村社区和一个特意选取的城市社区的636名孕妇。数据通过预先测试的结构化问卷收集,并录入Epi数据管理器4.0.2版本,然后导出到SPSS 21版本。进行了描述性、二元和多变量逻辑回归分析。
在总共623名受访者中,459名(73.7%)在受孕前阶段对常见非传染性疾病筛查有良好认知。接受过正规教育的女性 [调整后比值比(AOR)=1.95,95%置信区间:(1.31 - 2.89)]、计划怀孕的女性 [AOR = 2.17,95%置信区间:(1.47 - 3.19)]、接受产前检查随访的女性 [AOR = 1.79,95%置信区间:(1.16 - 2.74)] 以及家中有媒体(收音机和/或电视)的女性 [AOR = 1.55,95%置信区间:(1.05 - 2.29)] 相比其对应人群,在受孕前阶段对常见非传染性疾病筛查有良好认知。
在本研究中,近四分之三的受访者在受孕前阶段对常见非传染性疾病筛查有良好认知。妇女的教育程度、怀孕计划状况、产前检查就诊情况以及家中拥有收音机和/或电视是妇女在受孕前阶段对常见非传染性疾病筛查有良好认知的预测因素。因此,建议所有相关机构通过开展提高认识运动和为前往医疗机构就诊的客户提供咨询等不同方法,努力提高妇女的认知。