Department of Population Medicine, University of Guelph, 50 Stone Road East, Guelph, Ontario, N1G 2W1, Canada.
Department of Epidemiology, Biostatistics and Occupational Health, Purvis Hall, Room 47A, McGill University, 1020 Pine Avenue West, Montreal, Quebec H3A 1A2, Canada.
Sex Reprod Healthc. 2022 Jun;32:100700. doi: 10.1016/j.srhc.2022.100700. Epub 2022 Feb 16.
To assess the extent of pregnancy loss (i.e., miscarriage and/or stillbirth) and examine its association with socio-demographic characteristics among Bakiga and Indigenous Batwa women in Kanungu District, southwest Uganda.
As part of a larger community-based, participatory project, a retrospective survey of maternal health histories was conducted in ten Batwa and ten Bakiga communities (n = 555 participants) collecting data on self-reported pregnancy loss (i.e., miscarriage and stillbirth) and socio-demographic characteristics. Socio-demographic associations with pregnancy loss (i.e., total miscarriages and stillbirths) were examined using multivariable Poisson and negative binomial regression.
Batwa women experienced pregnancy loss more commonly than Bakiga women did (149.8/1000 vs. 96.3/1000 pregnancies). In the final adjusted model for Batwa women, being in the middle (RR 1.92; CI: 1.21-3.07) and highest (RR 1.79; CI: 1.14-2.82) wealth tertiles (compared to lowest wealth tertile) and living in Community X (RR 4.33; CI 2.27-8.28) (compared to all other communities) were associated with increased pregnancy loss. For Bakiga women, the proportion of pregnancy loss was higher for those who reported drinking alcohol during pregnancy (RR: 1.54; CI: 1.04-2.13) and being food insecure (RR 1.39; CI: 1.02-1.91).
The proportion of, and the socio-demographic associations with, pregnancy loss differed for Bakiga and Indigenous Batwa women. These differences underscore the importance of collecting Indigenous health data to understand not only the extent of, but also the varied contextual circumstances that are associated with pregnancy loss. This nuanced and stratified information is critical for planning meaningful health programming to reduce pregnancy loss for Indigenous women.
评估妊娠丢失（即流产和/或死产）的程度，并检查其与乌干达西南部卡农古区巴基加和本土巴特瓦妇女的社会人口特征之间的关系。
作为一个基于社区的参与式项目的一部分，对十个巴特瓦和十个巴基加社区（n=555 名参与者）的产妇健康史进行了回顾性调查，收集了自我报告的妊娠丢失（即流产和死产）和社会人口特征数据。使用多变量泊松和负二项回归检查妊娠丢失（即总流产和死产）与社会人口特征的关联。
巴特瓦妇女比巴基加妇女更常经历妊娠丢失（149.8/1000 与 96.3/1000 妊娠）。在最终调整的巴特瓦妇女模型中，处于中等（RR 1.92；CI：1.21-3.07）和最高（RR 1.79；CI：1.14-2.82）财富三分位（与最低财富三分位相比）和居住在社区 X（RR 4.33；CI 2.27-8.28）（与所有其他社区相比）与妊娠丢失增加相关。对于巴基加妇女，报告怀孕期间饮酒（RR：1.54；CI：1.04-2.13）和食物不安全（RR 1.39；CI：1.02-1.91）的妇女妊娠丢失比例较高。
巴基加和本土巴特瓦妇女的妊娠丢失比例和与社会人口特征的关联不同。这些差异强调了收集原住民健康数据的重要性，不仅要了解妊娠丢失的程度，还要了解与妊娠丢失相关的各种背景情况。这种细致和分层的信息对于规划有意义的减少原住民妇女妊娠丢失的健康计划至关重要。
