埃塞俄比亚德布雷贝汉镇育龄妇女对孕前保健知识的了解：一项基于社区的横断面研究。

Knowledge of preconception care among reproductive-age women in Debre Berhan Town, Ethiopia: a community-based, cross-sectional study.

机构信息

Department of Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia

Department of Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.

出版信息

BMJ Open. 2022 May 2;12(5):e053855. doi: 10.1136/bmjopen-2021-053855.

DOI:10.1136/bmjopen-2021-053855

PMID:35501098

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9062796/

Abstract

OBJECTIVES

Preconception care can have a major public health impact by reducing maternal and childhood mortality and morbidity. Despite this importance, preconception care is still not implemented in majority of developing countries. Therefore, this study aimed to assess the proportion of knowledge of preconception care and its associated factors among reproductive-age women in Debre Berhan Town, Ethiopia.

DESIGN AND METHODS

A community-based, cross-sectional study was employed from 1 March to 30 March 2019 among reproductive-age women. Data were collected via a face-to-face, interviewer-administered questionnaire. Data were entered into EpiData V.4.6 and exported to SPSS V.25 for analysis. In a multivariable logistic regression analysis, variables with p<0.05 were declared statistically significant. The strength of statistical association was measured using adjusted OR (AOR) and 95% CI.

SETTING AND PARTICIPANTS

The study was conducted in Debre Berhan Town, Ethiopia. A total of 414 reproductive-age women were enrolled in the study.

OUTCOME

Knowledge of preconception (good or poor).

RESULTS

Of the total 414 participants, 71 (17.1%) had good knowledge about preconception care. Women's occupation (AOR: 8.68, 95% CI 1.25 to 60.3), monthly income (AOR: 9.89, 95% CI 1.93 to 50.76), gravidity (AOR: 0.28, 95% CI 0.14 to 0.58), contraceptive use (AOR: 4.95, 95% CI 1.09 to 22.39), history of congenital abnormality (AOR: 7.53, 95% CI 2.03 to 27.96), history of neonatal death (AOR: 6.51, 95% CI 1.62 to 26.18) and time to reach a health facility (AOR: 0.37, 95% CI 0.17 to 0.79) were statistically associated with knowledge about preconception care.

CONCLUSIONS

In this study area, only less than one-fifth of reproductive-age women had good knowledge of preconception care. Therefore, to improve women's knowledge about preconception care, a strong collaborative effort including several sectors should be made.

摘要

目的

通过降低母婴死亡率和发病率，孕前保健可以对公共卫生产生重大影响。尽管如此，在大多数发展中国家，孕前保健仍未得到实施。因此，本研究旨在评估 Debre Berhan 镇育龄妇女对孕前保健知识的了解程度及其相关因素。

设计和方法

这是一项 2019 年 3 月 1 日至 3 月 30 日在 Debre Berhan 镇进行的基于社区的横断面研究，采用面对面访谈的方式收集数据。数据录入 EpiData V.4.6 并导出到 SPSS V.25 进行分析。在多变量逻辑回归分析中，p 值<0.05 的变量被认为具有统计学意义。使用调整后的 OR（AOR）和 95%CI 来衡量统计关联的强度。

地点和参与者

研究在埃塞俄比亚的 Debre Berhan 镇进行。共有 414 名育龄妇女参加了这项研究。

结局

对孕前保健（好或差）的了解程度。

结果

在 414 名参与者中，71 名（17.1%）对孕前保健有较好的了解。妇女的职业（AOR：8.68，95%CI 1.25 至 60.3）、月收入（AOR：9.89，95%CI 1.93 至 50.76）、孕次（AOR：0.28，95%CI 0.14 至 0.58）、避孕措施使用情况（AOR：4.95，95%CI 1.09 至 22.39）、先天异常史（AOR：7.53，95%CI 2.03 至 27.96）、新生儿死亡史（AOR：6.51，95%CI 1.62 至 26.18）和到达医疗机构的时间（AOR：0.37，95%CI 0.17 至 0.79）与对孕前保健的知识相关。