埃塞俄比亚锡达莫中地区州残疾妇女的意外怀孕及其相关因素：一项多层次分析。
Unintended pregnancy and its associated factors among women with disabilities in central Sidama National Regional State, Ethiopia: a multilevel analysis.
机构信息
Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
School of Public Health, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
出版信息
BMC Pregnancy Childbirth. 2023 Jul 17;23(1):522. doi: 10.1186/s12884-023-05848-3.
BACKGROUND
Unintended pregnancy is one of the most common reproductive health problems. The problem makes women with disabilities doubly burdened by their disabilities. The previous evidences are inconsistent and do not address all women with disabilities. The study aimed to assess the prevalence of unintended pregnancy and its associated risk factors among women with disabilities in Dale and Wonsho districts and Yirgalem city administration central Sidama National Regional State, Ethiopia.
METHODS
A community-based cross-sectional study design was conducted among 355 randomly selected women with disabilities living in the selected districts from June 20 to July 15, 2022. The data were collected through face-to-face interviews using a structured questionnaire. A multilevel logistic regression analysis model was employed to identify factors associated with an unintended pregnancy. The adjusted odds ratio (AOR) with a 95% confidence interval (CI) was used to report the measures of associations.
RESULTS
In this study, the prevalence of unintended pregnancy among women with disabilities was 65.6% (95% CI: 60.4, 70.6). After adjusting for potential confounding variables, middle economic status (AOR = 2.07; 95% CI: 1.02, 4.20), giving birth (AOR = 2.20; 95% CI: 1.21, 3.99), extremity paralysis types of disability (AOR = 0.26; 95% CI: 0.12, 0.57), living in urban residences (AOR = 0.22; 95% CI: 0.12, 0.40) and alcohol using (AOR = 0.28; 95% CI: 0.11, 0.74) were risk factors with unintended pregnancy.
CONCLUSIONS
Unintended pregnancy among women with disabilities is remarkably high in central Sidama National Regional State, Ethiopia. Economic status, giving birth, types of disability, residence, and alcohol use were factors associated with an unintended pregnancy. As a result, economic empowerment, strengthening education and information about unintended pregnancy and its prevention strategies in rural settings are vital.
背景
意外怀孕是最常见的生殖健康问题之一。对于残疾女性来说，这个问题使她们的负担更加沉重。之前的证据并不一致，也没有涵盖所有残疾女性。本研究旨在评估埃塞俄比亚中央锡达马州 Dale 和 Wonsho 区以及 Yirgalem 市行政中心的残疾女性意外怀孕的流行率及其相关危险因素。
方法
本研究采用社区为基础的横断面设计，于 2022 年 6 月 20 日至 7 月 15 日期间在选定的地区随机选择了 355 名残疾女性进行调查。通过面对面访谈使用结构化问卷收集数据。采用多水平逻辑回归分析模型来确定与意外怀孕相关的因素。使用调整后的优势比（AOR）和 95%置信区间（CI）来报告关联的度量。
结果
在这项研究中，残疾女性的意外怀孕率为 65.6%（95%CI：60.4，70.6）。在调整了潜在的混杂变量后，中等经济状况（AOR=2.07；95%CI：1.02，4.20）、分娩（AOR=2.20；95%CI：1.21，3.99）、四肢瘫痪类型的残疾（AOR=0.26；95%CI：0.12，0.57）、居住在城市（AOR=0.22；95%CI：0.12，0.40）和饮酒（AOR=0.28；95%CI：0.11，0.74）是意外怀孕的危险因素。
结论
埃塞俄比亚中央锡达马州的残疾女性意外怀孕率非常高。经济状况、分娩、残疾类型、居住地和饮酒是与意外怀孕相关的因素。因此，在农村地区赋予残疾女性经济权能、加强关于意外怀孕及其预防策略的教育和信息至关重要。
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