埃塞俄比亚西北部阿姆哈拉州达巴特地区母亲生育间隔的影响因素：一项基于社区的横断面研究，2022年

Factors affecting birth interval among mothers in Dabat district, Amhara Regional state, Northwest Ethiopia: A community-based cross-sectional study, 2022.

作者信息

Gelagay Abebaw Addis, Worku Abebaw Gebeyehu, Bashah Debrework Tesgera, Tebeje Nigusie Birhan, Gebrie Mignote Hailu, Yeshita Hedija Yenus, Cherkose Endeshaw Adimasu, Ayana Birhanu Abera, Lakew Ayenew Molla, Asmamaw Desale Bihonegn, Negash Wubshet Debebe, Belachew Tadele Biresaw, Fentie Elsa Awoke, Bitew Desalegn Anmut

机构信息

Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Heliyon. 2023 Jun 7;9(6):e17046. doi: 10.1016/j.heliyon.2023.e17046. eCollection 2023 Jun.

DOI:10.1016/j.heliyon.2023.e17046

PMID:37484230

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10361109/

Abstract

INTRODUCTION

Birth interval is the time period from live birth to a successive pregnancy or successive live birth which is the recommended to be at least 2 years or at least 33 months respectively. Both short and long birth intervals are associated with poor health outcomes for both mothers and babies. Therefore, the main objective of this study is to assess the length of birth intervals and its predictors among reproductive-age women in Dabat district.Methods: community-based cross-sectional survey conducted from December 10/2020 to January 10/2021. This study was done on 1262 multi para women. Five days training was given for the data collectors and supervisors. Bivariable and multivariable ordinal logistic regression analysis were done. Those variables which had -value less than 0.25 in the bi variable analysis were entered to multivariable ordinal logistic regression analysis. An adjusted odds ratio with a 95% confidence interval and -value less than 0.05 was used to determine significant determinants of birth interval.

RESULT

This study revealed that the magnitude of short and long birth interval was 30.59% and 22.82% respectively. Wealth status (poor: AOR = 0.72, CI: 0.53, 0.97), maternal education (Diploma and above: AOR = 2.79, CI: 1.18, 6.56), ANC follow up (having ante natal care: AOR = 2.15, CI: 1.72, 2.69), husband occupation (Employed: AOR = 1.77, CI: 1.03, 3.01) and history of abortion (abortion: AOR = 2.48, CI: 1.08, 5.66) were statistically significant factors.

CONCLUSION

Higher percentage of mothers have either short or long birth interval. Birth interval is affected by socio demographic characteristics of mothers and husbands.

摘要

引言

生育间隔是指从活产到连续怀孕或连续活产的时间段，建议分别至少为2年或至少33个月。生育间隔过短和过长都与母亲和婴儿的不良健康结局相关。因此，本研究的主要目的是评估达巴特地区育龄妇女的生育间隔长度及其预测因素。

方法

于2020年12月10日至2021年1月10日进行基于社区的横断面调查。本研究针对1262名经产妇开展。对数据收集者和监督员进行了为期五天的培训。进行了双变量和多变量有序逻辑回归分析。在双变量分析中P值小于0.25的变量被纳入多变量有序逻辑回归分析。使用调整后的比值比、95%置信区间和P值小于0.05来确定生育间隔的显著决定因素。

结果

本研究显示，生育间隔过短和过长的比例分别为30.59%和22.82%。财富状况（贫困：调整后的比值比=0.72，置信区间：0.53，0.97）、母亲教育程度（文凭及以上：调整后的比值比=2.79，置信区间：1.18，6.56）、产前检查随访（接受产前护理：调整后的比值比=2.15，置信区间：1.72，2.69）、丈夫职业（就业：调整后的比值比=1.77，置信区间：1.03，3.01）和流产史（流产：调整后的比值比=2.48，置信区间：1.08，5.66）是具有统计学意义的因素。