Ayalew Abeba B, Sisay Filorenes A, Erga Besfat B, Ferede Wassie Y, Kebede Habtamu B
Department of Clinical Midwifery, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Microbiology, Immunology, and Parasitology, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
J Family Med Prim Care. 2023 Oct;12(10):2440-2450. doi: 10.4103/jfmpc.jfmpc_268_23. Epub 2023 Oct 11.
Maternal mortality remains a public health challenge worldwide, particularly in developing countries. Men should be informed about these danger signs to be better equipped to act if they occur. Studies on the topic have been limited in the area. The study aimed to assess men's knowledge, attitudes, and related factors about obstetrics danger signs in Debre Tabor, Ethiopia.
A study was conducted in Debre Tabor Town with 609 participants using a pre-tested questionnaire. The data were analyzed using EpiData version 4.6 and SPSS version 25. Variables with values ≤0.2 were analyzed with multi-variable logistic regression. A statistically significant association was determined using an adjusted odds ratio with a 95% confidence interval (CI) and a value <0.05.
In this study, 609 men were interviewed, with a response rate of 96.9%. Men's knowledge of obstetric danger signs was 44.8%, while their attitudes were 35.6%. Wives' education level (AOR = 7.27, 2.13-8.83), history of obstetric danger signs (AOR = 5.34, 3.49-8.16), receiving antenatal care (AOR = 2.44, 1.29-4.64), giving birth in a hospital (AOR = 4.38, 1.69-11.31), and having a health development army leader (AOR = 3.86, 1.38-10.75) were all associated with knowledge at 95% CI. Having a higher wealth index (AOR = 6.30, 3.44-11.53) and having two or more children (AOR = 2.80, 1.51-5.25) at 95% CI were associated with attitude.
Men's awareness and attitudes concerning obstetric danger signs were low. The husband's education, place of birth, and prenatal care are all important factors in increasing men's understanding and attitudes. As a result, the government and stakeholders must prioritize education, attitude reform, and health education for men.
孕产妇死亡率仍然是全球范围内的一项公共卫生挑战,尤其是在发展中国家。应该让男性了解这些危险信号,以便在出现这些情况时能更好地采取行动。该领域关于这一主题的研究有限。本研究旨在评估埃塞俄比亚德布雷塔博尔地区男性对产科危险信号的知识、态度及相关因素。
在德布雷塔博尔镇对609名参与者进行了一项研究,使用了经过预测试的问卷。数据使用EpiData 4.6版本和SPSS 25版本进行分析。对取值≤0.2的变量进行多变量逻辑回归分析。使用调整后的比值比及95%置信区间(CI)和P值<0.05来确定具有统计学意义的关联。
在本研究中,对609名男性进行了访谈,回复率为96.9%。男性对产科危险信号的知晓率为44.8%,而他们的态度知晓率为35.6%。妻子的教育水平(调整后的比值比[AOR]=7.27,2.13 - 8.83)、产科危险信号史(AOR = 5.34,3.49 - 8.16)、接受产前护理(AOR = 2.44,1.29 - 4.64)、在医院分娩(AOR = 4.38,1.69 - 11.31)以及有健康发展军领导人(AOR = 3.86,1.38 - 10.75)在95%置信区间均与知识相关。在95%置信区间,拥有较高的财富指数(AOR = 6.30,3.44 - 11.53)以及有两个或更多孩子(AOR = 2.80,1.51 - 5.25)与态度相关。
男性对产科危险信号的认识和态度较低。丈夫的教育程度、出生地和产前护理都是提高男性认识和态度的重要因素。因此,政府和利益相关者必须将男性的教育、态度转变和健康教育作为优先事项。