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埃塞俄比亚中部比绍夫图镇丈夫参与产后护理服务利用情况及相关因素;基于社区的横断面研究。

Husband involvement in postnatal care services utilization and associated factors in Bishoftu Town, Central Ethiopia; community-based cross-sectional study.

作者信息

Gesisa Hana Israel, Oyato Befekadu Tesfaye, Sileshi Warkitu, Abasimel Husen Zakir, Hussien Dursa

机构信息

Department of Midwifery, Institute of Health Sciences, Jimma University, Jimma, Ethiopia.

Department of Midwifery, College of Health Sciences, Salale University, Fitche, Ethiopia.

出版信息

Front Glob Womens Health. 2024 Dec 13;5:1423439. doi: 10.3389/fgwh.2024.1423439. eCollection 2024.

DOI:10.3389/fgwh.2024.1423439
PMID:39734724
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11671517/
Abstract

BACKGROUND

Both mothers and newborns go through a critical time in their lives during the postnatal period, and the majority of deaths of mothers and neonates happen during this period. Postnatal care is the care given to women and their neonates, starting from delivery to 42 postnatal days. Although the significance of postnatal care in maternal and child health is acknowledged, the influence of husbands in either facilitating or impeding access to these services has been largely unexplored. So it's important to find out husbands' involvement in postnatal care service utilization in Bishoftu town.

OBJECTIVES

To assess husband involvement in postnatal care services utilization and associated factors in Bishoftu town, Central Ethiopia.

METHODS

A community-based cross-sectional study was conducted in Bishoftu town, central Ethiopia, between April 1 and 27, 2022, among 624 fathers. After being selected through simple random sampling, 610 husbands were interviewed face-to-face. The data was then entered into Epi-Data version 3.1 and analyzed using SPSS version 26. Binary logistic regression was employed for analysis and variables with a -value ≤0.2 in the bivariate analysis were entered into multivariable logistic regression analysis. In multivariable analysis, statistical significance was declared at -value <0.05.

RESULTS

This study reveals that overall husband involvement in postnatal care utilization was found to be 34.1% with a 95% CI (30.3%-38.0%). Residing in urban areas (AOR = 2.3, 95% CI 1.39-3.82), having good knowledge of neonatal (AOR = 3.1, 95% CI 2.04-4.7) and maternal danger signs and complications during the postnatal period (AOR = 2.44; 95% CI: 1.64, 3.63), having history of child illness (AOR = 2.18; 95% CI: 1.4-3.3), and accompanying wife in antenatal care services (AOR = 2.73, 95% CI 1.82-4.07) were the factors found to determine husband's involvement in postnatal care service utilization.

CONCLUSION

The level of husband involvement in their spouse's postnatal care service utilization was relatively low in this study. Encouraging husbands to participate in prenatal care services, availing healthcare facilities to rural communities, and increasing community awareness of maternal and neonatal warning signs might boost husbands' involvement in postnatal care services utilization.

摘要

背景

母亲和新生儿在产后阶段都经历着生命中的关键时期,大多数母亲和新生儿的死亡都发生在这一时期。产后护理是指从分娩到产后42天给予妇女及其新生儿的护理。尽管产后护理对母婴健康的重要性已得到认可,但丈夫在促进或阻碍获得这些服务方面的影响在很大程度上尚未得到探讨。因此,了解比绍夫图镇丈夫在产后护理服务利用方面的参与情况很重要。

目的

评估埃塞俄比亚中部比绍夫图镇丈夫在产后护理服务利用方面的参与情况及相关因素。

方法

2022年4月1日至27日,在埃塞俄比亚中部的比绍夫图镇对624名父亲进行了一项基于社区的横断面研究。通过简单随机抽样选取后,对610名丈夫进行了面对面访谈。然后将数据录入Epi-Data 3.1版本,并使用SPSS 26版本进行分析。采用二元逻辑回归进行分析,在双变量分析中P值≤0.2的变量进入多变量逻辑回归分析。在多变量分析中,P值<0.05时具有统计学意义。

结果

本研究表明,丈夫在产后护理利用方面的总体参与率为34.1%,95%置信区间为(30.3%-38.0%)。居住在城市地区(比值比=2.3,95%置信区间1.39-3.82)、对新生儿(比值比=3.1,95%置信区间2.04-4.7)以及产后母亲的危险信号和并发症有充分了解(比值比=2.44;95%置信区间:1.64,3.63)、有孩子患病史(比值比=2.18;95%置信区间:1.4-3.3)以及在产前护理服务中陪伴妻子(比值比=2.73,95%置信区间1.82-4.07)是决定丈夫参与产后护理服务利用的因素。

结论

在本研究中,丈夫在其配偶产后护理服务利用方面的参与程度相对较低。鼓励丈夫参与产前护理服务、为农村社区提供医疗设施以及提高社区对母婴警示信号的认识,可能会提高丈夫在产后护理服务利用方面的参与度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5989/11671517/62a54b67c902/fgwh-05-1423439-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5989/11671517/62a54b67c902/fgwh-05-1423439-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5989/11671517/62a54b67c902/fgwh-05-1423439-g001.jpg

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