Howlader Sihab, Rahman Md Aminur, Rahman Md Mosfequr
Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh.
PLoS One. 2024 Dec 31;19(12):e0316117. doi: 10.1371/journal.pone.0316117. eCollection 2024.
The relationship between women's education and the utilization of adequate maternal healthcare services has been well documented. However, the literature on how the continuation of women's post-marital education affects the utilization of maternal healthcare services is limited. Therefore, this study investigates such relationships. This study aims to examine the association between the continuation of education after marriage and the utilization of antenatal care (ANC) (≥ 4 ANC, a four-contact model; and ≥ 8 ANC, an eight-contact model) and delivery assistance received from skilled professionals among currently married young adult women in Bangladesh. This was a cross-sectional study of 1,731 young adult women aged 15-29 years from the Bangladesh Demographic and Health Survey, 2017-18. We adopted a multivariable logistic regression analysis to examine the relationships of interest. Results show that 60.9% of women received four or more professional ANCs, 15.5% received eight or more professional ANCs, and 69.9% received professional delivery care. Compared to young adult women who did not continue their education after marriage, women who continued were more likely to utilize ≥4 professional ANC (adjusted odds ratio [AOR] = 1.47; 95% confidence interval [CI] = 1.11-1.94), ≥8 professional ANC (AOR = 1.22; 95% CI = 1.01-1.74), and professional delivery care services (AOR = 1.78; 95% CI = 1.29-2.44). In addition, age at marriage, exposure to television, and the wealth index were also found to be associated with the utilization of professional maternal healthcare services. This finding implies that implementing policies and programs that encourage girls to continue their education after marriage could potentially increase the utilization of professional ANC and delivery care services in Bangladesh.
妇女教育与充分利用孕产妇保健服务之间的关系已有充分记录。然而,关于妇女婚后继续接受教育如何影响孕产妇保健服务利用情况的文献有限。因此,本研究对这种关系进行调查。本研究旨在探讨孟加拉国目前已婚年轻成年女性婚后继续接受教育与产前保健(ANC)利用情况(≥4次产前检查,四阶段模式;≥8次产前检查,八阶段模式)以及从专业人员处获得的分娩协助之间的关联。这是一项对2017 - 2018年孟加拉国人口与健康调查中1731名年龄在15 - 29岁的年轻成年女性进行的横断面研究。我们采用多变量逻辑回归分析来研究感兴趣的关系。结果显示,60.9%的女性接受了4次或更多次专业产前检查,15.5%的女性接受了8次或更多次专业产前检查,69.9%的女性接受了专业分娩护理。与婚后未继续接受教育的年轻成年女性相比,继续接受教育的女性更有可能利用≥4次专业产前检查(调整优势比[AOR]=1.47;95%置信区间[CI]=1.11 - 1.94)、≥8次专业产前检查(AOR = 1.22;95% CI = 1.01 - 1.74)以及专业分娩护理服务(AOR = 1.78;95% CI = 1.29 - 2.44)。此外,结婚年龄、接触电视情况和财富指数也被发现与专业孕产妇保健服务的利用有关。这一发现意味着,实施鼓励女孩婚后继续接受教育的政策和项目可能会提高孟加拉国专业产前检查和分娩护理服务的利用率。