Muluneh Ayana Alebachew, Bayou Fekade Demeke, Shitu Kegnie, Gebeyew Ayenew Sisay, Tizie Sefefe Birhanu, Kasaye Mulugeta Desalegn, Shibabaw Adamu Ambachew, Walle Agmasie Damtew
Department of Health Informatics, School of Public Health, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.
Department of Health Education and Behavioral Sciences, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
PLOS Digit Health. 2025 Mar 18;4(3):e0000740. doi: 10.1371/journal.pdig.0000740. eCollection 2025 Mar.
Pregnancy-induced hypertension is the most prevalent medical problem associated with pregnancy. It has been reported to affect 6-10% of all pregnant women worldwide. Mothers' failure to seek information related to PIH increases the risk of death from the complication of pregnancy-induced hypertension. This study aimed to assess PIH information-seeking behaviour and its associated factors among pregnant women in rural Sekela Woreda. A community-based cross-sectional study was conducted from May 15 to June 15, 2022. An interviewer-administered structured questionnaire was used to collect the data. The sample size was 635. A cluster sampling technique was used to select the sampled kebeles. The study population included rural pregnant women. This study included pregnant women who were permanent residents of the study area, whereas this study excluded pregnant women who were admitted only for delivery services and temporary residents who visited the study area. The mean age of the participants was 31.8 ± 6.09 years, with minimum and maximum ages of 20 and 45 years, respectively. We conducted descriptive analysis, bivariable analysis, and multivariable analysis to identify determinants of PIH information seeking. The proportion of pregnancy-induced hypertension (PIH) information seeking among pregnant women was 214 (35.4%) out of 604. Pregnant mothers aged 35 years and above (AOR =0.67, 95% CI =0.46, 0.97), family resistance (AOR = 0.45, 95% CI =0.29, 0.69), health care satisfaction (AOR =1.7, 95% CI =1.1, 2.5), and perceived severity of pregnancy-induced hypertension (PIH) (AOR =1.6, 95% CI =1.1, 2.4) were significantly associated with pregnancy-induced hypertension information seeking. According to our findings Information seeking related to pregnancy-induced hypertension is low. Aged mothers, family resistance, mothers' satisfaction with health care services, and perceived severity of PIH were found to be associated with pregnancy-induced hypertension information seeking. Expanding health education programs for pregnant women and providing awareness and training about PIH to participants and their husbands is the most effective way to reduce the prevalence of PIH complications.
妊娠高血压是与妊娠相关的最常见的医学问题。据报道，全球所有孕妇中有6% - 10%受其影响。母亲未能寻求与妊娠高血压相关的信息会增加因妊娠高血压并发症而死亡的风险。本研究旨在评估塞凯拉沃雷达农村地区孕妇的妊娠高血压信息寻求行为及其相关因素。2022年5月15日至6月15日进行了一项基于社区的横断面研究。采用访谈员实施的结构化问卷收集数据。样本量为635。采用整群抽样技术选择抽样的社区。研究人群包括农村孕妇。本研究纳入了研究地区的常住孕妇，而排除了仅因分娩服务入院的孕妇以及访问研究地区的临时居民。参与者的平均年龄为31.8±6.09岁，最小年龄和最大年龄分别为20岁和45岁。我们进行了描述性分析、双变量分析和多变量分析，以确定妊娠高血压信息寻求的决定因素。在604名孕妇中，寻求妊娠高血压（PIH）信息的比例为214人（35.4%）。35岁及以上的孕妇（调整后比值比[AOR]=0.67，95%置信区间[CI]=0.46，0.97）、家庭阻力（AOR = 0.45，95% CI =0.29，0.69）、医疗保健满意度（AOR =1.7，95% CI =1.1，2.5）以及对妊娠高血压（PIH）的感知严重性（AOR =1.6，95% CI =1.1，2.4）与妊娠高血压信息寻求显著相关。根据我们的研究结果，与妊娠高血压相关的信息寻求率较低。年龄较大的母亲、家庭阻力、母亲对医疗保健服务的满意度以及对PIH的感知严重性与妊娠高血压信息寻求有关。为孕妇扩大健康教育项目，并向参与者及其丈夫提供有关PIH的认识和培训，是降低PIH并发症患病率的最有效方法。
