几内亚首次产前检查延迟的相关趋势及因素

Trends and factors associated with delays in the first prenatal consultation in Guinea.

作者信息

Sidibe Tiany, Dioulde Balde Mamadou, Camara Sadan, Diallo Ramata, Salim Camara Bienvenu, Kourouma Karifa, Toure Madeleine, Saran Keita Kaba, Barry Fanta, Balde Maimouna

机构信息

Department of Public Health, Center for Research in Reproductive Health in Guinea, Conakry, Guinea.

Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.

出版信息

J Public Health Afr. 2025 Jan 30;16(1):502. doi: 10.4102/jphia.v16i1.502. eCollection 2025.

DOI:10.4102/jphia.v16i1.502

PMID:40475229

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12138634/

Abstract

BACKGROUND

The first antenatal care (ANC1) is considered late if it is performed after the first 12 weeks of pregnancy. In Guinea, this phenomenon remains under-analysed.

AIM

The objective of this study is to analyse the trends and factors associated with the delay in performing the ANC1 in Guinea from 2007 to 2018.: This study was conducted in Guinea.

METHODS

A secondary analysis of the 2012 and 2018 Demographic and Health Surveys in Guinea was conducted. The study included women aged 15-49 years who gave birth in the five years prior to the surveys and had at least one ANC visit for their last child. Multivariate logistic regression was used to identify associated factors using Stata 17.

RESULTS

This study shows that in Guinea, out of 14 546 women, the overall proportion of the delay in performing the ANC1 between 2007 and 2018 was 73%. The trend of this proportion decreased from 86% in 2007 to 61% in 2010, from 85% in 2013 to 61% in 2016; however, it increased from 61% in 2010 to 85% in 2013 and from 66% in 2016 to 76% in 2018. The factors associated with the delay in performing the ANC1 were: being aged 35-49 years (adjusted odds ratio [AOR]: 1.36; 95% confidence interval [CI]: 1.08-1.69); Living in a poor household (AOR: 1.87; 95% CI: 1.64-2.13), living in Boké (AOR: 2.13; 95% CI: 1.58-2.87), and N'zerekore (AOR: 4.97; 95% CI: 3.58-6.91).

CONCLUSION

We recommend stepping up door-to-door awareness-raising activities by community relays and ensuring that the policy of free antenatal care in Guinea is effective.

CONTRIBUTION

This study shows a very high prevalence of delay in the ANC1 in Guinea influenced by many factors.

摘要

背景

如果首次产前检查（ANC1）在怀孕12周后进行，则被视为延迟。在几内亚，这一现象仍未得到充分分析。

目的

本研究的目的是分析2007年至2018年几内亚ANC1延迟的趋势及相关因素。

方法

对几内亚2012年和2018年的人口与健康调查进行二次分析。研究纳入了在调查前五年内分娩且其最后一个孩子至少进行过一次产前检查的15至49岁女性。使用Stata 17通过多变量逻辑回归来确定相关因素。

结果

本研究表明，在几内亚的14546名女性中，2007年至2018年期间ANC1延迟的总体比例为73%。这一比例的趋势从2007年的86%降至2010年的61%，从2013年的85%降至2016年的61%；然而，它从2010年的61%升至2013年的85%，从2016年的66%升至2018年的76%。与ANC1延迟相关的因素有：年龄在35至49岁之间（调整后的优势比[AOR]：1.36；95%置信区间[CI]：1.08 - 1.69）；生活在贫困家庭（AOR：1.87；95% CI：1.64 - 2.13），居住在博凯（AOR：2.13；95% CI：1.58 - 2.87），以及恩泽雷科雷（AOR：4.97；95% CI：3.58 - 6.91）。