埃塞俄比亚重复诱导堕胎的流行率和决定因素:系统性审查和元分析
Kenbon Seyoum1, Sheleme Mengistu1
1Department of Midwifery, Goba General Hospital, School of Health Science, Madda Walabu University, P.O.box: 247, Bale Robe, Goba, Ethiopia.
Heliyon
|October 9, 2023
概括
重复引发的堕胎影响了近十分之一的妇女有堕胎史. 关键的危险因素包括酒精使用,多个性伴侣和缺乏生育意识.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 埃塞俄比亚医疗保健研究
背景情况:
- 重复诱导堕胎,定义为在胎儿活力之前多次终止怀孕,构成了严重的公共卫生问题.
- 了解重复诱导堕胎的流行率和决定因素对于埃塞俄比亚的有针对性的干预至关重要.
研究的目的:
- 估计埃塞俄比亚妇女中重复诱导堕胎的综合患病率.
- 在埃塞俄比亚背景下确定与重复诱导堕胎相关的重要决定因素.
主要方法:
- 在PubMed,HINARI和谷歌学者中进行了系统的文献搜索,寻找相关研究.
- 使用随机效应模型来计算聚合流行率,使用Cochrane Q统计和I2测试评估异质性.
主要成果:
- 重复诱导堕胎的综合患病率估计为30.89% (95% CI: 28.88-32.91).
- 发现与饮酒 (POR=3.60),假设手术无痛 (POR=2.79),缺乏生育意识 (POR=3.45) 和多个性伴侣 (POR=4.31) 有显著的关联.
结论:
- 埃塞俄比亚约有30.89%的妇女经历了重复诱导的堕胎.
- 解决酒精消费,促进生育意识,纠正有关堕胎程序的误解和解决多重性伴侣关系的干预措施至关重要.
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