埃塞俄比亚阿达马地区生育年龄妇女中不理想分娩间隔的决定因素:基于社区的无与伦比的病例控制研究
Yohanes Abera Belachwe1, Meyrema Abdo Komicha2, Worku Dugassa Girsha2
1Department of Public Health, Adama General Hospital Medical College, Adama, Ethiopia. yohanesabera99@gmail.com.
BMC women's health
|October 30, 2024
概括
不理想的分娩间隔与较低的教育水平,不良的避孕措施使用和更短的母乳养时间有关. 社区卫生计划应促进教育和计划生育,以获得更好的母婴健康结果.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 孕产妇和儿童的健康
背景情况:
- 在全球范围内,短分娩间隔对母亲和儿童健康构成重大风险.
- 在埃塞俄比亚,低于最佳的分娩间隔是一个关键的公共卫生问题,数据有限.
- 确定分娩间隔的决定因素对于有针对性的干预措施至关重要.
研究的目的:
- 在生育年龄的妇女中确定子最佳分娩间隔的关键决定因素.
- 为改善埃塞俄比亚阿达马区的生殖健康服务提供证据.
主要方法:
- 一项基于社区的无匹配的病例控制研究,涉及568名女性.
- 通过面试官管理的结构化问卷收集的数据.
- 二元逻辑回归分析用于识别子最佳分娩间隔的重要决定因素.
主要成果:
- 没有正规教育 (AOR=2.40),对最佳分娩间隔知识不足 (AOR=2.60),以及不使用现代避孕药 (AOR=3.00) 是重要的决定因素.
- 短暂的母乳养时间 (AOR=2.30) 和有女性指数孩子 (AOR=1.60) 也与低于最佳的分娩间隔有关.
- 这些因素突出了对分娩间隔实践的可修改和不可修改影响.
结论:
- 促进妇女教育,使用现代避孕药和延长母乳养对于最佳分娩间隔至关重要.
- 社区卫生倡议应解决基于性别的分娩间隔偏好.
- 针对这些决定因素的干预措施可以改善母亲和儿童的健康结果.
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