背景:在世界各地,特别是在发展中国家,它们与母婴健康状况不佳有关。延长最佳出生间隔是促进母亲及其子女健康状况的关键策略之一。然而,在研究区域和地区尚未确定影响短出生间隔的因素。这项研究旨在评估Fartaworeda育龄妇女中短出生间隔做法的决定因素,埃塞俄比亚,2019.
方法:基于社区的无匹配病例对照研究设计于2019年2月至3月进行。采用多阶段抽样方法纳入样本303(101例病例和202例对照),然后采用简单随机抽样技术选择研究参与者。数据是通过结构化和预先测试的面对面面试官管理的问卷从选定的受访者中收集的。收集的数据用Epi-Data4.2版输入,并使用SPSS23版软件进行分析。使用双变量和多变量分析来检查相关性。赔率比,95%CI和P值<0.05用于确定统计学关联。
结果:未受过正规教育的妇女(AOR=2.15,95%CI(1.19,3.88),没有产前护理随访史(AOR=2.66,95%CI(1.55,4.56)),在最近一次怀孕之前未使用现代避孕药具(AOR=3.48,95%CI(1.74,6.95))和母乳喂养时间少于24个月(AOR=3.59,95%CI(2.06,6.24))与短出生间隔显著相关.
结论:产妇教育,母乳喂养的持续时间,避孕药具的利用,和产前随访被确定为短出生间隔实践的预测变量。因此,为育龄期妇女提供有关使用避孕药具益处的健康信息,母乳喂养实践和产前护理跟进,以最大限度地减少出生间隔短带来的问题。
BACKGROUND: Closely spaced births have been reported all over the world especially in developing countries, and they have been correlated with poor maternal and infant health. Enhancing optimal birth interval is one of the key strategies to promote the health status of mothers and their children. However, factors affecting short birth intervals have not been identified in the study area and region. This study was aimed to assess determinants of short birth interval practice among reproductive women in Farta woreda, Ethiopia, 2019.
METHODS: Community based unmatched
case-control study design was conducted from February to March 2019. The sample size of 303 (101
case and 202 controls) was included by using multistage sampling and then study participants were selected by simple random sampling technique. The data was collected by structured and pre-tested face-to-face interviewer-administered questionnaires from the selected respondents. The collected data were entered with Epi-Data version 4.2 and analyzed by using SPSS version 23 software. Bivariate and multivariate analyses were used to examine the association. Odds ratios, 95% CI, and P-value <0.05 were used to determine the statistical association.
RESULTS: Women who had no formal education (AOR = 2.15, 95% CI (1.19, 3.88), had not a history of antenatal care follow up (AOR = 2.66, 95% CI (1.55, 4.56)), did not use modern contraceptives before getting the latest pregnancy (AOR = 3.48, 95% CI (1.74, 6.95)) and duration of breastfeeding less than 24 months (AOR = 3.59, 95% CI (2.06, 6.24)) were significantly associated with short birth interval.
CONCLUSIONS: Maternal education, duration of breastfeeding, contraceptive utilization, and antenatal follow-up were identified as the predictor variables of short birth interval practice. Therefore, providing health information for reproductive-age women about the benefit of contraceptive utilization, breastfeeding practice and antenatal care follow up to minimize problems resulting from the short birth intervals.