birth interval

出生间隔
  • 文章类型: Journal Article
    OBJECTIVE: A short birth interval is a universal public health problem resulting in adverse maternal, neonatal, and child outcomes. Therefore, the aim of this study was to identify determinants of short birth interval among ever married reproductive age mothers who live in Jigjiga city administration, Eastern Ethiopia, 2020.
    METHODS: A community-based unmatched case-control study was used among 194 cases and 194 controls in Jigjiga city administration from September to December 2020. Cases were women with short birth interval (less than 3 years) and controls were women with optimum birth interval (3-5 years). Simple random sampling technique was employed to select cases and controls. Data were entered into Epi data version 4.2 and analysis with SPSS version 22. Binary logistic regression with 95% confidence interval at p < 0.05 is used to declare significantly associated predictors of short birth interval.
    RESULTS: This study reported that women who have not attended formal education (adjusted odds ratio = 5.28, 95% confidence interval: (2.25-12.36)), attended primary education (adjusted odds ratio = 2.79, 95% confidence interval: (1.46-5.34)), women who married to a polygamous husband (adjusted odds ratio = 3.69, 95% confidence interval: (1.80-7.58)), having a history of neonatal death (adjusted odds ratio = 2.15, 95% confidence interval: (1.07-4.32)), preceding child being female (adjusted odds ratio = 3.69, 95% confidence interval: (2.02-6.72)), and never used contraceptive methods (adjusted odds ratio = 3.69, 95% confidence interval: (2.02-6.72)) were identified as determinants of the short birth interval.
    CONCLUSIONS: Short birth intervals were associated with educational level of the women, sex of the baby, husband marriage types, history of neonatal death, and contraceptive utilization. Strategy should be engaged to enhance women education, contraceptive uses, and to decrease neonatal death.
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  • 文章类型: Journal Article
    伊朗的总生育率(TFR)从2000年开始下降,最近伊朗的生育率低于更替水平。出生间隔是决定生育水平的最重要因素之一,对人口增长率起着至关重要的作用。由于这个课题的重要性,本研究的目的是使用3个生存复发事件(SRE)模型分析3个出生间隔.
    在德黑兰的2017年横断面生育率调查中,610名已婚妇女,年龄15-49岁,通过多阶段分层随机抽样选择,并使用结构化问卷进行访谈。选择的协变量对第一,使用SAS9.4中的Prentice-Williams-Peterson-Gap时间(PWP-GT)SRE模型对第2次和第3次出生间隔进行拟合.
    日历期对所有三个出生间隔均有显着影响(P<0.01)。在最近的日历期(2007-2017年)中,女性短出生间隔的危险率(HR)低于其他日历期。妇女的迁移影响第二(P=0.044)和第三出生间隔(P=0.031)。移民妇女的两个出生间隔的HR分别为1.298和1.404倍,分别比非移民妇女。妇女的就业(P=0.008)和居住地(P<0.05)对第二胎生育间隔也有显著影响;完全发达和半发达地区,与失业妇女和生活在发展中地区的妇女相比,有更长的第二次出生间隔。结婚年龄的年龄较大会在短的第三出生间隔内增加HR(P<0.01)。
    使用适当的统计方法对出生间隔模式进行分析,为卫生政策制定者提供了重要信息。根据这项研究的结果,年轻女性比年长女性推迟生育。移民妇女,失业妇女和生活在发展中地区的妇女比非移民就业妇女更早生育第二个孩子,和生活在较发达地区的妇女。实施改变家庭经济和社会状况的政策可以防止生育间隔增加并影响生育率。
    UNASSIGNED: Total fertility rate (TFR) in Iran decreased from the year 2000 and recently Iran has experienced fertility rates below replacement level. Birth interval is one of the most important determinants of fertility levels and plays a vital role in population growth rate. Due to the importance of this subject, the aim of this study was analyzing three birth intervals using three Survival Recurrent Event (SRE) models.
    UNASSIGNED: In a 2017 cross-sectional fertility survey in Tehran, 610 married women, age 15-49 years, were selected by multi-stage stratified random sampling and interviewed using a structured questionnaire. The effects of selected covariates on first, second and third birth intervals were fitted to the data using the Prentice-Williams- Peterson-Gap Time (PWP-GT) SRE model in SAS 9.4.
    UNASSIGNED: Calendar-period had a significant effect on all three birth intervals (P<0.01). The Hazard Rate (HR) for a short birth interval for women in the most recent calendar-period (2007-2017) was lower than for the other calendarperiods. Women\'s migration influenced second (P=0.044) and third birth intervals (P=0.031). The HR for both birth intervals in migrant women was 1.298 and 1.404 times shorter, respectively than non-migrant women. Women\'s employment (P=0.008) and place of residence (P<0.05) also had significant effects on second birth interval; employed women and those living in developed, completely-developed and semi-developed areas, compared to unemployed women and those living in developing regions, had longer second birth intervals. Older age at marriage age increased the HR for a short third birth interval (P<0.01).
    UNASSIGNED: The analysis of birth interval patterns using an appropriate statistical method provides important information for health policymakers. Based on the results of this study, younger women delayed their childbearing more than older women. Migrant women, unemployed women and women who live in developing regions gave birth to their second child sooner than non-migrant employed women, and women who lived in more developed regions. The implementation of policies which change the economic and social conditions of families could prevent increasing birth intervals and influence the fertility rate.
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  • 文章类型: Journal Article
    OBJECTIVE: Improving short birth interval practice is a key strategy to reduce maternal mortality, neonatal mortality, adverse pregnancy outcomes, high fertility rate and undermining economic development efforts. However, there were limited evidences on short birth interval practice and its determinant factors in Ethiopia. This study aimed to determine the prevalence of short birth interval practice and associated factors among pregnant women. Institutional based cross-sectional study was conducted among 418 pregnant mothers using stratified sampling technique. Multivariable logistic regression analysis was performed at the level of significance of P-value < 0.05.
    RESULTS: Short birth interval practice was found to be 40.9%. Child death (AOR = 3.60, 95% CI 1.35, 9.59), female child (AOR = 2.03, 95% CI 1.12, 3.67), younger maternal age (AOR = 4.23, 95% CI 1.14, 12.66), contraceptive non-use (AOR = 8.15, 95% CI 4.17, 15.94), increase duration of breastfeeding (AOR = 4.72, 95 CI% 1.10, 20.60) and home delivery (AOR = 4.75, 95 CI% 2.30, 9.79) were found to be significantly associated with short birth interval practice. The prevalence of short birth interval practice is high. Multi disciplinary approach through improving maternal and child health care are recommended to prevent short birth interval practice.
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  • 文章类型: Journal Article
    BACKGROUND: Despite her apparent economic success, India is plagued by a high burden of under-nutrition among children under five. This study was aimed at understanding some of the risk factors for under-nutrition in a region with favourable maternal and child health indicators.
    METHODS: A case control study was carried out among children aged one to five years attending the paediatric outpatient department in six rural health care centres in Udupi taluk of Karnataka in Southern India. A total of 162 children were included in the study, of which 56 were cases. A semi-structured questionnaire was used to interview the caregivers of the children and the nutritional status was graded according to the Indian Academy of Paediatrics (IAP) grading of protein-energy malnutrition.
    RESULTS: Under-nutrition was associated with illness in the last one month [OR- 4.78 (CI: 1.83 -12.45)], feeding diluted milk [OR-14.26 (CI: 4.65 - 43.68)] and having more than two children with a birth interval ≤2 years [OR- 4.93 (CI: 1.78 - 13.61)]. Lack of exclusive breast feeding, level of education of the caregiver and environmental factors like source of water did not have an association.
    CONCLUSIONS: Childhood illness, short birth interval and consumption of diluted milk were some of the significant contributory factors noted among this population. Information, Education, Communication (IEC) campaigns alleviating food fads and promoting birth spacing is needed.
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