背景:我们旨在确定增加15-49岁孟加拉育龄女性HRFB风险的因素。
方法:该研究利用了最新的孟加拉国人口与健康调查(BDHS)2017-18数据集。进行皮尔逊卡方检验以确定结果与自变量之间的关系。而多因素logistic回归分析用于确定与HRFB相关的潜在决定因素。
结果:总体上有67.7%的女性患有HRFB,其中45.6%处于单一风险,22.1%处于多重高风险。女性年龄(35-49岁:AOR=6.4295%CI3.95-10.42),谁是穆斯林(AOR=5.52,95%CI2.25-13.52),正常分娩(AOR=1.47,95%CI1.22-1.69),意外妊娠(AOR=10.79,95%CI5.67-18.64)和未使用任何避孕方法(AOR=1.37,95%CI1.24-1.81)与HRFB风险增加显著相关.或者,妇女及其伴侣接受高等教育与减少HRFB有关。
结论:相当比例的孟加拉妇女有高风险生育行为,这是相当惊人的。因此,孟加拉国的公共卫生政策制定者应强调这一问题,并设计适当的干预措施,以减少孕产妇的HRFB。
母亲高危生育行为(HRFB)的高比率对母亲和孩子都有各种不利影响。然而,因为到目前为止,关于这个主题的研究很少,我们着手确定增加15~49岁孟加拉女性HRFB风险的决定因素.使用最新的人口和健康调查(BDHS)数据,我们发现67.7%的女性患有HRFB,其中45.6%具有单一高风险因素,22.1%具有多重高风险因素。这种高患病率表明HRFB在孟加拉国太普遍了,可能危害该国妇女的健康。我们发现以伊斯兰教为核心宗教的女性,35岁以上,正常分娩,有三个以上的孩子,意外怀孕和不使用节育方法会增加发生HRFB的风险.根据研究结果,在15至49岁的孟加拉妇女中,迫切需要采取干预措施来预防高危生育行为.
BACKGROUND: We aimed to determine the factors that increase the risk of HRFB in Bangladeshi women of reproductive age 15-49 years.
METHODS: The study utilised the latest Bangladesh Demographic and Health Survey (BDHS) 2017-18 dataset. The Pearson\'s chi-square test was performed to determine the relationships between the outcome and the independent variables, while multivariate logistic regression analysis was used to identify the potential determinants associated with HRFB.
RESULTS: Overall 67.7% women had HRFB among them 45.6% were at single risk and 22.1% were at multiple high-risks. Women\'s age (35-49 years: AOR = 6.42 95% CI 3.95-10.42), who were Muslims(AOR = 5.52, 95% CI 2.25-13.52), having normal childbirth (AOR = 1.47, 95% CI 1.22-1.69), having unwanted pregnancy (AOR = 10.79, 95% CI 5.67-18.64) and not using any contraceptive methods (AOR = 1.37, 95% CI 1.24-1.81) were significantly associated with increasing risk of having HRFB. Alternatively, women and their partners\' higher education were associated with reducing HRFB.
CONCLUSIONS: A significant proportion of Bangladeshi women had high-risk fertility behaviour which is quite alarming. Therefore, the public health policy makers in Bangladesh should emphasis on this issue and design appropriate interventions to reduce the maternal HRFB.
High rates of maternal high-risk fertility behaviour (HRFB) have a variety of unfavourable repercussions for both the mother and the child. However, because there have been few studies on this topic to date, we set out to identify the determinants that enhance the risk of HRFB in Bangladeshi women between the ages of 15 and 49. Using latest demographic and health survey (BDHS) data we have found that 67.7% of women had HRFB, with 45.6% having a single high-risk factor and 22.1% having multiple high-risk factors. This high prevalence rate demonstrates that HRFB are all too common in Bangladesh, potentially endangering the health of the country\'s women. We found that women practicing Islam as core religion, age above 35 years, having normal childbirth, having above 3 children, having unwanted pregnancies and not using birth control methods were at increased risk of having HRFB. As a result of the study\'s findings, interventions are urgently needed to prevent high-risk fertility behaviour among Bangladeshi women aged 15 to 49 years.