背景:传统的悬漏切除术在非洲尤其是在包括埃塞俄比亚在内的撒哈拉以南国家广泛实施。在世界不同时期和地区进行的有限研究表明,悬垂切除术的患病率及其相关因素因国家而异。确定埃塞俄比亚渎职的普遍性和原因的证据有限。因此,这项研究旨在评估传统悬垂切除术的患病率,及其相关因素在有6个月以下儿童的父母中。
方法:在通过系统抽样技术选择的630名参与者中进行了基于社区的横断面混合研究设计。使用预先测试的面试官管理的问卷收集数据。将收集到的数据输入到Epi数据中,并使用STATA版本14软件进行分析。使用表格计算和呈现描述性统计数据,数字和文本。在X2-分析中,选择与悬雍垂切除术患病率相关的因素进行概率值(p值)小于0.2的多重逻辑回归。在概率值(p值)小于0.05和校正OR(AOR)(95%CI)下鉴定出具有统计学意义的相关因素。使用目的抽样技术共纳入10名个人深度受访者和5名关键线人。对于定性研究,并采用主题内容分析对数据进行分析,被转录的,翻译,编码,筛选,主题化,分析,合成,最后补充了定量发现。
结果:传统悬垂切除术的患病率为84.60%(CI:81.77%n-87.42%)。作为农村居民(调整后的OR=2.08,CI=1.06-4.12),30至34岁的母亲(调整后的OR=2.9,CI=1.28-6.60),没有产前护理访问(调整后的OR=3.91,CI=1.33-11.47),没有不良产科病史(校正后的OR=2.11,CI=1.12-3.98),未进行产后护理访视(校正后OR=3.88,CI=1.36-11.12)和母亲态度不良(校正后OR=3.32,CI=2.01-5.47)是传统手术的显著相关因素。寻求传统的悬垂切除术,缺乏信息和第三方压力是支持定量研究结果的定性研究的主要主题。
结论:传统的悬垂切除术的患病率较高。作为农村居民,30至34岁的母亲,没有产前检查,没有产科病史的并发症,没有产后护理访视和母亲态度差是传统手术的显著相关因素。缺乏有关悬垂切除术和第三方压力的信息是寻求传统悬垂切除术的原因。
BACKGROUND: Traditional uvulectomy is widely practiced in Africa especially in sub-Saharan countries including Ethiopia. Limited Studies conducted in different times and areas of the world have shown that the prevalence of uvulectomy and its associated factors are varied from country to country. There is limited evidence to determine the prevalence and reasons of malpractice in Ethiopia. Therefore, this study aimed to assess the prevalence of traditional uvulectomy, and its associated factors among
parents who had children aged less than 6 months.
METHODS: A community-based cross-sectional mixed study design was conducted among 630 participants selected by a systematic sampling technique. Data were collected using a pretested interviewer-administered questionnaire. The collected data were entered into Epi-data, and analyzed by using STATA version 14software. Descriptive statistics were computed and presented using tables, figures and texts. Factors associated with the prevalence of uvulectomy were selected for multiple logistic regressions at the probability value (p-value) of less than 0.2 in the X2- analysis. Statistically significant associated factors were identified at the probability value (p-value) less than 0.05 and adjusted OR (AOR) with a 95% CI. A total of 10 individual depth interviewees and 5 key informants were included using purposive sampling techniques. For the qualitative study, and thematic content analysis was employed to analyze the data, which were transcribed, translated, coded, screened, thematized, analyzed, synthesized, and finally supplemented the quantitative finding.
RESULTS: The prevalence of traditional uvulectomy was 84.60% (CI: 81.77%n-87.42%). Being rural residence (adjusted OR = 2.08, CI = 1.06-4.12), mothers aged 30 to 34 years (adjusted OR = 2.9, CI = 1.28-6.60), having no antenatal care visit (adjusted OR = 3.91, CI = 1.33-11.47), having no bad obstetric history (adjusted OR = 2.11, CI = 1.12-3.98), having no postnatal care visit (adjusted OR = 3.88, CI = 1.36-11.12) and mothers\' poor attitude (adjusted OR = 3.32, CI = 2.01-5.47) were statistically significant associated factors of traditional uvulectomy. Seeking traditional uvulectomy, lack of information and third-party pressure were the main themes of the qualitative study that support the findings of the quantitative study.
CONCLUSIONS: The prevalence of traditional uvulectomy was high. Being rural residents, mothers aged 30 to 34 years, having no antenatal care visit, having no complications of obstetric history, having no postnatal care visit and mothers with poor attitude were statistically significant associated factors of traditional uvulectomy. Lack of information about uvulectomy and third-party pressure was the reason for seeking traditional uvulectomy.