دورية أكاديمية
أعرض في EDS

Spatial patterns and predictors of unintended pregnancy among reproductive age women in Ethiopia.

التفاصيل البيبلوغرافية
العنوان: Spatial patterns and predictors of unintended pregnancy among reproductive age women in Ethiopia.
المؤلفون: Zeru MA; Department of Statistics, College of Science, Bahir Dar University, Bahir Dar, Ethiopia., Fenta HM; Department of Statistics, College of Science, Bahir Dar University, Bahir Dar, Ethiopia., Mitku AA; Department of Statistics, College of Science, Bahir Dar University, Bahir Dar, Ethiopia.; School of Mathematics, Statistics and Computer Science, College of Agriculture Engineering and Science, University of KwaZulu-Natal, Durban, South Africa.
المصدر: PloS one [PLoS One] 2023 Aug 02; Vol. 18 (8), pp. e0282225. Date of Electronic Publication: 2023 Aug 02 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Pregnancy, Unplanned* , Reproduction*, Pregnancy ; Humans ; Female ; Ethiopia/epidemiology ; Contraception ; Marital Status ; Multilevel Analysis ; Spatial Analysis
مستخلص: Introduction: Unintended pregnancy is amajor sexual and reproductive health problem that imposes substantial health, economical and psychosocial costs to individuals and society as well as significant emotional distress to women, families, and society. The main aim of this study was to investigate the spatial distribution and predictors of unintended pregnancy in Ethiopian regions and administrative zones.
Methods: This study was conducted based on data from 2016 Ethiopian Demographic and Health Survey. The prevalence of unintended pregnancy across regions and or zones was assessed using spatial analysis, and the effect of different factors on unintended pregnancy in Ethiopia was investigated using a generalized linear mixed model with a multistage clustered sampling strategy. The crude and best linear unbiased predictor estimations of zones were integrated with the shape file data to demonstrate the performance of each zone on maps.
Results: The prevalence of unintended pregnancy for reproductive women in Ethiopia was29.49%. The highest rates of unintended pregnancy were recorded in the North Gondar zone of the Amhara region and the Jima zone in the Oromiya region. The mixed effects model revealed that age [AOR = 0.78, 95% CI, 0.62-0.97], residence [AOR = 2.62, 95%CI, 1.94, 7.27], marital status [AOR = 0.05, 95%CI, 0.01-0.38], women education [AOR = 1.34, 95%CI, 0.75-2.39], smoking cigarettes [AOR = 3.67, 95CI, 1.17-11.56], and poorer wealth index [AOR = 1.89, 95% CI, 1.51-2.31] were significantly associated with unintended pregnancy.
Conclusion: In Ethiopia, unintended pregnancy is a public health issue, and prevention stratagem for unintended pregnancy among reproductive women need to be focused based on the identified predictors. The spatial distribution of unintended pregnancy varied greatly at zonal and regional levels in Ethiopia. Hence, we recommended that, creating awareness of sexual and reproductive health with special priority to the identified hotspot areas (Amhara, Oromiya and SNN regions) to reduce unintended pregnancy. Emphasis on fertility and contraceptive techniques should be given to couples by health professionals.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Zeru et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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تواريخ الأحداث: Date Created: 20230802 Date Completed: 20230804 Latest Revision: 20230804
رمز التحديث: 20230804
مُعرف محوري في PubMed: PMC10396016
DOI: 10.1371/journal.pone.0282225
PMID: 37531369
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0282225