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Prevalence and risk factors of short birth interval in Bangladesh: Evidence from the linked data of population and health facility survey

The Sustainable Development Goals 3 targets significant reductions in maternal and under-five deaths by 2030. The prevalence of these deaths is significantly associated with short birth intervals (SBI). Identification of factors associated with SBI is pivotal for intervening with appropriate program...

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Autores principales: Islam, Mohammad Zahidul, Islam, M. Mofizul, Rahman, Md. Mostafizur, Khan, Md. Nuruzzaman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021594/
https://www.ncbi.nlm.nih.gov/pubmed/36962161
http://dx.doi.org/10.1371/journal.pgph.0000288
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author Islam, Mohammad Zahidul
Islam, M. Mofizul
Rahman, Md. Mostafizur
Khan, Md. Nuruzzaman
author_facet Islam, Mohammad Zahidul
Islam, M. Mofizul
Rahman, Md. Mostafizur
Khan, Md. Nuruzzaman
author_sort Islam, Mohammad Zahidul
collection PubMed
description The Sustainable Development Goals 3 targets significant reductions in maternal and under-five deaths by 2030. The prevalence of these deaths is significantly associated with short birth intervals (SBI). Identification of factors associated with SBI is pivotal for intervening with appropriate programmes to reduce occurrence of SBI and associated adverse consequences. This study aimed to determine the factors associated with SBI in Bangladesh. A total of 5,941 women included in the 2017/18 Bangladesh Demographic and Health Survey 2017/18 and 1,524 healthcare facilities included in the 2017 Bangladesh Health Facility were linked and analysed. The sample was selected based on the availability of the birth interval data between the two most recent subsequent live birth. SBI was defined as an interval between consecutive births of 33 months or less, as recommended by the World Health Organization and was the outcome variable. Several individual-, households-, and community-level factors were considered as exposure variables. We used descriptive statistics to summarise respondents’ characteristics and multilevel Poisson regression to assess the association between the outcome variable with exposure variables. Around 26% of live births occurred in short intervals, with a further higher prevalence among younger, uneducated, or rural women. The likelihoods of SBI were lower among women aged 20–34 years (PR, 0.14; 95% CI, 0.11–0.17) and ≥35 years (PR, 0.03; 95% CI, 0.02–0.05) as compared to the women aged 19 years or less. Women from households with the richest wealth quintile experienced lower odds of SBI (PR, 0.61; 95% CI, 0.45–0.85) compared to those from the poorest wealth quintile. The prevalences of SBI were higher among women whose second most recent child died (PR, 5.23; 95% CI, 4.18–6.55), those who were living in Chattogram (PR, 1.52; 95% CI, 1.12–2.07) or Sylhet (PR, 2.83, 95% CI, 2.08–3.86) divisions. Availability of modern contraceptives at the nearest healthcare facilities was 66% protective to the occurrence of SBI (PR, 0.34; 95% CI, 0.22–0.78). Also, the prevalence of SBI increased around 85% (PR, 1.85; 95% CI, 1.33–2.18) for every kilometer increase in the distance of nearby health facilities from women’s homes. Targeted and tailored regional policies and programmes are needed to increase the awareness of SBI and associated adverse health outcomes and availability of modern contraception in the healthcare facilities.
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spelling pubmed-100215942023-03-17 Prevalence and risk factors of short birth interval in Bangladesh: Evidence from the linked data of population and health facility survey Islam, Mohammad Zahidul Islam, M. Mofizul Rahman, Md. Mostafizur Khan, Md. Nuruzzaman PLOS Glob Public Health Research Article The Sustainable Development Goals 3 targets significant reductions in maternal and under-five deaths by 2030. The prevalence of these deaths is significantly associated with short birth intervals (SBI). Identification of factors associated with SBI is pivotal for intervening with appropriate programmes to reduce occurrence of SBI and associated adverse consequences. This study aimed to determine the factors associated with SBI in Bangladesh. A total of 5,941 women included in the 2017/18 Bangladesh Demographic and Health Survey 2017/18 and 1,524 healthcare facilities included in the 2017 Bangladesh Health Facility were linked and analysed. The sample was selected based on the availability of the birth interval data between the two most recent subsequent live birth. SBI was defined as an interval between consecutive births of 33 months or less, as recommended by the World Health Organization and was the outcome variable. Several individual-, households-, and community-level factors were considered as exposure variables. We used descriptive statistics to summarise respondents’ characteristics and multilevel Poisson regression to assess the association between the outcome variable with exposure variables. Around 26% of live births occurred in short intervals, with a further higher prevalence among younger, uneducated, or rural women. The likelihoods of SBI were lower among women aged 20–34 years (PR, 0.14; 95% CI, 0.11–0.17) and ≥35 years (PR, 0.03; 95% CI, 0.02–0.05) as compared to the women aged 19 years or less. Women from households with the richest wealth quintile experienced lower odds of SBI (PR, 0.61; 95% CI, 0.45–0.85) compared to those from the poorest wealth quintile. The prevalences of SBI were higher among women whose second most recent child died (PR, 5.23; 95% CI, 4.18–6.55), those who were living in Chattogram (PR, 1.52; 95% CI, 1.12–2.07) or Sylhet (PR, 2.83, 95% CI, 2.08–3.86) divisions. Availability of modern contraceptives at the nearest healthcare facilities was 66% protective to the occurrence of SBI (PR, 0.34; 95% CI, 0.22–0.78). Also, the prevalence of SBI increased around 85% (PR, 1.85; 95% CI, 1.33–2.18) for every kilometer increase in the distance of nearby health facilities from women’s homes. Targeted and tailored regional policies and programmes are needed to increase the awareness of SBI and associated adverse health outcomes and availability of modern contraception in the healthcare facilities. Public Library of Science 2022-04-22 /pmc/articles/PMC10021594/ /pubmed/36962161 http://dx.doi.org/10.1371/journal.pgph.0000288 Text en © 2022 Islam et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Islam, Mohammad Zahidul
Islam, M. Mofizul
Rahman, Md. Mostafizur
Khan, Md. Nuruzzaman
Prevalence and risk factors of short birth interval in Bangladesh: Evidence from the linked data of population and health facility survey
title Prevalence and risk factors of short birth interval in Bangladesh: Evidence from the linked data of population and health facility survey
title_full Prevalence and risk factors of short birth interval in Bangladesh: Evidence from the linked data of population and health facility survey
title_fullStr Prevalence and risk factors of short birth interval in Bangladesh: Evidence from the linked data of population and health facility survey
title_full_unstemmed Prevalence and risk factors of short birth interval in Bangladesh: Evidence from the linked data of population and health facility survey
title_short Prevalence and risk factors of short birth interval in Bangladesh: Evidence from the linked data of population and health facility survey
title_sort prevalence and risk factors of short birth interval in bangladesh: evidence from the linked data of population and health facility survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021594/
https://www.ncbi.nlm.nih.gov/pubmed/36962161
http://dx.doi.org/10.1371/journal.pgph.0000288
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