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Prevalence and factors associated with sexual and reproductive health services use among reproductive age women with disabilities: a community based cross-sectional study

BACKGROUND: According to International Convention on the Right of Person with Disabilities (CRPD), all nations should discern Sexual and Reproductive Health (SRH) as human rights and needs of all people living with disabilities. Women and girls with disabilities are highly vulnerable to SRH disparit...

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Autores principales: Rade, Bayew Kelkay, Tamiru, Animut Tagele, Aynalem, Getie Lake, Taye, Eden Bishaw, Melkie, Mamaru, Abera, Alamirew, Cherkos, Endeshaw Admassu, Asaye, Mengstu Melkamu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10155295/
https://www.ncbi.nlm.nih.gov/pubmed/37131161
http://dx.doi.org/10.1186/s12905-023-02373-5
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author Rade, Bayew Kelkay
Tamiru, Animut Tagele
Aynalem, Getie Lake
Taye, Eden Bishaw
Melkie, Mamaru
Abera, Alamirew
Cherkos, Endeshaw Admassu
Asaye, Mengstu Melkamu
author_facet Rade, Bayew Kelkay
Tamiru, Animut Tagele
Aynalem, Getie Lake
Taye, Eden Bishaw
Melkie, Mamaru
Abera, Alamirew
Cherkos, Endeshaw Admassu
Asaye, Mengstu Melkamu
author_sort Rade, Bayew Kelkay
collection PubMed
description BACKGROUND: According to International Convention on the Right of Person with Disabilities (CRPD), all nations should discern Sexual and Reproductive Health (SRH) as human rights and needs of all people living with disabilities. Women and girls with disabilities are highly vulnerable to SRH disparities including unintended pregnancy, acquiring sexual transmitted infections and unsafe abortion. Little has known about SRH service uptake and influencing factors among reproductive aged women living with disabilities. METHODS: A community-based cross-sectional study was conducted from January 1–30, 2021, the central Gondar zone selected districts. A total of 535 reproductive-age (18–49 years) women with disabilities had been interviewed through face-to-face using structured questionnaire. Multistage cluster sampling method was applied. A binary logistic regression model was computed to look the relationship between independent variables and uptake of SRH, and p-value < 0.05 was a cut-off point to declare statistical significance. RESULTS: A total of 33.27% (178/535) women with disabilities used at least one SRH service in the last twelve months preceding the survey. Those who had three or more children [AOR = 4.85; 95% CI (1.24–9.71)], autonomy to visit health care facilities [AOR = 3.30; 95% CI (1.45–6.92)], lived with sexual partner [AOR = 9.2; 95% CI (2.84–13.60)], subjected to radio/television in daily bases [AOR = 5.9; 95% CI (1.26–13.04)], autonomy to visit friends and relatives [AOR = 3.95; 95% CI (1.28–12.17)], had a discussion with family members about sexual and reproductive health [AOR = 9.36; 95% CI (3.44–17.47)], and engaged in sexual activity after the age of 18 years [AOR = 7.2; 95% CI (2.51–14.45)] were important predictors for service uptake. CONCLUSIONS: Only one in three reproductive age women with disabilities used at least one SRH service. These findings suggest that accessing information through mainstream media exposure, having full autonomous to visit friends and families, open discussion with family members, live with sexual partner, having optimal family size and starting sexual act at the recommended age improve the uptake of SRH services. Therefore, the stakeholders (both governmental and non-governmental) need to make efforts to increase the uptake of SRH services.
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spelling pubmed-101552952023-05-04 Prevalence and factors associated with sexual and reproductive health services use among reproductive age women with disabilities: a community based cross-sectional study Rade, Bayew Kelkay Tamiru, Animut Tagele Aynalem, Getie Lake Taye, Eden Bishaw Melkie, Mamaru Abera, Alamirew Cherkos, Endeshaw Admassu Asaye, Mengstu Melkamu BMC Womens Health Research BACKGROUND: According to International Convention on the Right of Person with Disabilities (CRPD), all nations should discern Sexual and Reproductive Health (SRH) as human rights and needs of all people living with disabilities. Women and girls with disabilities are highly vulnerable to SRH disparities including unintended pregnancy, acquiring sexual transmitted infections and unsafe abortion. Little has known about SRH service uptake and influencing factors among reproductive aged women living with disabilities. METHODS: A community-based cross-sectional study was conducted from January 1–30, 2021, the central Gondar zone selected districts. A total of 535 reproductive-age (18–49 years) women with disabilities had been interviewed through face-to-face using structured questionnaire. Multistage cluster sampling method was applied. A binary logistic regression model was computed to look the relationship between independent variables and uptake of SRH, and p-value < 0.05 was a cut-off point to declare statistical significance. RESULTS: A total of 33.27% (178/535) women with disabilities used at least one SRH service in the last twelve months preceding the survey. Those who had three or more children [AOR = 4.85; 95% CI (1.24–9.71)], autonomy to visit health care facilities [AOR = 3.30; 95% CI (1.45–6.92)], lived with sexual partner [AOR = 9.2; 95% CI (2.84–13.60)], subjected to radio/television in daily bases [AOR = 5.9; 95% CI (1.26–13.04)], autonomy to visit friends and relatives [AOR = 3.95; 95% CI (1.28–12.17)], had a discussion with family members about sexual and reproductive health [AOR = 9.36; 95% CI (3.44–17.47)], and engaged in sexual activity after the age of 18 years [AOR = 7.2; 95% CI (2.51–14.45)] were important predictors for service uptake. CONCLUSIONS: Only one in three reproductive age women with disabilities used at least one SRH service. These findings suggest that accessing information through mainstream media exposure, having full autonomous to visit friends and families, open discussion with family members, live with sexual partner, having optimal family size and starting sexual act at the recommended age improve the uptake of SRH services. Therefore, the stakeholders (both governmental and non-governmental) need to make efforts to increase the uptake of SRH services. BioMed Central 2023-05-02 /pmc/articles/PMC10155295/ /pubmed/37131161 http://dx.doi.org/10.1186/s12905-023-02373-5 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Rade, Bayew Kelkay
Tamiru, Animut Tagele
Aynalem, Getie Lake
Taye, Eden Bishaw
Melkie, Mamaru
Abera, Alamirew
Cherkos, Endeshaw Admassu
Asaye, Mengstu Melkamu
Prevalence and factors associated with sexual and reproductive health services use among reproductive age women with disabilities: a community based cross-sectional study
title Prevalence and factors associated with sexual and reproductive health services use among reproductive age women with disabilities: a community based cross-sectional study
title_full Prevalence and factors associated with sexual and reproductive health services use among reproductive age women with disabilities: a community based cross-sectional study
title_fullStr Prevalence and factors associated with sexual and reproductive health services use among reproductive age women with disabilities: a community based cross-sectional study
title_full_unstemmed Prevalence and factors associated with sexual and reproductive health services use among reproductive age women with disabilities: a community based cross-sectional study
title_short Prevalence and factors associated with sexual and reproductive health services use among reproductive age women with disabilities: a community based cross-sectional study
title_sort prevalence and factors associated with sexual and reproductive health services use among reproductive age women with disabilities: a community based cross-sectional study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10155295/
https://www.ncbi.nlm.nih.gov/pubmed/37131161
http://dx.doi.org/10.1186/s12905-023-02373-5
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