Cargando…

Magnitude of unintended pregnancy and its determinants among childbearing age women in low and middle-income countries: evidence from 61 low and middle income countries

BACKGROUND: Unintended pregnancy is one of the most serious health issues in low and Middle-Income Countries (LMICs), posing significant health, economic, and psychosocial costs to individuals and communities. However, there is limited evidence on the prevalence of unintended pregnancies and their d...

Descripción completa

Detalles Bibliográficos
Autores principales: Aragaw, Fantu Mamo, Amare, Tsegaw, Teklu, Rediet Eristu, Tegegne, Biresaw Ayen, Alem, Adugnaw Zeleke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10393037/
https://www.ncbi.nlm.nih.gov/pubmed/37533507
http://dx.doi.org/10.3389/frph.2023.1113926
_version_ 1785083079521468416
author Aragaw, Fantu Mamo
Amare, Tsegaw
Teklu, Rediet Eristu
Tegegne, Biresaw Ayen
Alem, Adugnaw Zeleke
author_facet Aragaw, Fantu Mamo
Amare, Tsegaw
Teklu, Rediet Eristu
Tegegne, Biresaw Ayen
Alem, Adugnaw Zeleke
author_sort Aragaw, Fantu Mamo
collection PubMed
description BACKGROUND: Unintended pregnancy is one of the most serious health issues in low and Middle-Income Countries (LMICs), posing significant health, economic, and psychosocial costs to individuals and communities. However, there is limited evidence on the prevalence of unintended pregnancies and their determinants in LMICs. Hence, this study aimed to assess the prevalence of unintended pregnancy and its associated factors among childbearing-age women in LMICs. METHOD: Data for the study were drawn from a recent 61 Demographic and Health Surveys (DHS) conducted in LMICs. A total sample of 187,347 mothers who gave birth in the five years preceding the survey was included. STATA version 16 was used to clean and analyze the data. Multilevel multivariable logistic regression was employed to identify individual and community-level factors of unintended pregnancy in LMICs. In the multivariable analysis, an adjusted odds ratio with a 95% confidence level was reported to indicate statistical association. RESULTS: The pooled magnitude of unintended pregnancy in LMICs was 26.46%% (95% CI: 25.30%, 27.62%), ranging from 19.25%% in Egypt to 61.71% in Bolivia. Working status (AOR =  1.03; 95% CI: 1.01, 1.06), having a husband with no education (AOR = 1.07; 95% CI: 1.00, 1.15), and primary education (AOR =  1.05; 95% CI: 1.01, 1.11), women from male-headed households (AOR = 1.04; 95% CI: 1.00, 1.08), media exposure (AOR = 1.05; 95% CI: 1.02, 1.08), unmet need for contraception (AOR = 1.05; 95% CI: 1.02, 1.08), distance from a health facility (AOR = 1.03; 95% CI: 1.00, 1.06) were significantly associated with unintended pregnancy. CONCLUSION: Unintended pregnancy rates remain high in LMICs. Women whose husband has no education and primary education, women with media exposure, working status, women who live in a household headed by male, women with unmet need for contraception, and women with a big problem of distance to health facilities were variables that were significant predictors of unintended pregnancy. When attempting to minimize unintended pregnancy in LMICs, these factors need to be considered. Furthermore, most of these attempts should be driven by government entities in low and middle-income countries.
format Online
Article
Text
id pubmed-10393037
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-103930372023-08-02 Magnitude of unintended pregnancy and its determinants among childbearing age women in low and middle-income countries: evidence from 61 low and middle income countries Aragaw, Fantu Mamo Amare, Tsegaw Teklu, Rediet Eristu Tegegne, Biresaw Ayen Alem, Adugnaw Zeleke Front Reprod Health Reproductive Health BACKGROUND: Unintended pregnancy is one of the most serious health issues in low and Middle-Income Countries (LMICs), posing significant health, economic, and psychosocial costs to individuals and communities. However, there is limited evidence on the prevalence of unintended pregnancies and their determinants in LMICs. Hence, this study aimed to assess the prevalence of unintended pregnancy and its associated factors among childbearing-age women in LMICs. METHOD: Data for the study were drawn from a recent 61 Demographic and Health Surveys (DHS) conducted in LMICs. A total sample of 187,347 mothers who gave birth in the five years preceding the survey was included. STATA version 16 was used to clean and analyze the data. Multilevel multivariable logistic regression was employed to identify individual and community-level factors of unintended pregnancy in LMICs. In the multivariable analysis, an adjusted odds ratio with a 95% confidence level was reported to indicate statistical association. RESULTS: The pooled magnitude of unintended pregnancy in LMICs was 26.46%% (95% CI: 25.30%, 27.62%), ranging from 19.25%% in Egypt to 61.71% in Bolivia. Working status (AOR =  1.03; 95% CI: 1.01, 1.06), having a husband with no education (AOR = 1.07; 95% CI: 1.00, 1.15), and primary education (AOR =  1.05; 95% CI: 1.01, 1.11), women from male-headed households (AOR = 1.04; 95% CI: 1.00, 1.08), media exposure (AOR = 1.05; 95% CI: 1.02, 1.08), unmet need for contraception (AOR = 1.05; 95% CI: 1.02, 1.08), distance from a health facility (AOR = 1.03; 95% CI: 1.00, 1.06) were significantly associated with unintended pregnancy. CONCLUSION: Unintended pregnancy rates remain high in LMICs. Women whose husband has no education and primary education, women with media exposure, working status, women who live in a household headed by male, women with unmet need for contraception, and women with a big problem of distance to health facilities were variables that were significant predictors of unintended pregnancy. When attempting to minimize unintended pregnancy in LMICs, these factors need to be considered. Furthermore, most of these attempts should be driven by government entities in low and middle-income countries. Frontiers Media S.A. 2023-07-17 /pmc/articles/PMC10393037/ /pubmed/37533507 http://dx.doi.org/10.3389/frph.2023.1113926 Text en © 2023 Aragaw, Amare, Teklu, Tegegne and Alem. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Reproductive Health
Aragaw, Fantu Mamo
Amare, Tsegaw
Teklu, Rediet Eristu
Tegegne, Biresaw Ayen
Alem, Adugnaw Zeleke
Magnitude of unintended pregnancy and its determinants among childbearing age women in low and middle-income countries: evidence from 61 low and middle income countries
title Magnitude of unintended pregnancy and its determinants among childbearing age women in low and middle-income countries: evidence from 61 low and middle income countries
title_full Magnitude of unintended pregnancy and its determinants among childbearing age women in low and middle-income countries: evidence from 61 low and middle income countries
title_fullStr Magnitude of unintended pregnancy and its determinants among childbearing age women in low and middle-income countries: evidence from 61 low and middle income countries
title_full_unstemmed Magnitude of unintended pregnancy and its determinants among childbearing age women in low and middle-income countries: evidence from 61 low and middle income countries
title_short Magnitude of unintended pregnancy and its determinants among childbearing age women in low and middle-income countries: evidence from 61 low and middle income countries
title_sort magnitude of unintended pregnancy and its determinants among childbearing age women in low and middle-income countries: evidence from 61 low and middle income countries
topic Reproductive Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10393037/
https://www.ncbi.nlm.nih.gov/pubmed/37533507
http://dx.doi.org/10.3389/frph.2023.1113926
work_keys_str_mv AT aragawfantumamo magnitudeofunintendedpregnancyanditsdeterminantsamongchildbearingagewomeninlowandmiddleincomecountriesevidencefrom61lowandmiddleincomecountries
AT amaretsegaw magnitudeofunintendedpregnancyanditsdeterminantsamongchildbearingagewomeninlowandmiddleincomecountriesevidencefrom61lowandmiddleincomecountries
AT tekluredieteristu magnitudeofunintendedpregnancyanditsdeterminantsamongchildbearingagewomeninlowandmiddleincomecountriesevidencefrom61lowandmiddleincomecountries
AT tegegnebiresawayen magnitudeofunintendedpregnancyanditsdeterminantsamongchildbearingagewomeninlowandmiddleincomecountriesevidencefrom61lowandmiddleincomecountries
AT alemadugnawzeleke magnitudeofunintendedpregnancyanditsdeterminantsamongchildbearingagewomeninlowandmiddleincomecountriesevidencefrom61lowandmiddleincomecountries