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

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 t...

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Autores principales: Zeru, Melkamu A., Fenta, Haile Mekonnen, Mitku, Aweke A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10396016/
https://www.ncbi.nlm.nih.gov/pubmed/37531369
http://dx.doi.org/10.1371/journal.pone.0282225
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author Zeru, Melkamu A.
Fenta, Haile Mekonnen
Mitku, Aweke A.
author_facet Zeru, Melkamu A.
Fenta, Haile Mekonnen
Mitku, Aweke A.
author_sort Zeru, Melkamu A.
collection PubMed
description 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.
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spelling pubmed-103960162023-08-03 Spatial patterns and predictors of unintended pregnancy among reproductive age women in Ethiopia Zeru, Melkamu A. Fenta, Haile Mekonnen Mitku, Aweke A. PLoS One Research Article 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. Public Library of Science 2023-08-02 /pmc/articles/PMC10396016/ /pubmed/37531369 http://dx.doi.org/10.1371/journal.pone.0282225 Text en © 2023 Zeru 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
Zeru, Melkamu A.
Fenta, Haile Mekonnen
Mitku, Aweke A.
Spatial patterns and predictors of unintended pregnancy among reproductive age women in Ethiopia
title Spatial patterns and predictors of unintended pregnancy among reproductive age women in Ethiopia
title_full Spatial patterns and predictors of unintended pregnancy among reproductive age women in Ethiopia
title_fullStr Spatial patterns and predictors of unintended pregnancy among reproductive age women in Ethiopia
title_full_unstemmed Spatial patterns and predictors of unintended pregnancy among reproductive age women in Ethiopia
title_short Spatial patterns and predictors of unintended pregnancy among reproductive age women in Ethiopia
title_sort spatial patterns and predictors of unintended pregnancy among reproductive age women in ethiopia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10396016/
https://www.ncbi.nlm.nih.gov/pubmed/37531369
http://dx.doi.org/10.1371/journal.pone.0282225
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