Trend in the utilization of antenatal care during pregnancy among the adolescents in Bangladesh: Evidence from national survey data 2012/2013 and 2019

Q3 Medicine Lifestyle medicine (Hoboken, N.J.) Pub Date : 2021-06-21 DOI:10.1002/lim2.42
Md. Sabbir Ahmed
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Abstract

Introduction: Pregnancy during adolescence is a global health problem and the leading cause of maternal mortality. This study was aimed to explore the trends of the utilization of prenatal care or antenatal care (ANC) services during 2012/2013 and 2019, and to identify the factors associated with the use of ANC among adolescents in Bangladesh. Methods: This study was based on the secondary data set of two consecutive surveys of Bangladesh Multiple Indicator Cluster Survey (MICS) 2012/2013 and 2019. Results: The prevalence of utilizing ANC among Bangladeshi adolescents is in increasing trend; however, as per WHO recommendation, the prevalence of utilizing 4 + ANC visitswasverylowin2019(34.1%),whichwas26.2%in2012/2013.Educationalstatus of the adolescents, area of residence, household wealth status, administrative division, and status of watching television were independent predictors of receiving 4 + ANC visits among the pregnant adolescent girls in Bangladesh. Conclusions: The status of ANC among Bangladeshi adolescents is still very low. Awareness building programs among adolescents and their family members through health education interventions should be taken.

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孟加拉国青少年孕期产前保健利用趋势:来自2012/2013年和2019年全国调查数据的证据
青少年怀孕是一个全球性的健康问题,也是孕产妇死亡的主要原因。本研究旨在探讨2012/2013年和2019年期间产前护理或产前护理(ANC)服务的使用趋势,并确定与孟加拉国青少年使用ANC相关的因素。方法基于2012/2013年和2019年孟加拉国多指标类集调查(MICS)连续两次调查的辅助数据集。结果在孟加拉国青少年中ANC的使用率呈上升趋势;然而,根据世卫组织的建议,2019年使用4次以上ANC就诊的流行率非常低(34.1%),2012/2013年为26.2%。青少年的教育状况、居住地区、家庭财富状况、行政区划和看电视状况是孟加拉国怀孕少女接受4+ ANC访问的独立预测因素。结论在孟加拉国青少年中ANC的发病率仍然很低。应采取健康教育干预措施,提高青少年及其家庭成员的意识。
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