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Predictors of long-acting contraceptive utilization hot spots in Ethiopia: using geographical weighted regression analysis. 埃塞俄比亚长效避孕药具使用热点的预测因素:使用地理加权回归分析。
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-08-12 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1420476
Hailemichael Kindie Abate, Abere Woretaw Azagew, Chanyalew Worku Kassahun, Mulugeta Wassie, Chilot Kassa Mekonnen, Yilkal Abebaw Wassie, Alebachew Ferede Zegeye

Background: The use of long-acting contraceptives is a common health challenge in Ethiopia. Therefore, the current study aimed to assess the determinants of using long-acting contraceptive hot spots in Ethiopia using data from the Ethiopian Mini Demographic and Health Survey for 2019.

Methods: This study used data from the Ethiopia Mini Demographic and Health Survey 2019 and included a total weighted sample of 8,885 women in the analysis. The geographical variation of long-acting contraceptive usage was initially observed using hot spot analysis. Arc GIS version 10.7 was used for geographically weighted regression. Ordinarily, least squares regression was performed to identify predictors that explain the geographical variation in the use of long-acting contraceptives. Geographic weighted regression was used to predict the hot spot area of long-acting contraceptive methods.

Results: The overall prevalence of long-acting contraceptive utilization use was 6.9% (95% confidence interval: 6.4-7.45). Most of the statistically significant hot spots for long-acting contraceptives were found in lactated areas of the Oromia part of Amhara and Dire Dawa. Primary education, followers of the Muslim religion, marital status, and women with >4 children were the determinants of spatial variation use of hot spot areas for long-acting contraceptive methods.

Conclusions: A detailed map of long-acting contraceptive use hot spots and their determinants will enable decisions to target their sociodemographic-related predictors of women.

背景:在埃塞俄比亚,长效避孕药具的使用是一项常见的健康挑战。因此,本研究旨在利用 2019 年埃塞俄比亚小型人口与健康调查的数据,评估埃塞俄比亚长效避孕药具使用热点的决定因素:本研究使用了 2019 年埃塞俄比亚小型人口与健康调查的数据,共纳入 8885 名妇女的加权样本进行分析。使用热点分析法初步观察了长效避孕药具使用情况的地域差异。Arc GIS 10.7 版用于地理加权回归。通常情况下,通过最小二乘法回归来确定能够解释长效避孕药具使用率地域差异的预测因素。地理加权回归用于预测长效避孕方法的热点地区:长效避孕药具的总体使用率为 6.9%(95% 置信区间:6.4-7.45)。在统计意义上,长效避孕药具的热点地区大多位于阿姆哈拉的奥罗莫部分和德雷达瓦的哺乳期地区。小学教育程度、穆斯林信徒、婚姻状况和有 4 个以上子女的妇女是长效避孕药具使用热点地区空间变化的决定因素:长效避孕药具使用热点及其决定因素的详细地图将有助于针对妇女的社会人口相关预测因素做出决策。
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引用次数: 0
Editorial: Fertility preservation. 社论:保存生育能力。
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-08-12 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1452588
Berna Dilbaz
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引用次数: 0
Enhancing maternal health in Zambia: a comprehensive approach to addressing postpartum hemorrhage. 加强赞比亚孕产妇保健:解决产后出血问题的综合方法。
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-08-06 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1362894
Mulaya Mubambe, Job Mwanza, Enos Moyo, Tafadzwa Dzinamarira
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引用次数: 0
Ethiopian women's tokophobia of childbirth and its predictors: a systematic review and meta-analysis. 埃塞俄比亚妇女的生育恐惧症及其预测因素:系统回顾和荟萃分析。
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-08-02 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1334103
Nega Tezera Assimamaw, Almaz Tefera Gonete, Dessie Abebaw Angaw, Masresha Asmare Techane, Mengistu Mekonnen Kelkay, Bewuketu Terefe

Background: Fear of childbirth is recognized as a growing problem in developing countries, including Ethiopia. The impact of this fear on women's reproductive choices and decisions is significant. Therefore, the systematic review and meta-analysis will help to consolidate the existing research on childbirth-related fear in Ethiopia. Synthesizing the findings and providing a pooled prevalence estimate, can contribute to a better understanding of the scale of the problem in the country.

Objective: This systematic review and meta-analysis assessed the pooled prevalence of childbirth-related fear and its associated factors among pregnant mothers in Ethiopia.

Methods: PubMed, Google Scholar, and African Journals Online were searched for included articles. A weighted inverse-variance random-effects model was used to estimate the prevalence of childbirth-related fear. Variations in the pooled estimates of the prevalence were adjusted through subgroup analysis according to the specific region where the study was conducted. Funnel plot and Egger's regression test were used to check for publication bias. STATA version 14 statistical software was used for meta-analysis.

Results: A total of 2,015 pregnant mothers were included. The combined prevalence of fear of childbirth among pregnant mothers was found to be 21% (95% CI: 19-22; I 2 = 0.00%, p value < 0.001). Based on the subgroup analysis, the prevalence of fear of childbirth among pregnant mothers was 24% in SNNPRs, 25% in Oromia, and 11% in Addis Ababa.

Conclusion: The findings of the meta-analysis indicating a high prevalence of fear of childbirth among pregnant mothers in Ethiopia and identifying associated risk factors highlight the importance of addressing this issue within the healthcare system. Integrating prevention-based services for mothers with childbirth fears into the antenatal care model could be a valuable approach to support women and mitigate the impact of fear on their reproductive experiences.

Systematic review registration: https://www.crd.york.ac.uk/prospero/#myprospero, identifier [CRD42023411103].

背景:在包括埃塞俄比亚在内的发展中国家,生育恐惧被认为是一个日益严重的问题。这种恐惧对妇女的生育选择和决定产生了重大影响。因此,系统综述和荟萃分析将有助于整合埃塞俄比亚现有的分娩相关恐惧研究。对研究结果进行综合并提供汇总的流行率估计值,有助于更好地了解该问题在该国的严重程度:本系统综述和荟萃分析评估了埃塞俄比亚孕妇分娩相关恐惧及其相关因素的总体流行率:方法:在 PubMed、Google Scholar 和 African Journals Online 上搜索收录的文章。采用加权逆方差随机效应模型估算分娩相关恐惧的发生率。根据研究进行的具体地区,通过亚组分析调整了汇总的流行率估计值的差异。漏斗图和 Egger 回归检验用于检查发表偏倚。使用 STATA 14 版统计软件进行荟萃分析:共纳入 2 015 名孕妇。结果:共纳入 2 015 名孕妈妈,发现孕妈妈对分娩恐惧的综合发生率为 21%(95% CI:19-22;I 2 = 0.00%,P 值 结论:孕妈妈对分娩恐惧的综合发生率为 21%(95% CI:19-22;I 2 = 0.00%,P 值):荟萃分析的结果表明,埃塞俄比亚孕妇的分娩恐惧发生率很高,并确定了相关的风险因素,这凸显了在医疗保健系统中解决这一问题的重要性。将针对有分娩恐惧的母亲的预防性服务纳入产前护理模式可能是支持妇女并减轻恐惧对其生育经历的影响的一种有价值的方法。系统综述注册:https://www.crd.york.ac.uk/prospero/#myprospero,标识符[CRD42023411103]。
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引用次数: 0
Antenatal care service satisfaction and associated factors among pregnant women at public health facilities of Wogera district, Northwest Ethiopia: a cross-sectional study. 埃塞俄比亚西北部沃格拉地区公立医疗机构孕妇对产前护理服务的满意度及相关因素:一项横断面研究。
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-08-01 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1422047
Asrat Kassaw Belachew, Ayal Debie, Demiss Mulatu Geberu, Abinet Dagnew, Gedamnesh Bitew, Tadesse Mamo Dejene, Agmasie Damtew Walle

Background: Pregnant women's satisfaction with Ante-Natal Care (ANC) is crucial for improving its quality and providing standardized healthcare services. However, studies on pregnant women's satisfaction with antenatal care and associated factors are limited in Ethiopia, particularly in the study area. Therefore, this study aimed to assess satisfaction and associated factors among pregnant women receiving antenatal care in Wogera district.

Methods: A facility-based cross-sectional study was conducted in Wogera district from March to April 2024. A total of 458 pregnant women who attended ANC at health facilities were included in the study. Interviewer -administered structured questionnaire was used to obtain the necessary information for this study and systematic random sampling was used to select the study participants. Multivariable and binary logistic regression analysis was used to identify the effect of each independent variable on the outcome (satisfaction).

Results: The overall satisfaction of antenatal care services among pregnant women was 92.1% (95% CI: 89.5, 94.5%). The majority (98.3%) of them were satisfied by the provider's greeting and 97.8% were satisfied by the cost of service but pregnant women were less satisfied by waiting time to see the health workers, cleanness of the toilet, and water supply. Satisfaction of pregnant women was associated with housewife occupational status [AOR = 3.05, 95% CI: 1.02, 9.15], civil servants occupational status [AOR = 4.02, 95% CI: 1.02, 15.85], age ≥25 [AOR = 2.78, 95% CI: 1.05, 1.74], advice on family planning [AOR = 7.29, 95% CI: 3.08, 17.05], one ANC visit [AOR = 3.61, 95% CI: 1.84, 8.74] and the respondents pregnant women who have ≥2 pregnancy [AOR = 4.55, 95% CI: 1.88, 11.03] were the predictors of level of satisfaction.

Conclusion: Pregnant women's satisfaction with antenatal care was high, influenced by factors such as having two or more pregnancies, timing of the first ANC visit, family planning advice, age ≥25 years, and being a housewife or civil servant. Efforts should focus on reducing wait times, ensuring clean water access, and improving latrine hygiene at healthcare facilities to sustain this satisfaction. Specifically, facilities should streamline appointments, maintain safe drinking water sources, and upgrade toilets for better comfort and hygiene.

背景:孕妇对产前护理(ANC)的满意度对于提高产前护理质量和提供标准化医疗保健服务至关重要。然而,在埃塞俄比亚,尤其是在研究地区,有关孕妇对产前护理的满意度及相关因素的研究十分有限。因此,本研究旨在评估 Wogera 地区接受产前护理的孕妇的满意度及相关因素:方法:2024 年 3 月至 4 月,在沃格拉地区开展了一项基于设施的横断面研究。共有 458 名在医疗机构接受产前检查的孕妇参与了研究。本研究采用访谈者管理的结构化问卷来获取必要的信息,并采用系统随机抽样来选择研究参与者。研究采用了多变量和二元逻辑回归分析来确定每个独立变量对结果(满意度)的影响:孕妇对产前护理服务的总体满意度为 92.1%(95% CI:89.5%,94.5%)。大多数孕妇(98.3%)对医护人员的问候表示满意,97.8%的孕妇对服务费用表示满意,但孕妇对医护人员的候诊时间、厕所清洁度和供水的满意度较低。孕妇的满意度与家庭主妇的职业状况[AOR = 3.05,95% CI:1.02,9.15]、公务员的职业状况[AOR = 4.02,95% CI:1.02,15.85]、年龄≥25 岁[AOR = 2.78,95% CI:1.05,1.74]、计划生育建议[AOR = 2.78,95% CI:1.05,1.74]和其他因素有关。74]、计划生育建议[AOR = 7.29,95% CI:3.08,17.05]、一次产前检查[AOR = 3.61,95% CI:1.84,8.74]和受访孕妇怀孕≥2次[AOR = 4.55,95% CI:1.88,11.03]是满意度的预测因素:孕妇对产前保健的满意度很高,但受以下因素的影响:两次或两次以上怀孕、首次产前保健就诊时间、计划生育建议、年龄≥25 岁、家庭主妇或公务员。为保持这种满意度,医疗机构应集中精力缩短等待时间,确保清洁用水的供应,并改善厕所卫生状况。具体而言,医疗机构应简化预约流程,维护安全的饮用水源,并升级厕所以提高舒适度和卫生水平。
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引用次数: 0
Gendered (SDG5) and other perspectives on COVID-19 vaccination status: a focus on South Africa's Limpopo province. 从性别(可持续发展目标 5)和其他角度看 COVID-19 疫苗接种状况:聚焦南非林波波省。
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-07-30 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1420967
Godwell Nhamo, Malebajoa Anicia Maoela

One of the key issues embedded in the 2030 Agenda for Sustainable Development is the need for disaggregated data. Given the nature of the Coronavirus disease 2019 (COVID-19), studies on such should respond to this call. This paper investigates gendered and other perspectives on COVID-19 vaccination status in South Africa's Limpopo Province. The work utilises a household survey (n = 4,571), data from Our World in Data and Johns Hopkins University, as well as policy documents and academic literature. The findings are that the government moved away from a goal to attain 67% herd immunity, to the containment strategy. While the country attained 35% of population fully vaccinated, the current study reveals 72.84% of the respondents fully vaccinated in Limpopo (including those receiving a booster). Noteworthy findings include 7.1% of the respondents reporting partial vaccination and 19.8% expressing vaccine hesitancy. Gender differences were significant, with females exhibiting higher vaccination rates than males, and age-related variations were observed, particularly among the youngest participants. Further analysis stratified by gender and age groups unveiled substantial disparities, emphasizing the need for targeted interventions. Additionally, the study highlights patterns in COVID-19 vaccine uptake based on education levels, with higher education associating with increased vaccination rates. Significant gender-based differences in vaccine uptake across education levels indicate potential areas for focused public health efforts. The findings emphasise the complexity of factors influencing vaccination behaviour, providing valuable insights for policymakers, public health practitioners, and researchers aiming to enhance vaccine uptake and address disparities in diverse demographic groups.

2030 年可持续发展议程的关键问题之一是需要分类数据。鉴于 2019 年冠状病毒疾病(COVID-19)的性质,有关此类疾病的研究应响应这一号召。本文调查了南非林波波省 COVID-19 疫苗接种情况的性别视角和其他视角。这项工作利用了一项家庭调查(n = 4,571)、"我们的数据世界 "和约翰斯-霍普金斯大学的数据以及政策文件和学术文献。研究结果表明,政府已从实现 67% 群体免疫的目标转向遏制战略。虽然该国有 35% 的人口完全接种了疫苗,但目前的研究显示,林波波省有 72.84% 的受访者完全接种了疫苗(包括接受强化免疫的受访者)。值得注意的是,7.1% 的受访者表示部分接种了疫苗,19.8% 的受访者表示对疫苗犹豫不决。性别差异非常明显,女性的疫苗接种率高于男性,并且观察到了与年龄有关的差异,尤其是在最年轻的参与者中。按性别和年龄组进行的进一步分析揭示了巨大的差异,强调了有针对性干预的必要性。此外,该研究还强调了基于教育水平的 COVID-19 疫苗接种模式,教育水平越高,疫苗接种率越高。不同教育水平的人群在疫苗接种率上存在显著的性别差异,这表明公共卫生工作可能需要重点关注的领域。这些发现强调了影响疫苗接种行为的因素的复杂性,为旨在提高疫苗接种率和解决不同人口群体差异的政策制定者、公共卫生从业人员和研究人员提供了宝贵的见解。
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引用次数: 0
COVID-19 and menstrual-related disturbances: a Spanish retrospective observational study in formerly menstruating women. COVID-19 与月经相关紊乱:一项针对曾有月经的女性进行的西班牙回顾性观察研究。
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-07-30 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1393765
María González, Miriam Al-Adib, Ana B Rodríguez, Cristina Carrasco

Introduction: Four years after the start of the pandemic, there is limited evidence on the impact of COVID-19 on the women's health regardless of their reproductive status.

Objective: The aim was to analyze the prevalence and associated factors of menstrual-related disturbances in formerly menstruating women following SARS-CoV-2 infection.

Study design: A retrospective observational study of adult women in Spain was conducted during the month of December 2021 using an online survey (N = 17,512). The present analysis includes a subpopulation of SARS-CoV-2-infected and formerly menstruating women (n = 72). The collected data included general characteristics, medical history, and specific information on COVID-19. Chi-square and Mann-Whitney U-tests were performed. Bivariate logistic regression analysis was then performed to investigate possible associations between the occurrence of menstrual-related disturbances after SARS-CoV-2 infection.

Results: 38.8% of participants experienced menstrual-related disturbances following COVID-19. Among these, unexpected vaginal bleeding (20.8%) was the most common event, followed by spotting (11.1%) ( Table 1). Other reported changes were in the length (shorter = 12.5%) and flow (heavier = 30.3%) of menstrual bleeding in comparison to their previous experience. Regression analysis revealed that being a perimenopausal woman [adjusted odds ratio (AOR) 4.721, CI 95%, 1.022-21.796, p = 0.047] and having a previous diagnosis of menorrhagia (AOR 5.824 CI 95%, 1.521-22.310, p = 0.010) were factors associated with the event.

Conclusion: These findings could help health professionals provide their patients with up-to-date scientific information to empower them to actively manage their reproductive health, especially in societies where menstrual health is still taboo.

导言:COVID-19对妇女健康的影响(无论其生育状况如何)的证据有限:研究设计:研究设计:2021年12月,通过在线调查对西班牙成年女性进行了一项回顾性观察研究(N = 17,512)。本分析包括 SARS-CoV-2 感染者和曾有月经的女性(n = 72)。收集的数据包括一般特征、病史和 COVID-19 的具体信息。结果进行了卡方检验和曼-惠特尼 U 检验。然后进行了二元逻辑回归分析,以研究感染 SARS-CoV-2 后发生月经相关紊乱的可能关联:结果:38.8%的参与者在感染COVID-19后出现了月经紊乱。其中,意外的阴道出血(20.8%)是最常见的情况,其次是点滴出血(11.1%)(表 1)。与以前的经历相比,其他报告的变化包括月经出血时间(缩短 = 12.5%)和出血量(增多 = 30.3%)。回归分析显示,围绝经期妇女[调整后的几率比(AOR)为 4.721,CI 95%,1.022-21.796,p = 0.047]和曾被诊断为月经过多(AOR 5.824,CI 95%,1.521-22.310,p = 0.010)是与该事件相关的因素:这些研究结果有助于医疗专业人员为患者提供最新的科学信息,使他们有能力积极管理自己的生殖健康,尤其是在月经健康仍是禁忌的社会中。
{"title":"COVID-19 and menstrual-related disturbances: a Spanish retrospective observational study in formerly menstruating women.","authors":"María González, Miriam Al-Adib, Ana B Rodríguez, Cristina Carrasco","doi":"10.3389/fgwh.2024.1393765","DOIUrl":"10.3389/fgwh.2024.1393765","url":null,"abstract":"<p><strong>Introduction: </strong>Four years after the start of the pandemic, there is limited evidence on the impact of COVID-19 on the women's health regardless of their reproductive status.</p><p><strong>Objective: </strong>The aim was to analyze the prevalence and associated factors of menstrual-related disturbances in formerly menstruating women following SARS-CoV-2 infection.</p><p><strong>Study design: </strong>A retrospective observational study of adult women in Spain was conducted during the month of December 2021 using an online survey (<i>N</i> = 17,512). The present analysis includes a subpopulation of SARS-CoV-2-infected and formerly menstruating women (<i>n</i> = 72). The collected data included general characteristics, medical history, and specific information on COVID-19. Chi-square and Mann-Whitney <i>U</i>-tests were performed. Bivariate logistic regression analysis was then performed to investigate possible associations between the occurrence of menstrual-related disturbances after SARS-CoV-2 infection.</p><p><strong>Results: </strong>38.8% of participants experienced menstrual-related disturbances following COVID-19. Among these, unexpected vaginal bleeding (20.8%) was the most common event, followed by spotting (11.1%) ( Table 1). Other reported changes were in the length (shorter = 12.5%) and flow (heavier = 30.3%) of menstrual bleeding in comparison to their previous experience. Regression analysis revealed that being a perimenopausal woman [adjusted odds ratio (AOR) 4.721, CI 95%, 1.022-21.796, <i>p</i> = 0.047] and having a previous diagnosis of menorrhagia (AOR 5.824 CI 95%, 1.521-22.310, <i>p</i> = 0.010) were factors associated with the event.</p><p><strong>Conclusion: </strong>These findings could help health professionals provide their patients with up-to-date scientific information to empower them to actively manage their reproductive health, especially in societies where menstrual health is still taboo.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1393765"},"PeriodicalIF":2.3,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11319254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does living in major towns favor institutional delivery in Somalia? 居住在主要城镇是否有利于索马里的机构交付?
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-07-25 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1216290
Naima Said Sheikh, Ahmed M Hussein, Shukri Said Mohamed, Abdi Gele

Background: In developing countries, institutional delivery is a key proven intervention that reduces maternal mortality and can reduce maternal deaths by approximately 16%-33%. In Somalia, only 32% of births are delivered in a health facility with the assistance of a skilled healthcare provider. We aimed to investigate the factors hindering women from giving birth at healthcare facilities in major towns in Somalia, where most of the health facilities in the country are concentrated.

Methods: A community-based health survey was carried out in 11 major towns in Somalia between October and December 2021. A structured and pretested questionnaire was used to collect data from 430 women who gave birth in the last five years. Women were recruited through convenient sampling. Descriptive statistics were used to summarize the data, and binary and multivariable logistic regression analysis was performed. Adjusted odds ratios (AOR) with 95% CI were estimated to assess the associations.

Results: The overall prevalence of institutional delivery was 57%. Approximately 38% of women living in Mogadishu and 53% living in another ten towns give birth at home. Women who had poor knowledge of the importance of health facility delivery had nearly four times higher odds of delivering at home (AOR 3.64 CI: 1.49-8.93). Similarly, those who did not receive antenatal care (AOR 2.5, CI: 1.02-6.39) and those who did not receive a consultation on the place of delivery (AOR 2.15, CI: 1.17-3.94) were more likely to give birth at home. The reasons for home delivery included financial reasons, the long distance to the health facility, and the fact that it was easier to give birth at home.

Conclusion: The study found that home delivery is high in major towns in Somalia and is associated with a lack of understanding of the importance of health facility delivery, not using ANC, and not receiving consultancy about where to give birth. Primary health care should strengthen information, education, and communication activities. Since the health care system in Somalia is overwhelmingly private, the government may consider access to free and within-reach ANC and health facility delivery for women and girls from families who cannot pay the ANC and childbirth delivery cost.

背景:在发展中国家,住院分娩是一项行之有效的降低孕产妇死亡率的关键干预措施,可将孕产妇死亡率降低约 16%-33%。在索马里,只有 32% 的产妇是在医疗机构中由熟练的医护人员协助分娩的。我们旨在调查阻碍妇女在索马里主要城镇医疗机构分娩的因素,该国大部分医疗机构都集中在这些城镇:方法:2021 年 10 月至 12 月期间,我们在索马里 11 个主要城镇开展了一项基于社区的健康调查。调查采用结构化的预试问卷,向 430 名在过去五年中分娩的妇女收集数据。妇女是通过方便抽样的方式招募的。采用描述性统计对数据进行总结,并进行二元和多变量逻辑回归分析。对调整后的几率比(AOR)和 95% CI 进行了估算,以评估相关性:住院分娩的总体比例为 57%。约 38% 的摩加迪沙妇女和 53% 的其他 10 个城镇妇女在家中分娩。对医疗机构分娩的重要性知之甚少的妇女在家中分娩的几率要高出近四倍(AOR 3.64 CI:1.49-8.93)。同样,未接受产前护理(AOR 2.5,CI:1.02-6.39)和未接受分娩地点咨询(AOR 2.15,CI:1.17-3.94)的妇女更有可能在家分娩。在家分娩的原因包括经济原因、距离医疗机构较远以及在家分娩更容易:研究发现,在索马里的主要城镇,在家分娩的比例很高,这与不了解医疗机构分娩的重要性、不使用产前保健服务以及没有接受关于在何处分娩的咨询有关。初级保健应加强信息、教育和宣传活动。由于索马里的医疗保健系统绝大多数是私营的,政府可以考虑为那些无力支付产前护理和分娩费用的家庭的妇女和女孩提供免费的、在可及范围内的产前护理和医疗机构分娩服务。
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引用次数: 0
Imaging phenotypic differences in multiple sclerosis: at the crossroads of aging, sex, race, and ethnicity. 多发性硬化症的成像表型差异:老龄化、性别、种族和民族的交叉点。
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1412482
Nabeela Nathoo, Nur Neyal, Orhun H Kantarci, Burcu Zeydan

Clear sex differences are observed in clinical and imaging phenotypes of multiple sclerosis (MS), which evolve significantly over the age spectrum, and more specifically, during reproductive milestones such as pregnancy and menopause. With neuroimaging being an outcome measure and also a key subclinical biomarker of subsequent clinical phenotype in MS, this comprehensive review aims to provide an overview of sex and hormone differences in structural and functional imaging biomarkers of MS, including lesion burden and location, atrophy, white matter integrity, functional connectivity, and iron distribution. Furthermore, how therapies aimed at altering sex hormones can impact imaging of women and men with MS over the lifespan is discussed. This review also explores the key intersection between age, sex, and race/ethnicity in MS, and how this intersection may affect imaging biomarkers of MS.

多发性硬化症(MS)的临床和影像表型存在明显的性别差异,这种差异在不同年龄段,尤其是在妊娠和绝经等生育高峰期有显著变化。神经影像学是多发性硬化症的结果测量指标,也是随后临床表型的关键亚临床生物标志物,本综述旨在概述多发性硬化症结构和功能影像学生物标志物的性别和激素差异,包括病变负荷和位置、萎缩、白质完整性、功能连接性和铁分布。此外,还讨论了旨在改变性激素的疗法如何影响女性和男性多发性硬化症患者一生中的影像学表现。本综述还探讨了多发性硬化症患者的年龄、性别和种族/民族之间的关键交叉点,以及这种交叉点可能如何影响多发性硬化症的影像生物标志物。
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引用次数: 0
Corrigendum: Gender analysis of the World Health Organization's online learning programme on Immunization Agenda 2030. 更正:对世界卫生组织 2030 年免疫议程在线学习计划的性别分析。
IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2024-06-28 eCollection Date: 2024-01-01 DOI: 10.3389/fgwh.2024.1433748
Boetumelo Julianne Nyasulu, Shirin Heidari, Michela Manna, Jhilmil Bahl, Tracey Goodman

[This corrects the article DOI: 10.3389/fgwh.2023.1230109.].

[此处更正了文章 DOI:10.3389/fgwh.2023.1230109]。
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引用次数: 0
期刊
Frontiers in global women's health
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