埃塞俄比亚妇女围产期使用药物的相关因素:一项基于机构的横断面研究

J. Seid, Emam Mohammed, Y. Muktar
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摘要

导言:围产期使用药物是一个重大的公共卫生问题,因为它会对孕产妇和新生儿的健康产生潜在的不利影响。令人意外的是,以前没有研究评估过埃塞俄比亚妇女围产期使用药物的普遍程度。因此,本研究旨在确定围产期使用药物的程度及其决定因素:我们在医院开展了一项描述性横断面研究,系统地抽取了 2022 年 5 月至 7 月间接受围产期护理的 418 名妇女作为样本。数据采用访谈者管理的结构化问卷收集。采用置信区间为95%、P值小于0.05的多变量逻辑回归分析来确定与药物使用行为相关的因素:结果:围产期药物使用率为 38.3%(95% 置信区间:33.5-43.5)。在使用药物的妇女中,109 人(26.1%)使用聊天工具,46 人(11.0%)饮酒,5 人(1.20%)使用水烟。与围产期药物使用行为明显相关的因素包括产科并发症病史(AOR = 1.722,95% CI:1.022-2.902)、存在慢性疾病(AOR = 3.784,95% CI:2.164-6.615)、遭受身体虐待(AOR = 5.323,95% CI:2.171-13.050)、抑郁(AOR = 1.963,95% CI:1.028-3.749)和睡眠障碍(AOR = 2.016,95% CI:0.975-4.168)。相反,生育活产婴儿则是药物使用行为的保护因素(AOR = 0.389,95% CI:0.187-0.810):本研究强调了围产期妇女药物滥用的高流行率。鉴于这些发现,建议采用综合方法来解决埃塞俄比亚妇女围产期药物滥用问题。这应包括将预防性教育计划纳入围产期护理。
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Factors associated with perinatal substance use among Ethiopian women: an institutional-based cross-sectional study
Introduction: Substance use during the perinatal period is a significant public health concern, as it can have potential adverse effects on maternal and neonatal health outcomes. Unexpectedly, no previous studies have been conducted to assess the prevalence of substance use during the perinatal period among Ethiopian women. Therefore, this study aimed to determine the magnitude of substance use and its determinant factors during the perinatal period.Method: We conducted a hospital-based descriptive cross-sectional study among a systematically selected sample of 418 women who attended perinatal care between May and July 2022. Data were collected using an interviewer-administered structured questionnaire. Multivariate logistic regression analysis, with a 95% confidence interval and p-values less than 0.05, was employed to identify factors associated with substance use behavior.Result: The prevalence of perinatal substance use was found to be 38.3% (95% CI: 33.5–43.5). Of the women who used substances, 109 (26.1%) reported using chat, 46 (11.0%) reported alcohol consumption, and 5 (1.20%) reported using shisha. Factors significantly associated with substance use behavior during the perinatal period included a history of obstetric complications (AOR = 1.722, 95% CI: 1.022–2.902), the presence of chronic medical conditions (AOR = 3.784, 95% CI: 2.164–6.615), experiencing physical abuse (AOR = 5.323, 95% CI: 2.171–13.050), depression (AOR = 1.963, 95% CI: 1.028–3.749), and experiencing sleep disturbances (AOR = 2.016, 95% CI: 0.975–4.168). Conversely, giving birth to a live baby was found to be a protective factor against substance use behavior (AOR = 0.389, 95% CI: 0.187–0.810).Discussion: This study highlights a high prevalence of substance abuse among women during the perinatal period. In light of these findings, a comprehensive approach is recommended to address perinatal substance use among Ethiopian women. This should include the integration of preventive educational programs into perinatal care.
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