Preterm birth and its associated factors among reproductive aged women in sub-Saharan Africa: evidence from the recent demographic and health surveys of sub-Sharan African countries.
Preterm birth and its associated factors among reproductive aged women in sub-Saharan Africa: evidence from the recent demographic and health surveys of sub-Sharan African countries.
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DOI：
10.1186/s12884-021-04233-2
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发表时间：
2021-11-15
影响因子：
3.1
通讯作者：
Alem AZ
中科院分区：
文献类型：
--
作者：
Alamneh TS;Teshale AB;Worku MG;Tessema ZT;Yeshaw Y;Tesema GA;Liyew AM;Alem AZ
在全球范围内，早产是新生儿和五岁以下儿童死亡的主要原因。撒哈拉以南非洲地区 (SSA) 占早产和并发症死亡的大部分。尽管如此，使用全国代表性大数据集，关于 SSA 水平早产的汇总患病率和相关因素的证据有限。因此，本研究旨在确定育龄妇女早产的汇总患病率和相关因素。使用了 36 个 SSA 国家最近的人口和健康调查 (DHS) 数据。我们对 172,774 名育龄妇女进行了总加权样本分析，这些妇女在最近一次对 SSA 国家进行调查之前五年内生育。我们使用多级逻辑回归模型来确定 SSA 早产的相关因素。我们认为 p 值小于 0.05 时具有统计显着性。在这项研究中，SSA 中 5.33%（95% CI：5.23，5.44%）的受访者生出了早产儿。来自东非、南部非洲、农村地区、受教育程度、药物滥用、多胎妊娠、目前工作史、有终止妊娠史、既往剖宫产史、初产和生育间隔短与育龄妇女早产几率较高有关。然而，拥有较好的财富指数、已婚、想要怀孕以及进行四次或以上产前检查与育龄妇女早产的几率较低有关。育龄妇女早产的患病率仍然是撒哈拉以南地区的一个主要公共卫生问题。早产受到各种社会经济和产科因素的影响。因此，干预时最好考虑高危人群，以预防早产的短期和长期后果。在线版本包含可在 10.1186/s12884-021-04233-2 获取的补充材料。
Globally, preterm birth is the leading cause of neonatal and under-five children mortality. Sub-Saharan African (SSA) accounts for the majority of preterm birth and death following its complications. Despite this, there is limited evidence about the pooled prevalence and associated factors of preterm birth at SSA level using nation-wide representative large dataset. Therefore, this study aimed to determine the pooled prevalence and associated factors of preterm birth among reproductive aged women. The recent Demographic and Health Surveys (DHSs) data of 36 SSA countries were used. We included a total weighted sample of 172,774 reproductive-aged women who were giving birth within five years preceding the most recent survey of SSA countries were included in the analysis. We used a multilevel logistic regression model to identify the associated factors of preterm birth in SSA. We considered a statistical significance at a p-value less than 0.05. In this study, 5.33% (95% CI: 5.23, 5.44%) of respondents in SSA had delivered preterm baby. Being form eastern Africa, southern Africa, rural area, being educated, substance use, having multiple pregnancy, currently working history, having history of terminated pregnancy, and previous cesarean section delivery, primi-parity, and short birth interval were associated with higher odds of preterm birth among reproductive aged women. However, having better wealth index, being married, wanted pregnancy, and having four or more antenatal care visit were associated with lower odds for a preterm birth among reproductive aged women. The prevalence of preterm birth among reproductive-aged women remains a major public health problem in SSA. Preterm birth was affected by various socio-economic and obstetrical factors. Therefore, it is better to consider the high-risk groups during intervention to prevent the short-term and long-term consequences of preterm birth. The online version contains supplementary material available at 10.1186/s12884-021-04233-2.
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影响因子：
2.3
作者：
Chiodo, Lisa M.;Bailey, Beth A.;Hannigan, John H.
通讯作者：
Hannigan, John H.
影响因子：
8.2
作者：
Finken, MJJ;Keijzer-Veen, MG;Wit, JM
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Wit, JM
影响因子：
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作者：
Deshpande, Girish;Rao, Shripada;Bulsara, Max
通讯作者：
Bulsara, Max
影响因子：
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作者：
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通讯作者：
Kutty, V. R.
影响因子：
5.6
作者：
El-Sayed, Abdulrahman M.;Tracy, Melissa;Galea, Sandro
通讯作者：
Galea, Sandro