Determinants of short birth interval among married multiparous women in Chinaksen district, eastern Ethiopia: a case-control study
BackgroundThe short birth interval is a common public health issue that affects women's and children's health in sub-Saharan Africa. Despite a higher burden of short birth intervals reported in Ethiopia, there is limited evidence to indicate the primary risk factors, particularly in rural...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2024-01-01
|
Series: | Frontiers in Global Women's Health |
Subjects: | |
Online Access: | https://www.frontiersin.org/articles/10.3389/fgwh.2023.1278777/full |
_version_ | 1797357419187142656 |
---|---|
author | Bekry Aleye Ahmedin Aliyi Usso Bezatu Mengistie Yadeta Dessie Hassen Abdi Adem Addisu Alemu Mohammed Yuya Aminu Mohammed |
author_facet | Bekry Aleye Ahmedin Aliyi Usso Bezatu Mengistie Yadeta Dessie Hassen Abdi Adem Addisu Alemu Mohammed Yuya Aminu Mohammed |
author_sort | Bekry Aleye |
collection | DOAJ |
description | BackgroundThe short birth interval is a common public health issue that affects women's and children's health in sub-Saharan Africa. Despite a higher burden of short birth intervals reported in Ethiopia, there is limited evidence to indicate the primary risk factors, particularly in rural eastern Ethiopia. Therefore, this study assessed the determinants of the short birth interval among married multiparous women in Chinaksen district, Eastern Ethiopia.MethodsA community-based case-control study was conducted among randomly selected 210 cases and 210 controls from April 01 to June 30, 2019. The total sample size (219 cases and 219 controls) were calculated using Epi-Info software version 7.2. Data were entered using EpiData version 3.1 and analyzed using SPSS version 27, and multivariable logistic regression analyses conducted to identify the determinants of short birth intervals. Adjusted odds ratio (AOR) with a 95% confidence interval (CI) was used to report the strength of association and statistical significance declared at p-value < 0.05.ResultsThe women in the young age group (AOR = 2.33, 95% CI: 1.03, 5.26), missed their antenatal care visits (AOR = 2.23, 95% CI: 1.18, 4.21), failed to utilize postpartum contraceptives (AOR = 5.98, 95% CI: 3.62, 9.89), did not attend postnatal care visit (AOR = 1.86, 95% CI: 1.13, 3.05), nonexclusive breastfed (AOR = 4.05, 95% CI: 2.18, 7.52), short and medium period of breastfeeding (AOR = 4.00, 95% CI: 1.34, 12.10) and (AOR = 3.56, 95% CI: 1.62, 7.82), respectively and female sex of preceding child (AOR = 1.92, 95% CI: 1.18, 3.12) were the important risk factors of short birth interval.ConclusionsWomen's age, antenatal care visits, postnatal care attendance, utilization of postpartum contraceptives, exclusive breastfeeding practice, duration of breastfeeding, and sex of the preceding child were the primary predictors of short birth intervals. Improving the utilization of maternal healthcare services in health facilities would be imperative to prevent and reduce short birth intervals, and its negative consequences. |
first_indexed | 2024-03-08T14:44:47Z |
format | Article |
id | doaj.art-3a7113d50ade432e8351122ba565914d |
institution | Directory Open Access Journal |
issn | 2673-5059 |
language | English |
last_indexed | 2024-03-08T14:44:47Z |
publishDate | 2024-01-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Global Women's Health |
spelling | doaj.art-3a7113d50ade432e8351122ba565914d2024-01-11T13:58:50ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592024-01-01410.3389/fgwh.2023.12787771278777Determinants of short birth interval among married multiparous women in Chinaksen district, eastern Ethiopia: a case-control studyBekry Aleye0Ahmedin Aliyi Usso1Bezatu Mengistie2Yadeta Dessie3Hassen Abdi Adem4Addisu Alemu5Mohammed Yuya6Aminu Mohammed7East Hararghe Health Office, Oromia Health Bureau, Addis Ababa, EthiopiaSchool of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Public Health, Saint Paul Hospital Millennium Medical College, Addis Ababa, EthiopiaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaDepartment of Midwifery, College of Health and Medical Sciences, Dire Dawa University, Dire Dawa, EthiopiaBackgroundThe short birth interval is a common public health issue that affects women's and children's health in sub-Saharan Africa. Despite a higher burden of short birth intervals reported in Ethiopia, there is limited evidence to indicate the primary risk factors, particularly in rural eastern Ethiopia. Therefore, this study assessed the determinants of the short birth interval among married multiparous women in Chinaksen district, Eastern Ethiopia.MethodsA community-based case-control study was conducted among randomly selected 210 cases and 210 controls from April 01 to June 30, 2019. The total sample size (219 cases and 219 controls) were calculated using Epi-Info software version 7.2. Data were entered using EpiData version 3.1 and analyzed using SPSS version 27, and multivariable logistic regression analyses conducted to identify the determinants of short birth intervals. Adjusted odds ratio (AOR) with a 95% confidence interval (CI) was used to report the strength of association and statistical significance declared at p-value < 0.05.ResultsThe women in the young age group (AOR = 2.33, 95% CI: 1.03, 5.26), missed their antenatal care visits (AOR = 2.23, 95% CI: 1.18, 4.21), failed to utilize postpartum contraceptives (AOR = 5.98, 95% CI: 3.62, 9.89), did not attend postnatal care visit (AOR = 1.86, 95% CI: 1.13, 3.05), nonexclusive breastfed (AOR = 4.05, 95% CI: 2.18, 7.52), short and medium period of breastfeeding (AOR = 4.00, 95% CI: 1.34, 12.10) and (AOR = 3.56, 95% CI: 1.62, 7.82), respectively and female sex of preceding child (AOR = 1.92, 95% CI: 1.18, 3.12) were the important risk factors of short birth interval.ConclusionsWomen's age, antenatal care visits, postnatal care attendance, utilization of postpartum contraceptives, exclusive breastfeeding practice, duration of breastfeeding, and sex of the preceding child were the primary predictors of short birth intervals. Improving the utilization of maternal healthcare services in health facilities would be imperative to prevent and reduce short birth intervals, and its negative consequences.https://www.frontiersin.org/articles/10.3389/fgwh.2023.1278777/fulloptimal birth intervaldeterminantsmarried womensemi-pastoral communityEthiopia |
spellingShingle | Bekry Aleye Ahmedin Aliyi Usso Bezatu Mengistie Yadeta Dessie Hassen Abdi Adem Addisu Alemu Mohammed Yuya Aminu Mohammed Determinants of short birth interval among married multiparous women in Chinaksen district, eastern Ethiopia: a case-control study Frontiers in Global Women's Health optimal birth interval determinants married women semi-pastoral community Ethiopia |
title | Determinants of short birth interval among married multiparous women in Chinaksen district, eastern Ethiopia: a case-control study |
title_full | Determinants of short birth interval among married multiparous women in Chinaksen district, eastern Ethiopia: a case-control study |
title_fullStr | Determinants of short birth interval among married multiparous women in Chinaksen district, eastern Ethiopia: a case-control study |
title_full_unstemmed | Determinants of short birth interval among married multiparous women in Chinaksen district, eastern Ethiopia: a case-control study |
title_short | Determinants of short birth interval among married multiparous women in Chinaksen district, eastern Ethiopia: a case-control study |
title_sort | determinants of short birth interval among married multiparous women in chinaksen district eastern ethiopia a case control study |
topic | optimal birth interval determinants married women semi-pastoral community Ethiopia |
url | https://www.frontiersin.org/articles/10.3389/fgwh.2023.1278777/full |
work_keys_str_mv | AT bekryaleye determinantsofshortbirthintervalamongmarriedmultiparouswomeninchinaksendistricteasternethiopiaacasecontrolstudy AT ahmedinaliyiusso determinantsofshortbirthintervalamongmarriedmultiparouswomeninchinaksendistricteasternethiopiaacasecontrolstudy AT bezatumengistie determinantsofshortbirthintervalamongmarriedmultiparouswomeninchinaksendistricteasternethiopiaacasecontrolstudy AT yadetadessie determinantsofshortbirthintervalamongmarriedmultiparouswomeninchinaksendistricteasternethiopiaacasecontrolstudy AT hassenabdiadem determinantsofshortbirthintervalamongmarriedmultiparouswomeninchinaksendistricteasternethiopiaacasecontrolstudy AT addisualemu determinantsofshortbirthintervalamongmarriedmultiparouswomeninchinaksendistricteasternethiopiaacasecontrolstudy AT mohammedyuya determinantsofshortbirthintervalamongmarriedmultiparouswomeninchinaksendistricteasternethiopiaacasecontrolstudy AT aminumohammed determinantsofshortbirthintervalamongmarriedmultiparouswomeninchinaksendistricteasternethiopiaacasecontrolstudy |