Geographical weighted regression analysis of delayed antenatal care initiation and its factors among all reproductive-aged women in Ethiopia, 2016
Abstract Background Delayed antenatal care is when the first visit is carried out after 12 gestational weeks. Despite the fact that many studies have been conducted on antenatal care initiation, little attention has been paid to its spatial pattern. Therefore, this study examine geographical weighte...
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | Contraception and Reproductive Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40834-022-00190-z |
| _version_ | 1811328834033680384 |
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| author | Abiyu Abadi Tareke Kassahun Dessie Gashu Berhanu Fikadie Endehabtu |
| author_facet | Abiyu Abadi Tareke Kassahun Dessie Gashu Berhanu Fikadie Endehabtu |
| author_sort | Abiyu Abadi Tareke |
| collection | DOAJ |
| description | Abstract Background Delayed antenatal care is when the first visit is carried out after 12 gestational weeks. Despite the fact that many studies have been conducted on antenatal care initiation, little attention has been paid to its spatial pattern. Therefore, this study examine geographical weighted regression analysis of delayed antenatal care initiation and its factors among all reproductive-aged women in Ethiopia. Objective To assess geographical weighted regression analysis of delayed antenatal care initiation and its factors among all reproductive-aged women in Ethiopia, 2016. Methods This study was grounded on the 2016 Ethiopian Demographic Health Survey. It incorporated extracted sample size of 4740 (weighted) reproductive-aged women. ArcGIS version 10.8 and SaTScan™ version 9.7 software were employed to investigate geographic information. To distinguish factors associated with hotspot areas, local and global models were fitted. Result the geographic pattern of Delayed antenatal care initiation was clustered (Moran’s I = 0.38, p < 0.001). Kuldorff’s spatial scan statistics discovered three significant clusters. The most likely cluster (LLR = 66.13, p < 0.001) was situated at the zones of SNNP and Oromia regions. In the local model, being uneducated, being poor wealth, having an unwanted pregnancy, and having higher birth order were factors associated with spatial variation of delayed antenatal care. Conclusion The spatial pattern of delayed antenatal care in Ethiopia is clustered. Maternal education, wealth status, pregnancy desirability, and birth order were predictor variables of spatial variation of delayed antenatal care. Therefore, designing a hotspot area-based interventional plan could help to improve early ANC initiation. |
| first_indexed | 2024-04-13T15:32:57Z |
| format | Article |
| id | doaj.art-49888d3b6d614d72be56a6474b3adf02 |
| institution | Directory Open Access Journal |
| issn | 2055-7426 |
| language | English |
| last_indexed | 2024-04-13T15:32:57Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Contraception and Reproductive Medicine |
| spelling | doaj.art-49888d3b6d614d72be56a6474b3adf022022-12-22T02:41:20ZengBMCContraception and Reproductive Medicine2055-74262022-11-017111210.1186/s40834-022-00190-zGeographical weighted regression analysis of delayed antenatal care initiation and its factors among all reproductive-aged women in Ethiopia, 2016Abiyu Abadi Tareke0Kassahun Dessie Gashu1Berhanu Fikadie Endehabtu2Department of monitoring and evaluation, west Gondar zonal health departmentUniversity of Gondar College of medicine and health sciences department of health informaticsUniversity of Gondar College of medicine and health sciences department of health informaticsAbstract Background Delayed antenatal care is when the first visit is carried out after 12 gestational weeks. Despite the fact that many studies have been conducted on antenatal care initiation, little attention has been paid to its spatial pattern. Therefore, this study examine geographical weighted regression analysis of delayed antenatal care initiation and its factors among all reproductive-aged women in Ethiopia. Objective To assess geographical weighted regression analysis of delayed antenatal care initiation and its factors among all reproductive-aged women in Ethiopia, 2016. Methods This study was grounded on the 2016 Ethiopian Demographic Health Survey. It incorporated extracted sample size of 4740 (weighted) reproductive-aged women. ArcGIS version 10.8 and SaTScan™ version 9.7 software were employed to investigate geographic information. To distinguish factors associated with hotspot areas, local and global models were fitted. Result the geographic pattern of Delayed antenatal care initiation was clustered (Moran’s I = 0.38, p < 0.001). Kuldorff’s spatial scan statistics discovered three significant clusters. The most likely cluster (LLR = 66.13, p < 0.001) was situated at the zones of SNNP and Oromia regions. In the local model, being uneducated, being poor wealth, having an unwanted pregnancy, and having higher birth order were factors associated with spatial variation of delayed antenatal care. Conclusion The spatial pattern of delayed antenatal care in Ethiopia is clustered. Maternal education, wealth status, pregnancy desirability, and birth order were predictor variables of spatial variation of delayed antenatal care. Therefore, designing a hotspot area-based interventional plan could help to improve early ANC initiation.https://doi.org/10.1186/s40834-022-00190-zDelayed antenatal careGeographically weighted regressionEDHSEthiopia2016 |
| spellingShingle | Abiyu Abadi Tareke Kassahun Dessie Gashu Berhanu Fikadie Endehabtu Geographical weighted regression analysis of delayed antenatal care initiation and its factors among all reproductive-aged women in Ethiopia, 2016 Contraception and Reproductive Medicine Delayed antenatal care Geographically weighted regression EDHS Ethiopia 2016 |
| title | Geographical weighted regression analysis of delayed antenatal care initiation and its factors among all reproductive-aged women in Ethiopia, 2016 |
| title_full | Geographical weighted regression analysis of delayed antenatal care initiation and its factors among all reproductive-aged women in Ethiopia, 2016 |
| title_fullStr | Geographical weighted regression analysis of delayed antenatal care initiation and its factors among all reproductive-aged women in Ethiopia, 2016 |
| title_full_unstemmed | Geographical weighted regression analysis of delayed antenatal care initiation and its factors among all reproductive-aged women in Ethiopia, 2016 |
| title_short | Geographical weighted regression analysis of delayed antenatal care initiation and its factors among all reproductive-aged women in Ethiopia, 2016 |
| title_sort | geographical weighted regression analysis of delayed antenatal care initiation and its factors among all reproductive aged women in ethiopia 2016 |
| topic | Delayed antenatal care Geographically weighted regression EDHS Ethiopia 2016 |
| url | https://doi.org/10.1186/s40834-022-00190-z |
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