Spatial variations and determinants of knowledge of ovulatory period among young women in Ethiopia: a spatial and multilevel analysis using 2016 EDHS

Abstract Background Knowledge of the ovulatory period enables women in avoiding and engaging in sexual intercourse either to avoid and to have pregnancy as desired. It has been reported that young people have less knowledge of the ovulatory period. There is limited evidence about the spatial variabi...

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Main Authors: Fantu Mamo Aragaw, Meron Asmamaw Alemayehu, Nebiyu Mekonnen Derseh, Muluken Chanie Agimas, Daniel Alayu Shewaye, Habitu Birhan Eshetu, Desale Bihonegn Asmamaw, Melaku Hunie Asratie, Tadele Biresaw Belachew, Wubshet Debebe Negash
Format: Article
Language:English
Published: BMC 2023-11-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-023-02706-4
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author Fantu Mamo Aragaw
Meron Asmamaw Alemayehu
Nebiyu Mekonnen Derseh
Muluken Chanie Agimas
Daniel Alayu Shewaye
Habitu Birhan Eshetu
Desale Bihonegn Asmamaw
Melaku Hunie Asratie
Tadele Biresaw Belachew
Wubshet Debebe Negash
author_facet Fantu Mamo Aragaw
Meron Asmamaw Alemayehu
Nebiyu Mekonnen Derseh
Muluken Chanie Agimas
Daniel Alayu Shewaye
Habitu Birhan Eshetu
Desale Bihonegn Asmamaw
Melaku Hunie Asratie
Tadele Biresaw Belachew
Wubshet Debebe Negash
author_sort Fantu Mamo Aragaw
collection DOAJ
description Abstract Background Knowledge of the ovulatory period enables women in avoiding and engaging in sexual intercourse either to avoid and to have pregnancy as desired. It has been reported that young people have less knowledge of the ovulatory period. There is limited evidence about the spatial variability of knowledge of the ovulatory period among young women in Ethiopia. Hence, this study aimed to assess the spatial variation and factors sociated with knowledge of the ovulatory period among youths in Ethiopia for providing geographically targeted interventions. Method A secondary data analysis was carried out using the 2016 Ethiopian Demographic and Health Surveys with a total weighted sample of 6143 youths. Multilevel logistic regression analysis was utilized to identify factors influencing knowledge of the ovulatory period. ArcGIS version 10.7 software and Kuldorff’s SaTScan version 9.6 was used for the spatial analysis. Results Being older youth [AOR = 1.98; 1.46, 2.70], youths having primary education [AOR = 1.70; 1.23, 2.35], youths having secondary & higher education [AOR = 2.30; 1.41, 3.74], youths whose husbands have primary education [AOR = 1.39; 1.02, 1.91], and youths who use contraception [AOR = 1.66; 1.24, 2.22] were significant predictors of knowledge of ovulatory period. Knowledge of the ovulatory period among youth had non random spatial distribution across Ethiopia, and the primary clusters of incorrect knowledge of the ovulatory period were observed in Somalia, SNNPR, Benishangul gumuz, and Gambella regions of Ethiopia. Conclusion There was a non-random spatial pattern in the distribution of knowledge of the ovulation period among young women in Ethiopia. Age of youth, educational status, education of husband, and contraceptive use were significant predictors of knowledge of the ovulatory period among young women in Ethiopia. Hence, interventions should prioritize at-risk youths residing in regions with limited knowledge of the ovulatory period to enhance their awareness of the fertility window.
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spelling doaj.art-8e1fd5ce8de84511a9861e037ada92792023-11-12T12:28:54ZengBMCBMC Women's Health1472-68742023-11-0123111210.1186/s12905-023-02706-4Spatial variations and determinants of knowledge of ovulatory period among young women in Ethiopia: a spatial and multilevel analysis using 2016 EDHSFantu Mamo Aragaw0Meron Asmamaw Alemayehu1Nebiyu Mekonnen Derseh2Muluken Chanie Agimas3Daniel Alayu Shewaye4Habitu Birhan Eshetu5Desale Bihonegn Asmamaw6Melaku Hunie Asratie7Tadele Biresaw Belachew8Wubshet Debebe Negash9Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health Education and Behavioral Sciences, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Women’s and Family Health, School of Midwifery, College of Medicine and Health Sciences, University of GondarDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of GondarAbstract Background Knowledge of the ovulatory period enables women in avoiding and engaging in sexual intercourse either to avoid and to have pregnancy as desired. It has been reported that young people have less knowledge of the ovulatory period. There is limited evidence about the spatial variability of knowledge of the ovulatory period among young women in Ethiopia. Hence, this study aimed to assess the spatial variation and factors sociated with knowledge of the ovulatory period among youths in Ethiopia for providing geographically targeted interventions. Method A secondary data analysis was carried out using the 2016 Ethiopian Demographic and Health Surveys with a total weighted sample of 6143 youths. Multilevel logistic regression analysis was utilized to identify factors influencing knowledge of the ovulatory period. ArcGIS version 10.7 software and Kuldorff’s SaTScan version 9.6 was used for the spatial analysis. Results Being older youth [AOR = 1.98; 1.46, 2.70], youths having primary education [AOR = 1.70; 1.23, 2.35], youths having secondary & higher education [AOR = 2.30; 1.41, 3.74], youths whose husbands have primary education [AOR = 1.39; 1.02, 1.91], and youths who use contraception [AOR = 1.66; 1.24, 2.22] were significant predictors of knowledge of ovulatory period. Knowledge of the ovulatory period among youth had non random spatial distribution across Ethiopia, and the primary clusters of incorrect knowledge of the ovulatory period were observed in Somalia, SNNPR, Benishangul gumuz, and Gambella regions of Ethiopia. Conclusion There was a non-random spatial pattern in the distribution of knowledge of the ovulation period among young women in Ethiopia. Age of youth, educational status, education of husband, and contraceptive use were significant predictors of knowledge of the ovulatory period among young women in Ethiopia. Hence, interventions should prioritize at-risk youths residing in regions with limited knowledge of the ovulatory period to enhance their awareness of the fertility window.https://doi.org/10.1186/s12905-023-02706-4Ovulatory periodYouthSpatial analysisMultilevel analysisEthiopia
spellingShingle Fantu Mamo Aragaw
Meron Asmamaw Alemayehu
Nebiyu Mekonnen Derseh
Muluken Chanie Agimas
Daniel Alayu Shewaye
Habitu Birhan Eshetu
Desale Bihonegn Asmamaw
Melaku Hunie Asratie
Tadele Biresaw Belachew
Wubshet Debebe Negash
Spatial variations and determinants of knowledge of ovulatory period among young women in Ethiopia: a spatial and multilevel analysis using 2016 EDHS
BMC Women's Health
Ovulatory period
Youth
Spatial analysis
Multilevel analysis
Ethiopia
title Spatial variations and determinants of knowledge of ovulatory period among young women in Ethiopia: a spatial and multilevel analysis using 2016 EDHS
title_full Spatial variations and determinants of knowledge of ovulatory period among young women in Ethiopia: a spatial and multilevel analysis using 2016 EDHS
title_fullStr Spatial variations and determinants of knowledge of ovulatory period among young women in Ethiopia: a spatial and multilevel analysis using 2016 EDHS
title_full_unstemmed Spatial variations and determinants of knowledge of ovulatory period among young women in Ethiopia: a spatial and multilevel analysis using 2016 EDHS
title_short Spatial variations and determinants of knowledge of ovulatory period among young women in Ethiopia: a spatial and multilevel analysis using 2016 EDHS
title_sort spatial variations and determinants of knowledge of ovulatory period among young women in ethiopia a spatial and multilevel analysis using 2016 edhs
topic Ovulatory period
Youth
Spatial analysis
Multilevel analysis
Ethiopia
url https://doi.org/10.1186/s12905-023-02706-4
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