Risk factors for miscarriage in Syrian refugee women living in non-camp settings in Jordan: results from the Women ASPIRE cross-sectional study
Abstract Background Syrian refugee women face health care disparities and experience worse pregnancy outcomes, including miscarriage. We investigated risk factors for miscarriage in Syrian refugee women living in non-camp settings in Jordan to identify targets for interventions. Methods We analyzed...
| Κύριοι συγγραφείς: | , , , , , , , |
|---|---|
| Μορφή: | Άρθρο |
| Γλώσσα: | English |
| Έκδοση: |
BMC
2022-06-01
|
| Σειρά: | Conflict and Health |
| Θέματα: | |
| Διαθέσιμο Online: | https://doi.org/10.1186/s13031-022-00464-y |
| _version_ | 1828219941509136384 |
|---|---|
| author | Maysa M. Khadra Haya H. Suradi Justin Z. Amarin Nabila El-Bassel Neeraj Kaushal Ruba M. Jaber Raeda Al-Qutob Anindita Dasgupta |
| author_facet | Maysa M. Khadra Haya H. Suradi Justin Z. Amarin Nabila El-Bassel Neeraj Kaushal Ruba M. Jaber Raeda Al-Qutob Anindita Dasgupta |
| author_sort | Maysa M. Khadra |
| collection | DOAJ |
| description | Abstract Background Syrian refugee women face health care disparities and experience worse pregnancy outcomes, including miscarriage. We investigated risk factors for miscarriage in Syrian refugee women living in non-camp settings in Jordan to identify targets for interventions. Methods We analyzed data from Women ASPIRE, a cross-sectional study of gendered physical and mental health concerns of 507 Syrian refugee women (≥ 18 years old) living in non-camp settings in Jordan. We recruited women using systematic clinic-based sampling from four clinics. We limited our analyses to women who had a history of pregnancy and whose most recent pregnancy was single, took place in Jordan, and ended in term live birth or miscarriage (N = 307). We grouped the women by the primary outcome (term live birth or miscarriage) and compared the sociodemographic and clinical characteristics of the two groups. We used Pearson’s χ 2 test or the Mann–Whitney U test to obtain unadjusted estimates and multivariable binomial logistic regression to obtain adjusted estimates. Results The most recent pregnancies of 262 women (85%) ended in term live birth and another 45 (15%) ended in miscarriage. Since crossing into Jordan, 11 women (4%) had not received reproductive health services. Of 35 women who were ≥ 35 years old, not pregnant, and did not want a (or another) child, nine (26%) did not use contraception. Of nine women who were ≥ 35 years old and pregnant, seven (78%) did not plan the pregnancy. The adjusted odds of miscarriage were higher in women who had been diagnosed with thyroid disease (aOR, 5.54; 95% CI, 1.56–19.07), had been of advanced maternal age (aOR, 5.83; 95% CI, 2.02–16.91), and had not received prenatal care (aOR, 36.33; 95% CI, 12.04–129.71). Each additional previous miscarriage predicted an increase in the adjusted odds of miscarriage by a factor of 1.94 (1.22–3.09). Conclusions We identified several risk factors for miscarriage in Syrian refugee women living in non-camp settings in Jordan. The risk factors may be amenable to preconception and prenatal care. |
| first_indexed | 2024-04-12T16:21:15Z |
| format | Article |
| id | doaj.art-a8ffe2a7a4fe4b9191de1b1db6e1c16f |
| institution | Directory Open Access Journal |
| issn | 1752-1505 |
| language | English |
| last_indexed | 2024-04-12T16:21:15Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Conflict and Health |
| spelling | doaj.art-a8ffe2a7a4fe4b9191de1b1db6e1c16f2022-12-22T03:25:34ZengBMCConflict and Health1752-15052022-06-0116111010.1186/s13031-022-00464-yRisk factors for miscarriage in Syrian refugee women living in non-camp settings in Jordan: results from the Women ASPIRE cross-sectional studyMaysa M. Khadra0Haya H. Suradi1Justin Z. Amarin2Nabila El-Bassel3Neeraj Kaushal4Ruba M. Jaber5Raeda Al-Qutob6Anindita Dasgupta7Department of Obstetrics and Gynecology, The University of Jordan School of MedicineThe University of Jordan School of MedicineThe University of Jordan School of MedicineColumbia University School of Social WorkColumbia University School of Social WorkDepartment of Family and Community Medicine, The University of Jordan School of MedicineDepartment of Family and Community Medicine, The University of Jordan School of MedicineColumbia University School of Social WorkAbstract Background Syrian refugee women face health care disparities and experience worse pregnancy outcomes, including miscarriage. We investigated risk factors for miscarriage in Syrian refugee women living in non-camp settings in Jordan to identify targets for interventions. Methods We analyzed data from Women ASPIRE, a cross-sectional study of gendered physical and mental health concerns of 507 Syrian refugee women (≥ 18 years old) living in non-camp settings in Jordan. We recruited women using systematic clinic-based sampling from four clinics. We limited our analyses to women who had a history of pregnancy and whose most recent pregnancy was single, took place in Jordan, and ended in term live birth or miscarriage (N = 307). We grouped the women by the primary outcome (term live birth or miscarriage) and compared the sociodemographic and clinical characteristics of the two groups. We used Pearson’s χ 2 test or the Mann–Whitney U test to obtain unadjusted estimates and multivariable binomial logistic regression to obtain adjusted estimates. Results The most recent pregnancies of 262 women (85%) ended in term live birth and another 45 (15%) ended in miscarriage. Since crossing into Jordan, 11 women (4%) had not received reproductive health services. Of 35 women who were ≥ 35 years old, not pregnant, and did not want a (or another) child, nine (26%) did not use contraception. Of nine women who were ≥ 35 years old and pregnant, seven (78%) did not plan the pregnancy. The adjusted odds of miscarriage were higher in women who had been diagnosed with thyroid disease (aOR, 5.54; 95% CI, 1.56–19.07), had been of advanced maternal age (aOR, 5.83; 95% CI, 2.02–16.91), and had not received prenatal care (aOR, 36.33; 95% CI, 12.04–129.71). Each additional previous miscarriage predicted an increase in the adjusted odds of miscarriage by a factor of 1.94 (1.22–3.09). Conclusions We identified several risk factors for miscarriage in Syrian refugee women living in non-camp settings in Jordan. The risk factors may be amenable to preconception and prenatal care.https://doi.org/10.1186/s13031-022-00464-yMaternal healthMiscarriagePregnancy outcomePregnant womenRefugeesRisk factors |
| spellingShingle | Maysa M. Khadra Haya H. Suradi Justin Z. Amarin Nabila El-Bassel Neeraj Kaushal Ruba M. Jaber Raeda Al-Qutob Anindita Dasgupta Risk factors for miscarriage in Syrian refugee women living in non-camp settings in Jordan: results from the Women ASPIRE cross-sectional study Conflict and Health Maternal health Miscarriage Pregnancy outcome Pregnant women Refugees Risk factors |
| title | Risk factors for miscarriage in Syrian refugee women living in non-camp settings in Jordan: results from the Women ASPIRE cross-sectional study |
| title_full | Risk factors for miscarriage in Syrian refugee women living in non-camp settings in Jordan: results from the Women ASPIRE cross-sectional study |
| title_fullStr | Risk factors for miscarriage in Syrian refugee women living in non-camp settings in Jordan: results from the Women ASPIRE cross-sectional study |
| title_full_unstemmed | Risk factors for miscarriage in Syrian refugee women living in non-camp settings in Jordan: results from the Women ASPIRE cross-sectional study |
| title_short | Risk factors for miscarriage in Syrian refugee women living in non-camp settings in Jordan: results from the Women ASPIRE cross-sectional study |
| title_sort | risk factors for miscarriage in syrian refugee women living in non camp settings in jordan results from the women aspire cross sectional study |
| topic | Maternal health Miscarriage Pregnancy outcome Pregnant women Refugees Risk factors |
| url | https://doi.org/10.1186/s13031-022-00464-y |
| work_keys_str_mv | AT maysamkhadra riskfactorsformiscarriageinsyrianrefugeewomenlivinginnoncampsettingsinjordanresultsfromthewomenaspirecrosssectionalstudy AT hayahsuradi riskfactorsformiscarriageinsyrianrefugeewomenlivinginnoncampsettingsinjordanresultsfromthewomenaspirecrosssectionalstudy AT justinzamarin riskfactorsformiscarriageinsyrianrefugeewomenlivinginnoncampsettingsinjordanresultsfromthewomenaspirecrosssectionalstudy AT nabilaelbassel riskfactorsformiscarriageinsyrianrefugeewomenlivinginnoncampsettingsinjordanresultsfromthewomenaspirecrosssectionalstudy AT neerajkaushal riskfactorsformiscarriageinsyrianrefugeewomenlivinginnoncampsettingsinjordanresultsfromthewomenaspirecrosssectionalstudy AT rubamjaber riskfactorsformiscarriageinsyrianrefugeewomenlivinginnoncampsettingsinjordanresultsfromthewomenaspirecrosssectionalstudy AT raedaalqutob riskfactorsformiscarriageinsyrianrefugeewomenlivinginnoncampsettingsinjordanresultsfromthewomenaspirecrosssectionalstudy AT aninditadasgupta riskfactorsformiscarriageinsyrianrefugeewomenlivinginnoncampsettingsinjordanresultsfromthewomenaspirecrosssectionalstudy |