The Predictors of Intent to Prevent Obstetric Fistula Recurrence Among Women with Fistula in Ethiopia: A Facility-Based Cross-Sectional Study.
Ethiopia
attitude towards fistula recurrence prevention
intent
knowledge of risk factors
predictive factors
women with fistula
Journal
International journal of women's health
ISSN: 1179-1411
Titre abrégé: Int J Womens Health
Pays: New Zealand
ID NLM: 101531698
Informations de publication
Date de publication:
2022
2022
Historique:
received:
11
06
2022
accepted:
25
08
2022
entrez:
22
9
2022
pubmed:
23
9
2022
medline:
23
9
2022
Statut:
epublish
Résumé
Obstetric fistula recurrence predisposes to a decreasing success rate of fistula repair and accounts for the continued incidence of obstetric fistulas in low-income countries. Evidence has revealed that there are women's intent gaps in the prevention of obstetric fistula recurrence. Assessments of predictors of intent to prevent obstetric fistula recurrence among women with fistula are scarce. This study assessed the intent to prevent obstetric fistula recurrence and its predictive factors among women with obstetric fistula in Ethiopia. Facility-based cross-sectional study was conducted from April 01, 2019, to August 01, 2019, with consecutively selected 478 women with fistulas in five fistula treatment centers in Addis Ababa and Oromia regions. Data were collected using an interviewer-administered structured questionnaire and analyzed using SPSS 23 software. Simple and multiple linear regression models were fitted for data analysis. Mean score of intent to prevent obstetric fistula recurrence among women with obstetric fistula was 27.72 ± 5.06. Living in a rural setting (β =-2.27; 95% CI: -3.62, -0.93), being married (β =1.71, 95% CI: 0.56, 2.85), having one previous repair (β =2.14, 95% CI: 0.19, 4.08), high self-esteem (β =1.42, 95% CI: 0.09, 2.74), psychological health (β =0.05, 95% CI: 0.26, 3.79), living with fistula ≥5 years (β =1.82, 95% CI: 0.44, 3.21), high knowledge of risk factors (β =3.12, 95% CI: 1.99, 4.25), and a positive attitude (β =2.33, 95% CI: 1.12, 3.54) were significant predictors of the intent to prevent obstetric fistula recurrence. Intent to prevent obstetric fistula recurrence among women with obstetric fistula was low. This indicates an urgent need to create awareness among women with an obstetric fistula on the risk factors of obstetric fistula recurrence, attitudinal changes towards prevention of obstetric fistula recurrence, and the availability of prevention measures.
Sections du résumé
Background
UNASSIGNED
Obstetric fistula recurrence predisposes to a decreasing success rate of fistula repair and accounts for the continued incidence of obstetric fistulas in low-income countries. Evidence has revealed that there are women's intent gaps in the prevention of obstetric fistula recurrence. Assessments of predictors of intent to prevent obstetric fistula recurrence among women with fistula are scarce.
Objective
UNASSIGNED
This study assessed the intent to prevent obstetric fistula recurrence and its predictive factors among women with obstetric fistula in Ethiopia.
Methods
UNASSIGNED
Facility-based cross-sectional study was conducted from April 01, 2019, to August 01, 2019, with consecutively selected 478 women with fistulas in five fistula treatment centers in Addis Ababa and Oromia regions. Data were collected using an interviewer-administered structured questionnaire and analyzed using SPSS 23 software. Simple and multiple linear regression models were fitted for data analysis.
Results
UNASSIGNED
Mean score of intent to prevent obstetric fistula recurrence among women with obstetric fistula was 27.72 ± 5.06. Living in a rural setting (β =-2.27; 95% CI: -3.62, -0.93), being married (β =1.71, 95% CI: 0.56, 2.85), having one previous repair (β =2.14, 95% CI: 0.19, 4.08), high self-esteem (β =1.42, 95% CI: 0.09, 2.74), psychological health (β =0.05, 95% CI: 0.26, 3.79), living with fistula ≥5 years (β =1.82, 95% CI: 0.44, 3.21), high knowledge of risk factors (β =3.12, 95% CI: 1.99, 4.25), and a positive attitude (β =2.33, 95% CI: 1.12, 3.54) were significant predictors of the intent to prevent obstetric fistula recurrence.
Conclusion
UNASSIGNED
Intent to prevent obstetric fistula recurrence among women with obstetric fistula was low. This indicates an urgent need to create awareness among women with an obstetric fistula on the risk factors of obstetric fistula recurrence, attitudinal changes towards prevention of obstetric fistula recurrence, and the availability of prevention measures.
Identifiants
pubmed: 36134389
doi: 10.2147/IJWH.S378162
pii: 378162
pmc: PMC9484077
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1323-1335Informations de copyright
© 2022 Hurissa et al.
Déclaration de conflit d'intérêts
The authors declare that they have no competing interests.
Références
Glob Public Health. 2013;8(8):926-42
pubmed: 23947903
Bull World Health Organ. 2016 May 1;94(5):398-400
pubmed: 27147772
Am J Obstet Gynecol. 2009 May;200(5):e40-2
pubmed: 19111717
PLoS One. 2014 Nov 17;9(11):e112299
pubmed: 25401756
Int Urogynecol J. 2016 Jul;27(7):1063-7
pubmed: 26755052
BJOG. 2007 Aug;114(8):1010-7
pubmed: 17506793
BMC Pregnancy Childbirth. 2018 May 10;18(1):155
pubmed: 29747604
Lancet Glob Health. 2015 May;3(5):e243-4
pubmed: 25889463
Int Urogynecol J. 2019 Oct;30(10):1659-1665
pubmed: 31468097
BMC Pregnancy Childbirth. 2011 Oct 21;11:75
pubmed: 22013991
Int J Equity Health. 2018 Jun 1;17(1):70
pubmed: 29859118
Afr J Reprod Health. 2015 Mar;19(1):112-23
pubmed: 26103701
J Coll Physicians Surg Pak. 2013 Nov;23(10):828-9
pubmed: 24169399
BMC Pregnancy Childbirth. 2013 Dec 30;13:246
pubmed: 24373152
Birth. 2017 Sep;44(3):238-245
pubmed: 28464510
Int J Gynaecol Obstet. 2012 Sep;118(3):256-8
pubmed: 22727057
Cult Health Sex. 2015;17(2):150-64
pubmed: 25317830
PLoS One. 2013 Dec 31;8(12):e85921
pubmed: 24392032
Int J Womens Health. 2014 Dec 08;6:1033-43
pubmed: 25525395
BMC Pregnancy Childbirth. 2015 Aug 26;15:193
pubmed: 26306705
Int Urogynecol J. 2018 Mar;29(3):345-351
pubmed: 28600757
Global Health. 2015 Aug 15;11:36
pubmed: 26276053
BJOG. 2014 Jul;121(8):1039-46
pubmed: 24684695
Int Urogynecol J. 2019 Feb;30(2):197-201
pubmed: 30097667
Bull World Health Organ. 2015 Jan 1;93(1):60-2
pubmed: 25558110
Lancet Glob Health. 2015 May;3(5):e271-8
pubmed: 25889469
Int Urogynecol J. 2017 Dec;28(12):1817-1824
pubmed: 28550462
Ann Glob Health. 2017 May - Aug;83(3-4):541-549
pubmed: 29221527
BMC Health Serv Res. 2013 May 10;13:174
pubmed: 23663299
Int J Gynaecol Obstet. 2012 Oct;119 Suppl 1:S76-9
pubmed: 22884819
Aust N Z J Obstet Gynaecol. 2010 Apr;50(2):132-7
pubmed: 20522068
J Obstet Gynaecol. 2009 Oct;29(7):644-7
pubmed: 19757273
BJOG. 2018 Jul;125(8):925-928
pubmed: 29281180
Reprod Health. 2013 Feb 25;10:14
pubmed: 23432944