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首页> 外文期刊>International Journal of Reproductive Medicine >Epidemiology of High Fertility Status among Women of Reproductive Age in Wonago District, Gedeo Zone, Southern Ethiopia: A Community-Based Cross-Sectional Study
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Epidemiology of High Fertility Status among Women of Reproductive Age in Wonago District, Gedeo Zone, Southern Ethiopia: A Community-Based Cross-Sectional Study

机译：埃塞俄比亚南部Gedeo区生殖年龄妇女高生育状况流行病学 - 以社区为基础的横断面研究

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Background. High fertility remains one of the most important public health issues hampering the health and welfare of mothers and the survival of their children in developing nations. In Ethiopia, the high fertility rate has been seen for a long historical period with some pocket areas of high fertility still showing poor improvement. Hence, this study was aimed at determining the magnitude of high fertility status (number of children ever born alive≥5) and associated factors among women of the reproductive age group in Wonago district. Methods. A community-based cross-sectional study was conducted on randomly selected 512 women in Wonago district. Data were collected using a pretested structured interviewer administered questionnaire. Data was entered into EpiData version 3.1 and then analyzed by SPSS version 25. Logistic regression was used to analyze the data, and the adjusted odds ratio with the 95% confidence interval was computed, and a significant association was declared at p value ≤ 0.05. Result. This study revealed that 354 (69.1%) of the respondents have high fertility. High fertility is independently associated with residing in rural area [AOR=4.88, 95% CI: 3.21, 7.86], desire for children [AOR=6.97, 95% CI: 3.24, 11.40], history of under-five child mortality [AOR?=5.32, 95% CI: 2.59, 8.43], poor knowledge of contraception [AOR=2.67, 95% CI: 1.66, 4.04], and low wealth tertile [AOR=2.21, 95% CI: 1.51, 3.58]. On the other hand, women with age at first birth above 18 years [AOR=0.34, 95% CI: 0.17, 0.68] and those with birth interval≥24 months [AOR=0, 26, 95% CI: 0.14, 0.49] were less likely to have high fertility. Conclusion and Recommendation. The substantial number of women in the study area has high fertility status far away from the country’s costed implementation plan of reducing the total fertility rate to 3.0. Considering these, much is needed to be done among poor, rural residents, who have not yet attained their desired number of children, and on enhancing the knowledge of mothers towards contraceptive methods.
机译：背景。高肥能力仍然是最重要的公共卫生问题之一，妨碍了母亲的健康和福利以及在发展中国家的孩子的生存。在埃塞俄比亚，高历史时期已经看到了高生育率，其中一些口袋区域的高肥能力仍然显示出差。因此，本研究旨在确定洪都区生殖年龄组妇女的高生育状况（患儿人数≥5）的幅度和相关因素。方法。在Wongo区随机选择的512名妇女进行了一项社区横断面研究。使用预先测试的结构化的调查问卷收集数据。数据已输入EPIDATA版本3.1，然后由SPSS版本25分析。使用Logistic回归来分析数据，并且计算了与95％置信区间的调整后的差距，并且在P值≤0.05中声明了一个重要的关联。结果。本研究表明，354名（69.1％）的受访者具有高生育能力。高生育能力与居住在农村地区的高生育率[AOR = 4.88，95％CI：3.21,7.86]，欲望[AOR = 6.97,95％CI：3.24,11.40]，历史减少的儿童死亡率[AOR ？= 5.32,95％CI：2.59,8.43]，避孕知识差[AOR = 2.67,95％CI：1.66,4.04]和低财为Tertile [AOR = 2.21,95％CI：1.51,3.58]。另一方面，患有年龄的女性在18年以上的第一次出生[AOR = 0.34,95％CI：0.17,0.68]和出生间隔≥24个月[AOR = 0,26,95％CI：0.14,0.49]不太可能具有高生育能力。结论和推荐。研究领域的大量妇女具有远离国家的耗资实施计划的高生育状态，将总生育率降至3.0。考虑到这些，需要在穷人，农村居民之间进行，尚未达到其所需数量的儿童，以及提高母亲对避孕方法的知识。

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