Determinants of induced abortion among second-trimester pregnant women attending Dessie City health facilities, Northeast Ethiopia: a case-control study
Introduction Globally, 10-15% of induced abortions occur in the second-trimester period, over half of which is considered unsafe, and disproportionately contribute to maternal deaths. However, there are limited information about determinants of induced abortion in second-trimester in the country, pa...
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Termedia Publishing House
2024-10-01
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| Series: | HIV & AIDS Review. International Journal of HIV-Related Problems |
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| _version_ | 1832584779517657088 |
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| author | Elsabeth Addisu Bitya Admassu Wolde Melese Ayele Kassawmar Angaw Bezawit Adane |
| author_facet | Elsabeth Addisu Bitya Admassu Wolde Melese Ayele Kassawmar Angaw Bezawit Adane |
| author_sort | Elsabeth Addisu |
| collection | DOAJ |
| description | Introduction
Globally, 10-15% of induced abortions occur in the second-trimester period, over half of which is considered unsafe, and disproportionately contribute to maternal deaths. However, there are limited information about determinants of induced abortion in second-trimester in the country, particularly in the study area. Therefore, this study aimed to identify determinants of induced abortion in the second-trimester.
Material and methods
Unmatched case-control study was conducted in Dessie City Northeast Ethiopia from January to March 2019. A total sample of 390 patients were included in the study, with a ratio of 1 : 2 (case : controls). Data were assessed in Epi data version 3.1 and analyzed with SPSS version 25. Multivariable logistic regression model was applied to identify determinants of induced abortion. Adjusted odds ratio with 95% confidence interval (CI) was used to measure the effect size of predictors.
Results
The mean age of cases was 25 years (± 6.6) and 29.3 years (± 5.3) of controls. Seventy six (58.5%) cases were not currently married compared with 19 (7.3%) controls. Study participants who were currently not married (AOR = 10.82; 95% CI: 5.01-23.36%), having poor knowledge about induced abortion (AOR = 3.03; 95% CI: 1.46-6.26%), uncertainty about last normal menstrual period (AOR = 4.12; 95% CI: 2.01-8.44%), late pregnancy testing (AOR = 5.94; 95% CI: 2.5-14.15%), not using contraceptives (AOR = 3.70; 95% CI: 1.85-7.44%), having irregular menstrual cycle (AOR = 4.83; 95% CI: 2.41-9.70%), and three and more live births (AOR = 0.25; 95% CI: 0.11-0.59%) were independent predictors of induced abortion in the second-trimester.
Conclusions
This study identified several factors correlated with women having induced abortions in the second-trimester. It may be helpful for the government of Ethiopia to encourage the effort to improve healthcare counselling on reproductive health-related issues, and planning of interventions focusing on behavioral changes and social marketing as well as providing information to young adolescents on their sexuality to minimize pre-marital sex. |
| format | Article |
| id | doaj-art-3383a2531f5c4173a2f0712d6cef5281 |
| institution | Kabale University |
| issn | 1730-1270 1732-2707 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | HIV & AIDS Review. International Journal of HIV-Related Problems |
| spelling | doaj-art-3383a2531f5c4173a2f0712d6cef52812025-01-27T11:06:39ZengTermedia Publishing HouseHIV & AIDS Review. International Journal of HIV-Related Problems1730-12701732-27072024-10-0123434234810.5114/hivar/158880158880Determinants of induced abortion among second-trimester pregnant women attending Dessie City health facilities, Northeast Ethiopia: a case-control studyElsabeth Addisu0Bitya Admassu1Wolde Melese Ayele2Kassawmar Angaw3Bezawit Adane4Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, EthiopiaDepartment of Population and Family Health, Institution of Health, Faculty of Public Health, Jimma, EthiopiaDepartment of Epidemiology and Biostatics, College of Medicine and Health Sciences, Injibara University, Injibara, EthiopiaDepartment of Epidemiology and Biostatics, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, EthiopiaDepartment of Epidemiology and Biostatics, College of Medicine and Health Sciences, Injibara University, Injibara, EthiopiaIntroduction Globally, 10-15% of induced abortions occur in the second-trimester period, over half of which is considered unsafe, and disproportionately contribute to maternal deaths. However, there are limited information about determinants of induced abortion in second-trimester in the country, particularly in the study area. Therefore, this study aimed to identify determinants of induced abortion in the second-trimester. Material and methods Unmatched case-control study was conducted in Dessie City Northeast Ethiopia from January to March 2019. A total sample of 390 patients were included in the study, with a ratio of 1 : 2 (case : controls). Data were assessed in Epi data version 3.1 and analyzed with SPSS version 25. Multivariable logistic regression model was applied to identify determinants of induced abortion. Adjusted odds ratio with 95% confidence interval (CI) was used to measure the effect size of predictors. Results The mean age of cases was 25 years (± 6.6) and 29.3 years (± 5.3) of controls. Seventy six (58.5%) cases were not currently married compared with 19 (7.3%) controls. Study participants who were currently not married (AOR = 10.82; 95% CI: 5.01-23.36%), having poor knowledge about induced abortion (AOR = 3.03; 95% CI: 1.46-6.26%), uncertainty about last normal menstrual period (AOR = 4.12; 95% CI: 2.01-8.44%), late pregnancy testing (AOR = 5.94; 95% CI: 2.5-14.15%), not using contraceptives (AOR = 3.70; 95% CI: 1.85-7.44%), having irregular menstrual cycle (AOR = 4.83; 95% CI: 2.41-9.70%), and three and more live births (AOR = 0.25; 95% CI: 0.11-0.59%) were independent predictors of induced abortion in the second-trimester. Conclusions This study identified several factors correlated with women having induced abortions in the second-trimester. It may be helpful for the government of Ethiopia to encourage the effort to improve healthcare counselling on reproductive health-related issues, and planning of interventions focusing on behavioral changes and social marketing as well as providing information to young adolescents on their sexuality to minimize pre-marital sex.https://hivaids.termedia.pl/Determinants-of-induced-abortion-among-second-trimester-pregnant-women-attending,158880,0,2.htmlinduced second-trimester abortionethiopiapregnant womencase-controlmatched |
| spellingShingle | Elsabeth Addisu Bitya Admassu Wolde Melese Ayele Kassawmar Angaw Bezawit Adane Determinants of induced abortion among second-trimester pregnant women attending Dessie City health facilities, Northeast Ethiopia: a case-control study HIV & AIDS Review. International Journal of HIV-Related Problems induced second-trimester abortion ethiopia pregnant women case-control matched |
| title | Determinants of induced abortion among second-trimester pregnant women attending Dessie City health facilities, Northeast Ethiopia: a case-control study |
| title_full | Determinants of induced abortion among second-trimester pregnant women attending Dessie City health facilities, Northeast Ethiopia: a case-control study |
| title_fullStr | Determinants of induced abortion among second-trimester pregnant women attending Dessie City health facilities, Northeast Ethiopia: a case-control study |
| title_full_unstemmed | Determinants of induced abortion among second-trimester pregnant women attending Dessie City health facilities, Northeast Ethiopia: a case-control study |
| title_short | Determinants of induced abortion among second-trimester pregnant women attending Dessie City health facilities, Northeast Ethiopia: a case-control study |
| title_sort | determinants of induced abortion among second trimester pregnant women attending dessie city health facilities northeast ethiopia a case control study |
| topic | induced second-trimester abortion ethiopia pregnant women case-control matched |
| url | https://hivaids.termedia.pl/Determinants-of-induced-abortion-among-second-trimester-pregnant-women-attending,158880,0,2.html |
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