Alcohol Use and Sexual Risk Behaviors Among Adolescents With Psychiatric Disorders: A Systematic Review and Meta-Analysis

Cunningham, Karlene; Martinez, David A; Scott-Sheldon, Lori A. J.; Carey, Kate B.; Carey, Michael P.

doi:10.1080/1067828x.2017.1305934

Cited by 13 publications

(8 citation statements)

References 84 publications

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“…This phenomenon may be attributed to the unequal access of public services to people lower in the ethnic hierarchy, illiteracy, and poor socio-economic conditions among some ethnic groups. Other reasons for the disparities in modern contraceptive use across ethnic groups could be the health insurance use, attitudes of physicians towards minority people, language barriers, transportation cost, low level of education, illiteracy, poverty and low socio-economic status, familiarity with the health care delivery system, the degree and kind of family support [31][32][33].…”

Section: Discussionmentioning

confidence: 99%

“…Married women with living children have been found to have higher odds of modern contraceptive use compared to married women with no living children [6,27,28] similar to those who live in urban areas [17,29]. The association between ethnicity and contraceptive utilization [30] has been attributed to unequal access of public services to people lower in the ethnic hierarchy, illiteracy, and poor socio-economic conditions among some ethnic groups [31][32][33].…”

Section: Introductionmentioning

confidence: 99%

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Modern contraceptive utilization and its associated factors among married women in Senegal: a multilevel analysis

Zegeye¹,

Idriss-Wheeler

Olorunsaiye

et al. 2021

BMC Public Health

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Background Utilization of modern contraceptives is still low in low-and middle-income countries, although fertility and population growth rates are high. In Senegal, modern contraceptive utilization is low, with few studies focusing on its associated factors. This study examined modern contraceptive use and its associated factors among married women in Senegal. Methods Data from the 2017 Continuous Demographic and Health Survey (C-DHS) on 11,394 married women was analysed. We examined the associations between the demographic and socioeconomic characteristics of women and their partners and modern contraceptive use using multilevel logistic regression models. Adjusted odds ratios with 95% confidence intervals (CI) were estimated. Results The utilization of modern contraceptives among married women was 26.3%. Individual level factors associated with modern contraceptive use were women’s age (45–49 years-aOR = 0.44, 0.30–0.63), women’s educational level (higher-aOR = 1.88, 1.28–2.76) husband’s educational level (higher-aOR = 1.43, 1.10–1.85)), number of living children (5 or more children-aOR = 33.14, 19.20–57.22), ideal number of children (2 children-aOR = 1.95, 1.13–3.35), desire to have more children (wants no more-aOR = 2.46, 2.06–2.94), ethnicity (Diola-aOR = 0.70, 0.50–0.99), media exposure (yes-aOR = 1.44, 1.16–1.79)), wealth index (richer-aOR = 1.31, 1.03–1.67) and decision making power of women (decision making two-aOR = 1.20, 1.02–1.41). Whereas, region (Matam-aOR = 0.35, 0.23–0.53), place of residence (rural-aOR = 0.76, 0.63–0.93), community literacy level (high-aOR = 1.31, 1.01–1.71) and community knowledge level of modern contraceptives (high-aOR = 1.37, 1.13–1.67) were found as significant community level factors. Conclusions The findings indicate that both individual and community level factors are significantly associated with modern contraceptive use among married women in Senegal. Interventions should focus on enhancing literacy levels of women, their husbands and communities. Furthermore, strengthening awareness and attitude towards family planning should be given priority, especially in rural areas and regions with low resources.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Modern contraceptive utilization and its associated factors among married women in Senegal: a multilevel analysis

Zegeye¹,

Idriss-Wheeler

Olorunsaiye

et al. 2021

BMC Public Health

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“…Efforts to redistribute medical staff more equitably according to the Ministry's norms have been hampered by the lack of incentives for medical staff to move to remote areas, as well as the absence of accountability and sanction mechanisms governing the distribution of medical staff. Accessibility of facility might create a good opportunity for utilization of health services [42,43], which can help address newborn deaths through early detection and management of pregnancy problems [44]. It has been shown that health care inequality monitoring requires disaggregation of a health care indicator by appropriate and relevant social inequality dimensions [21].…”

Section: Discussionmentioning

confidence: 99%

Time trends, geographical, socio-economic, and gender disparities in neonatal mortality in Burundi: evidence from the demographic and health surveys, 2010–2016

Yaya

Zegeye²,

Ameyaw

et al. 2020

Arch Public Health

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Background Programmatic and research agendas surrounding neonatal mortality are important to help countries attain the child health related 2030 Sustainable Development Goal (SDG). In Burundi, the Neonatal Mortality Rate (NMR) is 25 per 1000 live births. However, high quality evidence on the over time evolution of inequality in NMR is lacking. This study aims to address the knowledge gap by systematically and comprehensively investigating inequalities in NMR in Burundi with the intent to help the country attain SDG 3.2 which aims to reduce neonatal mortality to at least as low as 12 per 1000 live births by 2030. Methods The Burundi Demographic and Health Survey (BDHS) data for the periods of 2010 and 2016 were used for the analyses. The analyses were carried out using the WHO’s HEAT version 3.1 software. Five equity stratifiers: economic status, education, residence, sex and subnational region were used as benchmark for measuring NMR inequality with time over 6 years. To understand inequalities from a broader perspective, absolute and relative inequality measures, namely Difference, Population Attributable Risk (PAR), Ratio, and Population Attributable Fraction (PAF) were calculated. Statistical significance was measured by computing corresponding 95% Confidence Intervals (CIs). Results NMR in Burundi in 2010 and 2016 were 36.7 and 25.0 deaths per 1000 live births, respectively. We recorded large wealth-driven (PAR = -3.99, 95% CI; − 5.11, − 2.87, PAF = -15.95, 95% CI; − 20.42, − 11.48), education related (PAF = -6.64, 95% CI; − 13.27, − 0.02), sex based (PAR = -1.74, 95% CI; − 2.27, − 1.21, PAF = -6.97, 95% CI; − 9.09, − 4.86), urban-rural (D = 15.44, 95% CI; 7.59, 23.29, PAF = -38.78, 95% CI; − 45.24, − 32.32) and regional (PAR = -12.60, 95% CI; − 14.30, − 10.90, R = 3.05, 95% CI; 1.30, 4.80) disparity in NMR in both survey years, except that urban-rural disparity was not detected in 2016. We found both absolute and relative inequalities and significant reduction in these inequalities over time - except at the regional level, where the disparity remained constant during the study period. Conclusion Large survival advantage remains to neonates of women who are rich, educated, residents of urban areas and some regions. Females had higher chance of surviving their 28th birthday than male neonates. More extensive work is required to battle the NMR gap between different subgroups in the country.

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“…Although significant progress has been made in the last two decades, worldwide, approximately 295, 000 women died from pregnancy and childbirth in 2017, which is unacceptably high [1]. Eighty-six percent of global maternal deaths occur in sub-Saharan Africa and Southern Asia [2].…”

Section: Introductionmentioning

confidence: 99%

Predictors of institutional delivery service utilization among women of reproductive age in Senegal: a population-based study

Zegeye¹,

Idriss-Wheelr

Oladimeji

et al. 2021

Arch Public Health

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Background In Senegal, sub-Saharan Africa, many women continue to die from pregnancy and childbirth complications. Even though health facility delivery is a key intervention to reducing maternal death, utilization is low. There is a dearth of evidence on determinants of health facility delivery in Senegal. Therefore, this study investigated the predictors of health facility-based delivery utilization in Senegal. Methods Data from the 2017 Senegal Continuous Survey were extracted for this study, and approximately 11,487 ever-married women aged 15–49 years participated. Chi-square test was used to select significant variables and multivariable logistic regression analysis was performed to identify statistically significant predictors at a 95% confidence interval with a 0.05 p-value using Stata version 14 software. Results Facility-based delivery utilization was 77.7% and the main predictors were maternal educational status (primary school Adjusted Odds Ratio [aOR] = 1.44, 95% CI; 1.14–1.83; secondary school aOR = 1.62, 95% CI; 1.17–2.25), husband’s educational status (primary school aOR = 1.65, 95% CI; 1.24–2.20, secondary school aOR = 2.17, 95% CI; 1.52–3.10), maternal occupation (agricultural-self-employed aOR = 0.77, 95% CI; 0.62–0.96), ethnicity (Poular aOR = 0.74, 95% CI; 0.56–0.97), place of residence (rural aOR = 0.57, 95% CI; 0.43, 0.74), media exposure (yes aOR = 1.26, 95% CI; 1.02–1.57), economic status (richest aOR = 5.27, 95% CI; 2.85–9.73), parity (seven and above aOR =0.46, 95% CI; 0.34–0.62), wife beating attitude (refuse aOR =1.23, 95% CI; 1.05–1.44) and skilled antenatal care (ANC) (yes aOR = 4.34, 95% CI; 3.10–6.08). Conclusion Uptake of health facility delivery services was seen among women who were educated, exposed to media, wealthy, against wife-beating, attended ANC by skilled attendants and had educated husbands. On the other hand, women from ethnic groups like Poular, those working in agricultural activities, living in rural setting, and those who had more delivery history were less likely to deliver at a health facility. Therefore, there is the need to empower women by encouraging them to use skilled ANC services in order for them to gain the requisite knowledge they need to enhance their utilization of health facility delivery, whiles at the same time, removing socio-economic barriers to access to health facility delivery that occur from low education, poverty and rural dwelling.

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Alcohol Use and Sexual Risk Behaviors Among Adolescents With Psychiatric Disorders: A Systematic Review and Meta-Analysis

Cited by 13 publications

References 84 publications

Modern contraceptive utilization and its associated factors among married women in Senegal: a multilevel analysis

Modern contraceptive utilization and its associated factors among married women in Senegal: a multilevel analysis

Time trends, geographical, socio-economic, and gender disparities in neonatal mortality in Burundi: evidence from the demographic and health surveys, 2010–2016

Predictors of institutional delivery service utilization among women of reproductive age in Senegal: a population-based study

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