Socio-demographic associations with pregnancy loss among Bakiga and Indigenous Batwa women in Southwestern Uganda.

Autor: Patterson KA; Department of Population Medicine, University of Guelph, 50 Stone Road East, Guelph, Ontario, N1G 2W1, Canada. Electronic address: kpatte08@uoguelph.ca., Yang S; Department of Epidemiology, Biostatistics and Occupational Health, Purvis Hall, Room 47A, McGill University, 1020 Pine Avenue West, Montreal, Quebec H3A 1A2, Canada., Sargeant J; Department of Population Medicine, University of Guelph, 50 Stone Road East, Guelph, Ontario, N1G 2W1, Canada., Lwasa S; Department of Geography, Geo-Informatics and Climatic Sciences, School of Forestry, Environmental and Geographical Sciences, College of Agricultural and Environmental Sciences, Makerere University, Arts Building, South Wing Ground Floor Room 12, P.O Box 7062, Kampala, Uganda., Berrang-Ford L; Priestley International Centre for Climate, University of Leeds, Leeds LS2 9JT, United Kingdom., Kesande C; Batwa Development Program, Buhoma, Uganda., Communities B; Batwa Development Program, Buhoma, Uganda., Twesigomwe S; Batwa Development Program, Buhoma, Uganda., Rhoda JA; Uganda Nursing School Bwindi, P. O Box 52, Kanungu Uganda, Kayonza, Buhoma, Uganda., Nkalubo J; Bwindi Community Hospital, P.O. Box 58 Kanungu, Kayonza, Buhoma, Uganda., Harper SL; School of Public Health, 3-521 Edmonton Clinic Health Academy, University of Alberta, Edmonton, Alberta T6G 1C9, Canada.
Jazyk: angličtina
Zdroj: Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives [Sex Reprod Healthc] 2022 Jun; Vol. 32, pp. 100700. Date of Electronic Publication: 2022 Feb 16.
DOI: 10.1016/j.srhc.2022.100700
Abstrakt: Objective: To assess the extent of pregnancy loss (i.e., miscarriage and/or stillbirth) and examine its association with socio-demographic characteristics among Bakiga and Indigenous Batwa women in Kanungu District, southwest Uganda.
Methods: As part of a larger community-based, participatory project, a retrospective survey of maternal health histories was conducted in ten Batwa and ten Bakiga communities (n = 555 participants) collecting data on self-reported pregnancy loss (i.e., miscarriage and stillbirth) and socio-demographic characteristics. Socio-demographic associations with pregnancy loss (i.e., total miscarriages and stillbirths) were examined using multivariable Poisson and negative binomial regression.
Results: Batwa women experienced pregnancy loss more commonly than Bakiga women did (149.8/1000 vs. 96.3/1000 pregnancies). In the final adjusted model for Batwa women, being in the middle (RR 1.92; CI: 1.21-3.07) and highest (RR 1.79; CI: 1.14-2.82) wealth tertiles (compared to lowest wealth tertile) and living in Community X (RR 4.33; CI 2.27-8.28) (compared to all other communities) were associated with increased pregnancy loss. For Bakiga women, the proportion of pregnancy loss was higher for those who reported drinking alcohol during pregnancy (RR: 1.54; CI: 1.04-2.13) and being food insecure (RR 1.39; CI: 1.02-1.91).
Conclusion: The proportion of, and the socio-demographic associations with, pregnancy loss differed for Bakiga and Indigenous Batwa women. These differences underscore the importance of collecting Indigenous health data to understand not only the extent of, but also the varied contextual circumstances that are associated with pregnancy loss. This nuanced and stratified information is critical for planning meaningful health programming to reduce pregnancy loss for Indigenous women.
(Copyright © 2022 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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