Utilization of reproductive health services among undergraduate regular class students in Assosa University, BGRS: a comparison among three varieties of multilevel binary logistic regression models.

INTRODUCTION: Reproductive health service (RHS) helps for people to have a delighted and safe sex through their life journey. It enables especially for women to go safely through pregnancy and childbirth and provide couples with the best chance of having a healthy infant. Therefore, this study aimed to identify the significant determinants of RHS utilization among undergraduate regular class students in Assosa University by using advanced methodology. METHODS: We used cross-sectional study design to collect RHS data from 362 students in Assosa University from 5 to 16, may 2021. These students were selected using stratified random sampling technique. We also used cross-tabulation to summarize the extents of RHS utilization across all predictors in terms of percentage and three varieties of multilevel binary logistic regression model to model the determinants of RHS. RESULTS: 42.27% of undergraduate regular class students in Assosa University utilize at least one type of RHS during their time at Assosa University whereas, 57.73% of undergraduate regular class students in this University are not utilized it. Among three varieties of multilevel binary logistic regression models, the random slopes two-level model was selected as a best fitted model for the datasets. At 5% level of significance, awareness about RHS, gender, preference of service fees and student's monthly average income were significant predictor variables in this model. In addition, the covariates; age, gender and preference of service fees have a significant random effects on utilization of RHS across all colleges/school. CONCLUSION: Students who; preferred service fee as usual rate, have awareness about RHS, are females and have high monthly average income were more likely to utilize RHS. RHS utilization among undergraduate regular students in Assosa University is likely to increase more effectively with interventions that address these factors.

Determinants of to First Birth among women in Ethiopia using Cox Proportional Hazards Model

Backgroung: the age at first birth corresponds to the age of the mother giving birth to the first child. The delivery of the primary child is an important event that leaves a social mark on a woman's life. It is a woman's clear transition to parenthood with the roles and responsibilities involved. Premature birth can negatively affect women's socio-economic well-being in subsequent years. The study aims at accessing the determinants of age at first birth among Ethiopian women.Methods: the data for this study was extracted from the published reports of Ethiopian Demographic and Health Survey. The study used15, 683women aged 15-49 years from nine regions and two city administrations. Cox Proportional hazards model was used for identifying factors associated with age at first birth.Results: the median time of age at first birth for Ethiopian women was22 years with 95% CI; (21.82, 22.18).Cox Proportional Hazards Model shows that region, place of residence, education, wealth index, religion, work status, age at first marriage, age at first sex, and use of contraceptives have significant effects on the age at first birth at 5% level of significance. From region category, Amhararegion (p-value=0.398), BenishangulGumuz(p-value=0.112) Region, and Gambella region(p-value=0.062) were not significant at 5% level of significance.Conclusions: the age at first birth was positively correlated with the age at first sexual intercourse. A woman who has sexual intercourse much earlier gives birth earlier than a woman who is late for first intercourse.

Introdução: a idade do primeiro parto corresponde à idade da mãe que dá à luz ao primeiro filho. O parto do filho primário é um evento importante que deixa uma marca social na vida da mulher. É a transição clara de uma mulher para a paternidade com os papéis e responsabilidades envolvidos. O nascimento prematuro pode afetar negativamente o bem-estar socioeconômico das mulheres nos anos subsequentes. O estudo visa acessar os determinantes da idade ao primeiro parto entre as mulheres etíopes.Método: os dados para este estudo foram extraídos dos relatórios publicados do Ethiopian Demographic and Health Survey. O estudo utilizou15.683 mulheres de 15 a 49 anos de nove regiões e duas prefeituras. O modelo de riscos proporcionais de Cox foi utilizado para identificar os fatores associados à idade ao primeiro parto.Resultados: o tempo mediano de idade ao primeiro parto para mulheres etíopes foi de 22 anos com IC 95%; (21,82; 22,18).O Modelo de Riscos Proporcionais de Cox mostra que região, local de residência, educação, índice de riqueza, religião, situação profissional, idade do primeiro casamento, idade da primeira relação sexual e uso de anticoncepcionais têm efeitos significativos sobre a primeira idade nascimento ao nível de 5% de significância. Da categoria de região, Amhararegion (p-value=0,398), BenishangulGumuz (p-value=0,112) Region, e Gambella region (p-value=0,062) não foram significativos ao nível de significância de 5%.Conclusão: a idade do primeiro parto correlacionou-se positivamente com a idade da primeira relação sexual. Uma mulher que tem relações sexuais muito mais cedo, dá à luz mais cedo do que uma mulher que está atrasada para a primeira relação.