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Published in: International Urogynecology Journal 9/2019

01-09-2019 | Original Article

Factors associated with pelvic floor disorders in Kersa District, eastern Ethiopia: a community-based study

Authors: Merga Dheresa, Alemayehu Worku, Lemessa Oljira, Bezatu Mengistie, Nega Assefa, Yemane Berhane

Published in: International Urogynecology Journal | Issue 9/2019

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Abstract

Background

Pelvic floor disorders, which diminish the quality of life, disproportionally affect women in developing countries. However, there is a knowledge gap in the understanding of the factors associated with the problem in many countries including Ethiopia. Therefore, we aimed to assess the factors associated with pelvic floor disorders in Ethiopia.

Materials and methods

A community-based cross-sectional study was conducted among 3432 ever-married women selected through a stratified multistage sampling procedure from the Kersa Health and Demography Surveillance System. Data were collected using structured questionnaires through face-to-face interviews. A Poisson regression model with robust variance estimation was used to investigate the association of the independent variable with pelvic floor disorder. The results are reported in adjusted prevalence ratios with 95% confidence intervals.

Results

Overall, the prevalence of pelvic floor disorders was 20.5% (95% CI: 19%–22%). Women who had no education (APR = 1.47; 95% CI: 1.06, 2.04) or had undergone five or more vaginal deliveries (APR = 1.56; 95% CI: 1.18, 2.05), an abortion (APR = 1.85; 95% CI: 1.43, 2.38) or episiotomy (APR = 1.39; 95% CI: 1.02, 1.90) were independently associated with having pelvic floor disorders.

Conclusion

Obstetric events are strongly associated with pelvic floor disorders. This finding highlights the greater need for policies to focus on prevention, diagnosis and treatment services to mitigate women's suffering from pelvic floor disorders.
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Metadata
Title
Factors associated with pelvic floor disorders in Kersa District, eastern Ethiopia: a community-based study
Authors
Merga Dheresa
Alemayehu Worku
Lemessa Oljira
Bezatu Mengistie
Nega Assefa
Yemane Berhane
Publication date
01-09-2019
Publisher
Springer International Publishing
Published in
International Urogynecology Journal / Issue 9/2019
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-018-3776-2

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