Prevalence and determinants of unintended pregnancy among rural reproductive age women in Ethiopia

Despite growing utilization of family planning in Ethiopia, many pregnancies in rural areas are still unintended and unintended pregnancy remains a major global challenge in public and reproductive health, with devastating impact on women and child health, and the general public. Hence, this study w...

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Published in:Scientific reports 2025-01, Vol.15 (1), p.860-13, Article 860
Main Authors: Jejaw, Melak, Demissie, Kaleb Assegid, Tiruneh, Misganaw Guadie, Abera, Kaleab Mesfin, Tsega, Yawkal, Endawkie, Abel, Negash, Wubshet D., Workie, Amare Mesfin, Yohannes, Lamrot, Getnet, Mihret, Worku, Nigusu, Belay, Adina Yeshambel, Asmare, Lakew, Alemu, Hiwot Tadesse, Geberu, Demiss Mulatu, Hagos, Asebe
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Language:English
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692/1537
692/308
692/700
Demography
Ethiopia
Family planning
Humanities and Social Sciences
Magnitude
multidisciplinary
Multilevel analysis
Pregnancy
Public health
Regression analysis
Reproductive health
Rural areas
Science
Science (multidisciplinary)
Socioeconomics
Unintended pregnancy
Womens health
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container_title Scientific reports
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creator Jejaw, Melak
Demissie, Kaleb Assegid
Tiruneh, Misganaw Guadie
Abera, Kaleab Mesfin
Tsega, Yawkal
Endawkie, Abel
Negash, Wubshet D.
Workie, Amare Mesfin
Yohannes, Lamrot
Getnet, Mihret
Worku, Nigusu
Belay, Adina Yeshambel
Asmare, Lakew
Alemu, Hiwot Tadesse
Geberu, Demiss Mulatu
Hagos, Asebe
description Despite growing utilization of family planning in Ethiopia, many pregnancies in rural areas are still unintended and unintended pregnancy remains a major global challenge in public and reproductive health, with devastating impact on women and child health, and the general public. Hence, this study was aimed to determine the prevalence and associated factors of unintended pregnancy in rural women of Ethiopia. This study used a 2016 Ethiopian Demography and Health Survey data. A total weighted samples of 974 reproductive-aged rural women were included in this analysis. Multilevel mixed logistic regression analysis was employed to consider the effect of hierarchal nature of EDHS data using Stata version 14 to determine individual and community level factors. Variables significantly associated with unintended pregnancy were declared at p-value 
doi_str_mv 10.1038/s41598-024-81067-w
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Hence, this study was aimed to determine the prevalence and associated factors of unintended pregnancy in rural women of Ethiopia. This study used a 2016 Ethiopian Demography and Health Survey data. A total weighted samples of 974 reproductive-aged rural women were included in this analysis. Multilevel mixed logistic regression analysis was employed to consider the effect of hierarchal nature of EDHS data using Stata version 14 to determine individual and community level factors. Variables significantly associated with unintended pregnancy were declared at p-value &lt; 0.05 with adjusted odds ratio and 95% confidence interval (CI). The prevalence of unintended pregnancy in rural women was 31.66% ( 95%CI 28.8%, 34.66%). Never had media exposure (AOR: 2.67, 95%CI 1.48, 4.83), don’t have work (AOR: 0.33, 95%CI 0.21, 0.52), being from household size of one to three (AOR: 0.44 95%CI 0.2, 0.96), being primiparous (AOR: 0.41, 95%CI 0.17, 0.99), women from poor families (AOR: 2.4, 95%CI 1.24, 4.56), lacking the intention to use contraceptive (AOR: 0.24, 95%CI 0.14, 0.44) were individual-level factors significantly associated with unintended pregnancy. Women from large central region (AOR: 4.2, 95%CI 1.19, 14.62) and being from poor community wealth status (AOR: 4.3, 95%CI 1.85, 10.22) were community-level factors statistically associated with unintended pregnancy. The present study prevalence of unintended pregnancy in rural women was relatively high. Maternal occupation, household size, media exposure, parity, women wealth, intention to use contraceptive, region and community level wealth were factors statistically associated with unintended pregnancy. 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subjects 692/1537
692/308
692/700
Demography
Ethiopia
Family planning
Humanities and Social Sciences
Magnitude
multidisciplinary
Multilevel analysis
Pregnancy
Public health
Regression analysis
Reproductive health
Rural areas
Science
Science (multidisciplinary)
Socioeconomics
Unintended pregnancy
Womens health
title Prevalence and determinants of unintended pregnancy among rural reproductive age women in Ethiopia
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