Association Between the Autonomy of Peruvian Women and the Choice of the Place of Delivery: Analysis of a National Survey, 2019.
Objectives: To determine the association between Peruvian women's autonomy and place of delivery. Methods: An analytical cross-sectional study of secondary data from the Demographic and Family Health Survey 2019 was carried out. The dependent variable was institutionalized childbirth, and the indepe...
| Published in: | Maternal & Child Health Journal Vol. 27; no. 10; pp. 1823 - 1834 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
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Springer Nature
Oct2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172312478&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172312478 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Oct2023 vid: 27 iid: 10 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 172312478 172312478 172312478 10.1007/s10995-023-03740-2 172312478 ppf: 1823 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Association Between the Autonomy of Peruvian Women and the Choice of the Place of Delivery: Analysis of a National Survey, 2019. aug: au: Cueva, Gerald Alexander Hernandez Ramírez, Rhisto Guillermo Nieves Visconti-Lopez, Fabriccio J. Bendezu-Quispe, Guido Vargas-Fernández, Rodrigo affil: https://ror.org/04xr5we72 Faculty of Health Sciences, Universidad Científica del Sur, Lima, Peru sug: subj: Delivery, Obstetric Expectant Mothers Psychosocial Factors Women Peru Autonomy Decision Making Patient Preference Childbirth Peruvians Human Cross Sectional Studies Surveys Poisson Distribution Confidence Intervals Peru Home Childbirth Geographic Locations Socioeconomic Factors ab: Objectives: To determine the association between Peruvian women's autonomy and place of delivery. Methods: An analytical cross-sectional study of secondary data from the Demographic and Family Health Survey 2019 was carried out. The dependent variable was institutionalized childbirth, and the independent variable was women's autonomy. Likewise, the association between women's autonomy and institutionalized childbirth was evaluated using Poisson family generalized linear models with logarithmic link function, and crude (PR) and adjusted prevalence ratios (aPR) with their respective 95% confidence interval (CI) were estimated. Results: The analysis included 15,334 women aged 15–49 years. It was found that a high proportion of women had a low level of autonomy (42.6%; 95% CI: 41.5–43.7), while 92.1% (95% CI: 91.3–92.9) had institutionalized childbirth. Moderate (PR: 1.10; 95% CI: 1.08–1.12) and high (PR: 1.13; 95% CI: 1.12–1.15) levels of women's autonomy were found to be associated with institutionalized childbirth, and the same association was found in the adjusted analysis. Conclusion: Being a woman with a higher level of autonomy was related to a higher prevalence of institutionalized childbirth. Therefore, as decision-making is a multifactorial characteristic, it is necessary to study in depth the determinants of non-institutionalized childbirth in women with less autonomy. Significance: What is already known on this subject? Women's autonomy is a strategy to improve health conditions and various socioeconomic aspects of women's lives and their environment. Several studies have found that women with high autonomy are positively associated with their health and access to maternal health services, such as institutionalized childbirth. What this study adds? This study found that Peruvian women with a high level of autonomy were more likely to have an institutionalized childbirth. This finding can contribute to government institutions to guide the strategies already in place to improve various aspects of women's lives and enhance their autonomy. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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