Delay in seeking treatment and associated factors among women with pelvic organ prolapse in Bale Zone, Southeast Ethiopia: a hospital-based cross-sectional study.

Background: Pelvic organ prolapse (POP) is a major reproductive health problem that severely affects women's quality of life in several ways. Women who suffer from POP silently wait to heal from their problem without seeking care until the disease progressively worsens. Objective: The aim of this st...

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Publicado en:Therapeutic Advances in Reproductive Health pp. 1 - 12
Autores principales: Ejigu, Neway, Seyoum, Kenbon, Gomora, Degefa, Kene, Chala, Mengistu, Sheleme, Geta, Girma, Abdella, Mujib, Ayele, Alemitu, Admasu, Yaregal, Embiale, Ayinamaw, Mesfin, Telila, Eshetu, Derese, Shifera, Wondu, Wardofa, Tadele, Atlaw, Daniel, Sarbecha, Negussie, Beressa, Girma
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 8/2/2024
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Delay in seeking treatment and associated factors among women with pelvic organ prolapse in Bale Zone, Southeast Ethiopia: a hospital-based cross-sectional study.
      aug:
        au:
          Ejigu, Neway
          Seyoum, Kenbon
          Gomora, Degefa
          Kene, Chala
          Mengistu, Sheleme
          Geta, Girma
          Abdella, Mujib
          Ayele, Alemitu
          Admasu, Yaregal
          Embiale, Ayinamaw
          Mesfin, Telila
          Eshetu, Derese
          Shifera, Wondu
          Wardofa, Tadele
          Atlaw, Daniel
          Sarbecha, Negussie
          Beressa, Girma
        affil: Department of Midwifery, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
      sug:
        subj:
          Pelvic Organ Prolapse Therapy
          Treatment Delay Psychosocial Factors
          Hospitals, Public
          Human
          Adult
          Middle Age
          Aged
          Female
          Ethiopia
          Cross Sectional Studies
          Quality of Life
          Structured Questionnaires
          Bivariate Statistics
          Multiple Logistic Regression
          Odds Ratio
          Confidence Intervals
          Descriptive Statistics
          Pelvic Organ Prolapse Diagnosis
          Data Analysis Software
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab: Background: Pelvic organ prolapse (POP) is a major reproductive health problem that severely affects women's quality of life in several ways. Women who suffer from POP silently wait to heal from their problem without seeking care until the disease progressively worsens. Objective: The aim of this study was to assess factors associated with delay in seeking treatment among women with POP at public hospitals in Bale Zone, Southeast Ethiopia. Design: Facility-based cross-sectional study. Methods: A total of 344 study participants were enrolled at public hospitals in Bale Zone, Southeast Ethiopia, from 20 February to 20 May 2023. A consecutive sampling method was used to select the respondents. Data were collected using a pretested interviewer-administered structured questionnaire. Both bivariable and multivariable logistic regressions were used to identify the predictors of the outcome variable. Both the crude odds ratio (COR) and adjusted odds ratio (AOR) along with a 95% confidence interval (CI) were used to estimate the strength of the association between predictors and the response variable. Results: This study revealed that out of 333 participants, 76.9% (95% CI: 72.1, 81.4) were delayed in the treatment of POP. The median time of delay for POP treatments was 36 [interquartile range (IQR): 24–96] months. Being a rural resident [adjusted odds ratio (AOR) = 2.02, 95% CI: 1.23, 4.00], autonomous decision-making (AOR = 5.46, 95% CI: 2.30, 10.85), lack of support (AOR = 3.94, 95% CI: 1.64, 9.48), an embarrassment to see male health care providers (AOR = 2.04, 95% CI: 1.09, 3.81), and a lack of knowledge about successful POP treatment (AOR = 2.29, 95% CI: 1.27, 4.14) were significantly associated with delay of treatment for POP. Conclusion: A large number of women with POP did not seek health care in this study: Being in rural, autonomous decision-making, a lack of support, an embarrassment to see male health care providers, and a lack of knowledge on successful treatment were associated with treatment delay. Educating women and the community to make them aware that it is a treatable condition and encourage women's independence in decision-making on health care services in the family will improve their quality of life.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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