Improving iron status before pregnancy predictors for time to first pregnancy in rural Bangladesh
It has recently been advocated that iron supplementation begin before childbearing. A key operational issue is timely identification of !~males prior to pregnancy. The purpose of this study was to examine factors associated with time to first pregnancy ( FP) and adolescent pregnancy (AP). /\ cros...
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10361-131212019-11-26T21:01:11Z Improving iron status before pregnancy predictors for time to first pregnancy in rural Bangladesh Khambalia, Amina Choudhury, Nuzhat Zlotkin, Stanley Iron status Pregnant women Rural Bangladesh Birth interval Time factors Periconceptional Nutritionally induced diseases Women--Health and hygiene Pregnancy Health, Nutrition, and Population Program (BRAC) It has recently been advocated that iron supplementation begin before childbearing. A key operational issue is timely identification of !~males prior to pregnancy. The purpose of this study was to examine factors associated with time to first pregnancy ( FP) and adolescent pregnancy (AP). /\ cross-sectional survey was conducted in Gazipur. Bangladesh (April-May 2006) among ever married females aged < 50 y. Data on 603 females were analysed. Mean age was 32 y .t 9. Only 15%, (7/47) of never pregnant females reported iron use in the past 6 mo. Mean age at marriage was 17 y 1: 3 at marriage. 58% (322/556) of females were < l8 y at fP. Median time from marriage to FP was 12 mo (range: 0-408). Multivariate hazard analysis found risk of pregnancy increased by 13% for every y increase in age at marriage ( p<O.OOO I) and decreased by 3% for every y increase in female's current age (p·~O.OOO I). Risk among medical contraceptive users was 58% of the risk among non-users (p'-='0.000 I). Using multivariate logistic regression analysis the probability of an AP decreased by 3% for each y of marriage during adolescence (CI: 0.95-0.99), by 10% for every y increase in husband's age at marriage (CI: 0.87-0.94), by 68% among female wage earners compared to non-wage earners (CI: 0.16-0.64) and by SO% among medical contraceptive users compared to non-users (CI: 0.30-0.85). In this population females arc married at a young age with short time to FP intervals. Pcriconceptional iron supplementation programs should target adolescents and newly-weds. 2019-11-26T09:14:21Z 2019-11-26T09:14:21Z 2006-10 Research report Khambalia, A., Choudhury, N., & Zlotkin, S. (2006, October). Improving iron status before pregnancy predictors for time to first pregnancy in rural Bangladesh. Research Reports (2006): Health Studies, Vol - XXXIX, 101–112. http://hdl.handle.net/10361/13121 en application/pdf BRAC Research and Evaluation Division (RED) |
institution |
Brac University |
collection |
Institutional Repository |
language |
English |
topic |
Iron status Pregnant women Rural Bangladesh Birth interval Time factors Periconceptional Nutritionally induced diseases Women--Health and hygiene Pregnancy Health, Nutrition, and Population Program (BRAC) |
spellingShingle |
Iron status Pregnant women Rural Bangladesh Birth interval Time factors Periconceptional Nutritionally induced diseases Women--Health and hygiene Pregnancy Health, Nutrition, and Population Program (BRAC) Khambalia, Amina Choudhury, Nuzhat Zlotkin, Stanley Improving iron status before pregnancy predictors for time to first pregnancy in rural Bangladesh |
description |
It has recently been advocated that iron supplementation begin before childbearing. A key
operational issue is timely identification of !~males prior to pregnancy. The purpose of this
study was to examine factors associated with time to first pregnancy ( FP) and adolescent
pregnancy (AP). /\ cross-sectional survey was conducted in Gazipur. Bangladesh (April-May
2006) among ever married females aged < 50 y. Data on 603 females were analysed. Mean age
was 32 y .t 9. Only 15%, (7/47) of never pregnant females reported iron use in the past 6 mo.
Mean age at marriage was 17 y 1: 3 at marriage. 58% (322/556) of females were < l8 y at fP.
Median time from marriage to FP was 12 mo (range: 0-408). Multivariate hazard analysis
found risk of pregnancy increased by 13% for every y increase in age at marriage ( p<O.OOO I)
and decreased by 3% for every y increase in female's current age (p·~O.OOO I). Risk among
medical contraceptive users was 58% of the risk among non-users (p'-='0.000 I). Using
multivariate logistic regression analysis the probability of an AP decreased by 3% for each y of
marriage during adolescence (CI: 0.95-0.99), by 10% for every y increase in husband's age at
marriage (CI: 0.87-0.94), by 68% among female wage earners compared to non-wage earners
(CI: 0.16-0.64) and by SO% among medical contraceptive users compared to non-users (CI:
0.30-0.85). In this population females arc married at a young age with short time to FP
intervals. Pcriconceptional iron supplementation programs should target adolescents and
newly-weds. |
format |
Research report |
author |
Khambalia, Amina Choudhury, Nuzhat Zlotkin, Stanley |
author_facet |
Khambalia, Amina Choudhury, Nuzhat Zlotkin, Stanley |
author_sort |
Khambalia, Amina |
title |
Improving iron status before pregnancy predictors for time to first pregnancy in rural Bangladesh |
title_short |
Improving iron status before pregnancy predictors for time to first pregnancy in rural Bangladesh |
title_full |
Improving iron status before pregnancy predictors for time to first pregnancy in rural Bangladesh |
title_fullStr |
Improving iron status before pregnancy predictors for time to first pregnancy in rural Bangladesh |
title_full_unstemmed |
Improving iron status before pregnancy predictors for time to first pregnancy in rural Bangladesh |
title_sort |
improving iron status before pregnancy predictors for time to first pregnancy in rural bangladesh |
publisher |
BRAC Research and Evaluation Division (RED) |
publishDate |
2019 |
url |
http://hdl.handle.net/10361/13121 |
work_keys_str_mv |
AT khambaliaamina improvingironstatusbeforepregnancypredictorsfortimetofirstpregnancyinruralbangladesh AT choudhurynuzhat improvingironstatusbeforepregnancypredictorsfortimetofirstpregnancyinruralbangladesh AT zlotkinstanley improvingironstatusbeforepregnancypredictorsfortimetofirstpregnancyinruralbangladesh |
_version_ |
1814308749310951424 |