Factores asociados a la fecundidad adicional no deseada: análisis de una encuesta nacional en Perú / Factors associated with unwanted additional fertility: secondary analysis of a national survey in Peru
Rev. peru. med. exp. salud publica
; 37(4): 645-653, oct.-dic. 2020. tab, graf
Article
in Spanish
| LILACS
| ID: biblio-1156836
Responsible library:
PE14.1
RESUMEN
Resumen Objetivos:
Determinar la asociación entre los factores sociodemográficos y reproductivos con la fecundidad adicional no deseada (FAND) en el Perú. Materiales ymétodos:
Se realizó un estudio observacional, analítico transversal, a partir de la Encuesta Demográfica y de Salud Familiar (ENDES) 2018 en el Perú. La FAND es una variable que se creó a partir de la diferencia numérica entre la fecundidad obtenida y la fecundidad deseada. La variable FAND, se creó a partir de la diferencia numérica entre la fecundidad obtenida y la fecundidad deseada y se agrupó en dos categorías donde la diferencia numérica positiva correspondió a la presencia de FAND. Se realizó una regresión de Poisson, tanto cruda como ajustada.Resultados:
Se analizaron los datos de 6944 mujeres entre 40 y 49 años, con una edad promedio de 44,3 años. Se halló una prevalencia de FAND de 72,5% (IC95% 70,4%-74,4%). En el modelo ajustado, se observó que pertenecer al quintil superior de riqueza (RPa 0,80; IC95% 0,69-0,93) disminuía la probabilidad de FAND con respecto al quintil intermedio. Por otro lado, provenir del ámbito rural (RPa 1,07; IC95% 1,01-1,14), aumenta la probabilidad de FAND con respecto al provenir del ámbito urbano.Conclusiones:
La prevalencia de FAND en mujeres peruanas de 40 a 49 años que participaron de la ENDES 2018 es alta. Provenir del área rural aumenta la probabilidad de FAND; y pertenecer al quintil superior de riqueza, la disminuye.ABSTRACT
Abstract Objectives:
To determine the association between sociodemographic and reproductive factors with unwanted additional fertility (UAF) in Peru. Materials andmethods:
We carried out an observational, cross-sectional analytical study based on the 2018 Demographic and Family Health Survey (DHS) in Peru. The UAF variable was defined as the numerical difference between the general fertility rate and the total fertility rate. This variable was divided into 2 categories, UAF was considered when the numerical difference was positive. The Poisson regression was used, both crude and adjusted.Results:
We analyzed data from 6,944 women with an average age of 44.3 years (range, 40 to 49). The prevalence of UAF was found to be 72.5% (95% CI 70.4%-74.4%). In the adjusted model, patients in the top wealth quintile (aPR 0.80; 95% CI 0.69-0.93) were found to have a lower probability of having unwanted pregnancies when compared to those in the middle quintile. On the other hand, patients from rural areas (aPR 1.07; 95% CI 1.01-1.14) had a higher probability of having unwanted pregnancies when compared to those from urban áreas.Conclusions:
The prevalence of UAF in Peruvian women between 40 and 49 years old who participated in the 2018 DHS is high. Patients from rural areas have a higher probability of having unwanted pregnancies, and those in the top wealth quintile have a lower probability.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Health and Well-Being
Health problem:
Target 3.8 Achieve universal access to health
Database:
LILACS
Main subject:
Pregnancy, Unwanted
/
Contraceptive Agents
/
Family Development Planning
/
Fertility
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Pregnancy
Country/Region as subject:
South America
/
Peru
Language:
Spanish
Journal:
Rev. peru. med. exp. salud publica
Journal subject:
Public Health
Year:
2020
Document type:
Article
Affiliation country:
Peru
/
Spain
Institution/Affiliation country:
Universidad Complutense de Madrid/ES
/
Universidad Peruana de Ciencias Aplicadas/PE