College of Medicine and Health Sceinces

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College of Medicine and Health Sceinces

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Start date: 2021Subject: search.filters.subject.Prevalence

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    PREVALENCE AND ASSOCIATED FACTORS OF UTERINE FIBROIDS AMONG REPRODUCTIVE AGE WOMEN ATTENDING GYNECOLOGY UNIT IN GURAGE ZONE HOSPITALS, CENTRAL ETHIOPIA, 2024.
    (WOLKITE UNIVERSITY, 2024-04) MUNTAHA KEDIR
    Introduction: Uterine fibroid is one of the most common benign smooth muscle tumors of the uterus that affect women of reproductive age. The prevalence of fibroids is significant with esti mates that 20-25% of women and about 235 million of women who represent 6.6% of global women population estimated to be affecting worldwide. In our country the prevalence and asso ciated factors of uterine fibroids among reproductive age women is still unclear, thus, this study aimed to assess the prevalence and associated factors of uterine fibroids among women attending gynecological unit in Gurage Zone Hospitals, 2024. Methods: An institution based cross-sectional study was conducted in 2024, involving 342 study participants who were selected consecutively during the study period. The data were collected by using pre-tested structured questioners and data were entered into epi-data manager Version 4.2 and subsequently exported to SPSS version 20 for analysis. Bivariable and Multivariable Lo gistic regressions analysis were performed to identify associated factors for uterine fibroids con sidering of 95% CI and P-value of < 0.05. Results: The prevalence of uterine fibroids among reproductive age women was 22.1%. The mean age of respondents was 33.4 and SD ± 6.8 years. Factors such as, age between 36-45 years (AOR = 8.635, 95% CI (1.179 - 63.223); participants educational status of secondary level (AOR = .040, 95% CI (.003-.485); experiencing infertility (AOR = 18.626, 95% Cl (4.336 - 80.011); obstetrics and gynecology related surgeries (AOR = 15.520, 95% Cl (5.755 - 41.854); ever used of contraceptives (AOR = .267, 95% Cl (.094 - .759); late age of menarche (AOR = .031,95% Cl (.001- .646); and family history of uterine fibroids (AOR = 6.705, 95% Cl (2.464 18.248); were significantly associated with uterine fibroids. Conclusion In this study, the prevalence of uterine fibroids found to be relatively high. Major predictors such as age of women, participant educational status, infertility, obstetrics and gynecology related op eration, contraceptives, family history, and late menarche age was found to be predictors of uter ine fibroids. Therefore, encourage of the women early childbirth, promotion of contraceptives pills through long times should be promoted by health information and health education pro gram.
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    PREVALENCE AND FACTORS ASSOCIATED WITH UNDERNUTRITION AMONG ADULT TUBERCULOSIS PATIENTS IN GURAGE ZONE SOUTHERN, ETHIOPIA.
    (Wolkite University, 2022-08) Yibeltal Bereket
    Background- Undernutrition and tuberculosis (TB) are interconnected in a complex relationship. There is a high prevalence of undernutrition among adult tuberculosis patients worldwide, specifically in developing countries including Ethiopia. Tuberculosis causes undernutrition through raised metabolic demands, by decreasing nutritional intake and by decreasing necessary immune functions. Therefore this study aimed to assess the prevalence and associated factors of undernutrition among adult tuberculosis patients in Gurage zone southern, Ethiopia.Methods: A facility based cross-sectional study was conducted in Public Hospital and Health centers of Gurage zone from April-May 2022. A total of 257 tuberculosis patients participated in the study. The outcome variable, undernutrition, was determined by using Body Mass Index(BMI). Interviewer administered structured questionnaire, anthropometric measurements and patients‟ document review were done. Bivariable and multivariable logistic regressions were done to identify factors associated with undernutrition. Crude odds ratios and adjusted odds ratios with 95% confidence intervals and P-values < 0.05 were employed to declare the significance and strength of association.Results: A total of 257 TB patients with a mean age of 34 were enrolled in the study. The prevalence of undernutrition was 40%, (95% CI: 34.1-45.9). The odds of undernutrition werehigher among tuberculosis patients with family size of greater than five (AOR=2.0, 95% CI: 1.0-3.9), being a rural place of residence (AOR= 2.0, 95% CI: 1.1-3.6), not obtain dietary counseling(AOR=3.8, 95% CI: 2.0-7.2) and not provided nutrition support and care (AOR=2.9, 95% CI: 1.5-5.4).Conclusion: The magnitude of undernutrition was found to be high. Having an extended and large family size, place of residence, lack of nutrition support and care, and did not receive dietary counseling were the factors independently associated with undernutrition of tuberculosispatients. The nutritional derangement could call for fast nutritional intervention in the management of tuberculosis patients. Regular nutritional screening and management should be strengthened.