Papers by Louis Kobina Dadzie
Reproductive Health
After publication of this article [1], the authors made a few edits to the the text and tables. T... more After publication of this article [1], the authors made a few edits to the the text and tables. The changes are shown in Additional file 1. The original article [1] has been corrected.
Reproductive Health
Background Utilization of contraceptives remains low in several countries in sub-Saharan Africa d... more Background Utilization of contraceptives remains low in several countries in sub-Saharan Africa despite evidence of its benefits. Several factors are associated with contraceptive use. However, little is known about the association between women’s decision-making capacity and the utilization of contraceptives in Mali. This study sought to determine the effect of women’s household decision-making power on contraceptive use in Mali. Methods This study involved a cross-sectional analysis of data from the 2018 Mali Demographic and Health Survey. A total of 7893 married women were included in the final analysis. A binary logistic regression analysis was conducted with statistical significance set at p < 0.05. Results Contraceptive use among married women in Mali was 17.1%. The odds of using contraceptives were higher among women with joint decision-making with their husbands on how to spend respondent’s earnings [aOR = 1.79; 95% CI = 1.12, 2.85], joint decision-making with their husba...
University of Cape Coast, Apr 1, 2019
Journal of Interpersonal Violence
Intimate partner violence is predominant in sub-Saharan Africa and has serious adverse effects on... more Intimate partner violence is predominant in sub-Saharan Africa and has serious adverse effects on the physical, psychological, and reproductive health of those who experience it. For reproductive health outcomes, experiencing intimate partner violence has been linked with higher odds of unintended pregnancies that can result in abortion. Hence, we examined the association between intimate partner violence and pregnancy termination among women in sub-Saharan Africa. This study used data from the Demographic and Health Surveys of 25 countries in sub-Saharan Africa, which adopted a cross-sectional study design. Bivariate and multivariable binary logistic regression models were used to examine the association between intimate partner violence and pregnancy termination. The results were presented as crude odds ratios (cORs) and adjusted odds ratios (aORs), with 95% confidence intervals (CIs). The prevalence of intimate partner violence and pregnancy termination were 40.8% and 16.5%, resp...
Reproductive Health
Background Literature shows that women’s sexual autonomy, which refers to women’s capacity to ref... more Background Literature shows that women’s sexual autonomy, which refers to women’s capacity to refuse sex and ask a partner to use condom, has significant implications on the sexual and reproductive health outcomes and sexual-and-gender based violence. Nevertheless, there is scarcity of empirical evidence to support the association between women’s sexual autonomy and intimate partner violence (IPV) in sub-Saharan Africa. Methods Data for the study were extracted from the recent Demographic and Health Surveys in 24 countries in sub-Saharan Africa between 2010 and 2019. Bivariable and multivariable binary logistic regression analyses were performed to examine the association between sexual autonomy and IPV in all the studied countries. Statistical significance was set at p
BMC Health Services Research, 2017
Background: Women who live in remote rural areas encounter different challenges against contracep... more Background: Women who live in remote rural areas encounter different challenges against contraception and often deny the use of modern contraceptive methods. The predictors of modern contraceptive utilization by pastoralist women in the Bale eco-region could be specific and are not well known. Therefore, this study aims to assess modern contraceptive utilization and its determinants among married pastoralist women in Bale eco-region, Oromia regional state, South East Ethiopia. Methods: A community-based cross-sectional study was conducted from 20th November 2015 to 30th February 2016. A structured questionnaire was used to interview 549 married pastoralist women who were selected by multistage sampling technique. The data were analyzed by SPSS-21 software, multivariate logistic regression analysis was used to identify predictors of modern contraceptive use at (P-value <0.05), and odds ratios with 95% confidence interval were used to assess the strength of associations between variables. Results: The current modern contraceptive method use by married pastoralist women was (20.8%). Among the total users, (78.1%) use the injectable method. The common reasons for non-use of modern contraceptive methods includes: religious-opposition (55.9%), desire for more children (28.3%), fear of side effects (25.5%), and husband's opposition (17.5%). Couple discussion (AOR = 4.63, 95%CI: 2.15, 9.98), perceived husband's approval (AOR = 8.00, 95% CI: 3. 52, 18.19), discussion with health extension worker (AOR = 5.99, 95% CI: 1.81, 19.85), and perceived cultural acceptability (AOR = 2.10, 95% CI: 1.09, 4.03) were the independent predictors of modern contraceptive use by married pastoralist women in Bale eco-region. Conclusion: The study identified lower modern contraceptive method utilization by pastoralist women, and the majority of the contraceptive users rely on short-acting contraceptive methods. The uncomplimentary perceptions towards religious and cultural acceptability of modern contraceptive method were among the major reasons for lesser utilization of the methods. Family planning programs should be tailored to actively involve pastoralist women, husbands, and religious leaders in pastoralist communities.
Additional file 1: Table S1. Multilevel logistic regression of individual and contextual factors ... more Additional file 1: Table S1. Multilevel logistic regression of individual and contextual factors associated with getting permission to go to hospital and getting money needed for treatment. Table S2. Multilevel logistic regression of individual and contextual factors associated with distance to health facility and not wanting to go alone to seek healthcare. Table S3. Multilevel logistic regression of individual and contextual factors associated with at least one barrier in accessing healthcare among women in Ghana.
Background Papua New Guinea has one of the lowest contraceptive prevalence rates among women of r... more Background Papua New Guinea has one of the lowest contraceptive prevalence rates among women of reproductive age in the Western Pacific Region and this makes contraceptive discontinuation in this country a critical public health issue worth studying. This study sought to assess factors associated with contraceptive discontinuation among women of reproductive age in Papua New Guinea. MethodsThe data used for the analysis were obtained from Papua New Guinea Demographic and Health Survey which was conducted in 2016–2018. The outcome variable for this study was contraceptive discontinuation among women of reproductive age. Crude odds ratios and adjusted odds ratios with 95% confidence intervals were estimated using binary logistic regression.ResultsAbout 33.26% of the women discontinued injectables, 19.15% discontinued pills and 3.77% discontinued other contraception methods. Women aged 20-24 [aOR=2.12, CI= [=[1.04,4.31] through to those aged 30-34 [aOR=1.98, CI=1.03,3.79] had higher od...
Proper sanitation has been one of the topmost priorities on the global public health agenda. In t... more Proper sanitation has been one of the topmost priorities on the global public health agenda. In the past few decades, sanitation programs targeting households have often paid little attention to the disposal of children’s stools. We assessed the individual and contextual factors associated with disposal of children’s faeces in Papua New Guinea. The data used for this study forms part of the 2016–2018 Papua New Guinea Demographic and Health Survey (PDHS). For this study, we focused on women with children less than five years (n = 2095). Both descriptive and inferential analyses were carried out. Descriptive statistics were used to summarize the data, using frequency counts and percentages. The inferential analysis used multilevel logistic regression models to investigate the individual and contextual factors associated with disposal of children’s stools. These models were presented as adjusted odds ratio (AORs), together with their corresponding 95% confidence intervals. Statistical ...
Background Malaria is among the leading causes of morbidity and mortality particularly among wome... more Background Malaria is among the leading causes of morbidity and mortality particularly among women and children in sub-Saharan Africa and remains a public health challenge. Over the years, provision of insecticide mosquito nets (ITNs) for individuals and households have been on the forefront of various organizations. Focus has been on proportion of population with access to ITNs at the expense of usage proportion. This study examined the factors associated with the use of ITNs among women in Ghana. Methods This study used a cross-sectional data obtained from the 2016 Ghana Malaria Indicator Survey (GMIS). A sample of 4,267 women aged 15–49 who possessed at least one mosquito net was included in this study. Use of ITNs was the outcome variable. Descriptive statistics and multilevel binary logistic regression were employed. Results were provided in tables with a significance level set at P < 0.05. Results Out of the 4,267 total sample, more than half (55.9%) were users of ITNs. Wom...
PLOS ONE
Introduction Despite interventions by low and middle-income countries toward the achievement of t... more Introduction Despite interventions by low and middle-income countries toward the achievement of the global Sustainable Development Goal (SDG) on promoting mental health and well-being of their populace by the year 2030, suicidal behaviours continue to be major causes of premature mortality, especially among young people. This study examined the prevalence and predictors of suicidal behaviours among in-school adolescents in Mozambique. Materials and methods This was a cross-sectional study of 1918 in-school adolescents using data from the 2015 Global School-based Health Survey (GSHS) of Mozambique. The outcome variables (suicidal ideation, suicidal plan, and suicidal attempt) were measured with single items in the survey. Both bivariate and multivariate analyses were performed using chi-square test of independence and binary logistic regression respectively. Results are presented as Adjusted Odds Ratios for the binary logistic regression analysis. Statistical significance was set at p<0.05. Results The prevalence of suicidal behaviours 12 months prior to the survey were 17.7%, 19.6% and 18.5% for suicidal ideation, suicidal plan, and suicidal attempt respectively. Adolescents
PLOS ONE
Background Over the years, sanitation programs over the world have focused more on household sani... more Background Over the years, sanitation programs over the world have focused more on household sanitation, with limited attention towards the disposal of children’s stools. This lack of attention could be due to the misconception that children’s stools are harmless. The current study examined the individual and contextual predictors of safe disposal of children’s faeces among women in sub-Saharan Africa (SSA). Methods The study used secondary data involving 128,096 mother-child pairs of under-five children from the current Demographic and Health Surveys (DHS) in 15 sub-Saharan African countries from 2015 to 2018. Multilevel logistic analysis was used to assess the individual and contextual factors associated with the practice of safe disposal of children’s faeces. We presented the results as adjusted odds ratios (aOR) at a statistical significance of p< 0.05. Results The results show that 58.73% (57.79–59.68) of childbearing women in the 15 countries in SSA included in our study sa...
BMC Public Health
Background Women’s health remains a global public health concern, as enshrined in the Sustainable... more Background Women’s health remains a global public health concern, as enshrined in the Sustainable Development Goals. This study, therefore, sought to assess the individual and contextual factors associated with barriers to accessing healthcare among women in Ghana. Methods The study was conducted among 9370 women aged 15–49, using data from the 2014 Ghana Demographic and Health Survey. Barrier to healthcare, derived from four questions— whether a woman faced problems in getting money, distance, companionship, and permission to see a doctor—was the outcome variable. Descriptive and multilevel logistic regression analyses were carried out. The fixed effect results of the multilevel logistic regression analyses were reported using adjusted odds ratios at a 95% confidence interval. Results More than half (51%) of the women reported to have at least one form of barrier to accessing healthcare. Women aged 45–49 (AOR = 0.65, CI: 0.49–0.86), married women (AOR = 0.71, CI:0.58–0.87), those w...
Psychological Studies
Though considered a normal part of adolescent development, loneliness is a mental state that can ... more Though considered a normal part of adolescent development, loneliness is a mental state that can result in considerable psychological distress. We examined the prevalence and risk factors for loneliness among in-school adolescents in Tanzania. This was a descriptive cross-sectional study of 2,449 in-school adolescents from Tanzania using data from the 2017 Global School-Based Health Survey. Frequencies, percentages, Chi-square, and binary logistic regression were used in analysing the data. The prevalence of loneliness was 17.4%. Adolescents in forms 1 and 2 were more likely to be lonely than those in grade 6–7. Adolescents who experienced hunger and anxiety, used tobacco, were truant, and engaged in a physical fight had higher risks of being lonely. The prevalence of loneliness among in-school adolescents in Tanzania is quite high. As a mental state, the drastic long-term effects of loneliness on its victims make it imperative for stakeholders in Tanzania’s health industry to plan and implement pragmatic innovative social support programmes and counselling support units in schools. This can ensure the attainment of the Sustainable Development Goal 3.4 target of improving mental health by the year 2030.
BMC Public Health
Background Despite the importance of self-reporting health in sexually transmitted infections (ST... more Background Despite the importance of self-reporting health in sexually transmitted infections (STIs) control, studies on self-reported sexually transmitted infections (SR-STIs) are scanty, especially in sub-Saharan Africa (SSA). This study assessed the prevalence and factors associated with SR-STIs among sexually active men (SAM) in SSA. Methods Analysis was done based on the current Demographic and Health Survey of 27 countries in SSA conducted between 2010 and 2018. A total of 130,916 SAM were included in the analysis. The outcome variable was SR-STI. Descriptive and inferential statistics were performed with a statistical significance set at p
Journal of Public Health
Introduction Psychosocial distress has emerged as one of the world’s major public health problems... more Introduction Psychosocial distress has emerged as one of the world’s major public health problems, especially among adolescents in both low- and middle-income countries. This study used data from the 2015 version of the Global School-Based Health Survey to determine the risk and protective factors for psychosocial distress among in-school adolescents in Tanzania. Materials and methods Chi-square and logistic regression analyses were used to estimate the magnitude of associations. A total of 2936 students participated in the study, of which 52.3% were female. Results Psychosocial distress was found in 16.9% of the students at similar rates for both males and females. The risk factors associated with psychosocial distress were hunger (OR = 1.57, p < 0.001), being bullied (OR = 1.92, p < 0.001), being attacked (OR = 1.31, p < 0.05), engaging in physical activity (OR = 1.33, p < 0.05), truancy (OR = 1.28, p < 0.05) and tobacco use (OR = 2.40, p < 0.01). However, the protective factors were grade (OR = 0.55, p < 0.01) and having one or two (OR = 0.56, p < 0.01) and three or more close friends (OR = 0.57, p < 0.01). Conclusions The prevalence of psychosocial distress among adolescents in Tanzania is relatively high and appears to be common among both sexes. To reduce psychosocial distress among in-school adolescents, more attention needs to be paid to the risk factors whiles encouraging healthy relationships among adolescents and their close friends.
Archives of Public Health, 2020
Background Initiation of breastfeeding after birth comes with a wide range of benefits to the chi... more Background Initiation of breastfeeding after birth comes with a wide range of benefits to the child. For example, it provides the child with all essential nutrients needed for survival within the first six months of birth. This study sought to determine the prevalence and factors associated with early initiation of breastfeeding (EIB) in Papua New Guinea. Methods We utilized the Demographic and Health Survey data of 3198 childbearing women in Papua New Guinea. We employed descriptive and binary logistic regression analyses. We presented the results as Crude Odds Ratios (COR) and Adjusted Odds Ratios (AOR), with 95% confidence intervals (CI) signifying level of precision. Level of statistical significance was set at p < 0.05. Results Women aged 20–29 [AOR = 1.583, CI = 1.147–2.185] and those aged 30+ [AOR = 1.631, CI = 1.140–2.335] had higher odds of EIB, compared to those aged 15–19. Women from the Islands region had lower odds [AOR = 0.690, CI = 0.565–0.842] of EIB, compared to...
Children and Youth Services Review
PLOS ONE
Background Over the years, sanitation programs over the world have focused more on household sani... more Background Over the years, sanitation programs over the world have focused more on household sanitation, with limited attention towards the disposal of children’s stools. This lack of attention could be due to the misconception that children’s stools are harmless. The current study examined the individual and contextual predictors of safe disposal of children’s faeces among women in sub-Saharan Africa (SSA). Methods The study used secondary data involving 128,096 mother-child pairs of under-five children from the current Demographic and Health Surveys (DHS) in 15 sub-Saharan African countries from 2015 to 2018. Multilevel logistic analysis was used to assess the individual and contextual factors associated with the practice of safe disposal of children’s faeces. We presented the results as adjusted odds ratios (aOR) at a statistical significance of p< 0.05. Results The results show that 58.73% (57.79–59.68) of childbearing women in the 15 countries in SSA included in our study sa...
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Papers by Louis Kobina Dadzie