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      Socioeconomic and Demographic Disparities in Knowledge of Reproductive Healthcare among Female University Students in Bangladesh

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          Abstract

          Background:

          Reproductive health (RH) is a critical component of women’s health and overall well-being around the world, especially in developing countries. We examine the factors that determine knowledge of RH care among female university students in Bangladesh.

          Methods:

          Data on 300 female students were collected from Rajshahi University, Bangladesh through a structured questionnaire using purposive sampling technique. The data were used for univariate analysis, to carry out the description of the variables; bivariate analysis was used to examine the associations between the variables; and finally, multivariate analysis (binary logistic regression model) was used to examine and fit the model and interpret the parameter estimates, especially in terms of odds ratios.

          Results:

          The results revealed that more than one-third (34.3%) respondents do not have sufficient knowledge of RH care. The χ 2-test identified the significant ( p < 0.05) associations between respondents’ knowledge of RH care with respondents’ age, education, family type, watching television; and knowledge about pregnancy, family planning, and contraceptive use. Finally, the binary logistic regression model identified respondents’ age, education, family type; and knowledge about family planning, and contraceptive use as the significant ( p < 0.05) predictors of RH care.

          Conclusions and Global Health Implications:

          Knowledge of RH care among female university students was found unsatisfactory. Government and concerned organizations should promote and strengthen various health education programs to focus on RH care especially for the female university students in Bangladesh.

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          Most cited references 29

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          Geographical variation and factors influencing modern contraceptive use among married women in Ethiopia: evidence from a national population based survey

          Background Modern contraceptive use persists to be low in most African countries where fertility, population growth, and unmet need for family planning are high. Though there is an evidence of increased overall contraceptive prevalence, a substantial effort remains behind in Ethiopia. This study aimed to identify factors associated with modern contraceptive use and to examine its geographical variations among 15–49 married women in Ethiopia. Methods We conducted secondary analysis of 10,204 reproductive age women included in the 2011 Ethiopia Demographic and Health Survey (DHS). The survey sample was designed to provide national, urban/rural, and regional representative estimates for key health and demographic indicators. The sample was selected using a two-stage stratified sampling process. Bivariate and multivariate logistic regressions were applied to determine the prevalence of modern contraceptive use and associated factors in Ethiopia. Results Being wealthy, more educated, being employed, higher number of living children, being in a monogamous relationship, attending community conversation, being visited by health worker at home strongly predicted use of modern contraception. While living in rural areas, older age, being in polygamous relationship, and witnessing one’s own child’s death were found negatively influence modern contraceptive use. The spatial analysis of contraceptive use revealed that the central and southwestern parts of the country had higher prevalence of modern contraceptive use than that of the eastern and western parts. Conclusion The findings indicate significant socio-economic, urban–rural and regional variation in modern contraceptive use among reproductive age women in Ethiopia. Strengthening community conversation programs and female education should be given top priority.
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            Relative Importance of Demographic, Socioeconomic and Health Factors on Life Expectancy in Low- and Lower-Middle-Income Countries

            Background We attempted to identify the pathways by which demographic changes, socioeconomic inequalities, and availability of health factors influence life expectancy in low- and lower-middle-income countries. Methods Data for 91 countries were obtained from United Nations agencies. The response variable was life expectancy, and the determinant factors were demographic events (total fertility rate and adolescent fertility rate), socioeconomic status (mean years of schooling and gross national income per capita), and health factors (physician density and human immunodeficiency virus [HIV] prevalence rate). Path analysis was used to determine the direct, indirect, and total effects of these factors on life expectancy. Results All determinant factors were significantly correlated with life expectancy. Mean years of schooling, total fertility rate, and HIV prevalence rate had significant direct and indirect effects on life expectancy. The total effect of higher physician density was to increase life expectancy. Conclusions We identified several direct and indirect pathways that predict life expectancy. The findings suggest that policies should concentrate on improving reproductive decisions, increasing education, and reducing HIV transmission. In addition, special attention should be paid to the emerging need to increase life expectancy by increasing physician density.
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              Factors affecting the HIV/AIDS epidemic: an ecological analysis of global data.

              All over the world the prevalence of Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) has became a stumbling stone in progress of human civilization and is a huge concern for people worldwide.
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                Author and article information

                Journal
                Int J MCH AIDS
                Int J MCH AIDS
                International journal of MCH and AIDS
                Global Health and Education Projects, Inc (USA )
                2161-8674
                2161-864X
                2015
                : 4
                : 2
                : 32-39
                Affiliations
                [1 ]Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi 6205, Bangladesh
                [2 ]Department of Social Work, University of Rajshahi, Rajshahi 6205, Bangladesh
                [3 ]Department of Statistics, University of Rajshahi, Rajshahi 6205, Bangladesh
                [4 ]Department of Pharmacology and Therapeutics, Rajshahi Medical College, Rajshahi 6200, Bangladesh
                [5 ]Hobby Center for Public Policy, University of Houston, Houston, TX 77204-5021, USA
                [6 ]Population Council, Gulshan, Dhaka 1212, Bangladesh
                Author notes
                [* ]Corresponding author email: nazrulupm@ 123456gmail.com
                Article
                IJMA-4-32
                4948130
                Copyright: © 2015 Mondal et al.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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