Clinics in Mother and Child Health

Abstract

Magnitude of Substance Use and Associated Factors among Pregnant Women Attending Jimma Town Public Health Facilities, Jimma Zone, Oromia Regional State Southwest Ethiopia

Fekadu Yadassa Tesso, Lalisa Ayele Woldesemayat and Dagmawit Birhanu Kebede

Background: Alcohol, khat leaves and tobacco have long been recognized as one of the leading causes of human suffering and are major public health and socio-economic problems worldwide. There were no studies conducted to investigate the prevalence and associated factors of substance use among pregnant women in the study area.

Objective: To assess the magnitude of substance use and associated factors among pregnant women attending antenatal care in Jimma Town public health facilities, Southwest Ethiopia.

Methods: Facility based cross sectional study was conducted among pregnant women in Jimma town public health facilities from March 10 to April 10/2017. A systematic sampling technique was used to select a total of 296 study participants. Data was collected by interviewer administered pretested structured questionnaire. The collected data was cleaned, edited, coded and entered in to Epi data version 3.1 and exported to and analyzed using SPSS version 21 statistical package. Multivariate logistic regression model was fitted to assess the association between the independent and dependent variables. Adjusted Odds ratios calculated with 95% confidence intervals and at α=5% with significant level of P<0.05.

Results: Being able to read and write (AOR=0.091 95% CI: (0.014, 0.574)), gestational age of second trimester (AOR=3.325 95% CI: (1.298, 8.251)), being house wife (AOR=2.027, (0.249, 95% CI: 16.528)) and family history of substance use (AOR=0.122 95% CI: (0.066, 0.228)) were factors associated with substance use.

Conclusion and recommendation: The overall prevalence rate of substance use among the pregnant women in this study was high. Educational status, family history of substance use, occupational status and gestational age were found to be associated with substance use. Health care providers, district, zonal and regional health offices should design strategy targeting at reduction of substance use among pregnant women.