Socio-demographic associations with pregnancy loss among Bakiga and Indigenous Batwa women in Southwestern Uganda

Kaitlin A. Patterson; Seungmi Yang; Jan Sargeant; Shuaib Lwasa; Lea Berrang-Ford; Charity Kesande; Batwa Communities; Sabastian Twesigomwe; Jane Anyango Rhoda; Julius Nkalubo; Sherilee L. Harper

doi:10.1016/j.srhc.2022.100700

Socio-demographic associations with pregnancy loss among Bakiga and Indigenous Batwa women in Southwestern Uganda

Kaitlin A. Patterson^*, Seungmi Yang, Jan Sargeant, Shuaib Lwasa, Lea Berrang-Ford, Charity Kesande, Batwa Communities, Sabastian Twesigomwe, Jane Anyango Rhoda, Julius Nkalubo, Sherilee L. Harper

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

2 Citations (Scopus)

Abstract

Objective: To assess the extent of pregnancy loss (i.e., miscarriage and/or stillbirth) and examine its association with socio-demographic characteristics among Bakiga and Indigenous Batwa women in Kanungu District, southwest Uganda. Methods: As part of a larger community-based, participatory project, a retrospective survey of maternal health histories was conducted in ten Batwa and ten Bakiga communities (n = 555 participants) collecting data on self-reported pregnancy loss (i.e., miscarriage and stillbirth) and socio-demographic characteristics. Socio-demographic associations with pregnancy loss (i.e., total miscarriages and stillbirths) were examined using multivariable Poisson and negative binomial regression. Results: Batwa women experienced pregnancy loss more commonly than Bakiga women did (149.8/1000 vs. 96.3/1000 pregnancies). In the final adjusted model for Batwa women, being in the middle (RR 1.92; CI: 1.21–3.07) and highest (RR 1.79; CI: 1.14–2.82) wealth tertiles (compared to lowest wealth tertile) and living in Community X (RR 4.33; CI 2.27–8.28) (compared to all other communities) were associated with increased pregnancy loss. For Bakiga women, the proportion of pregnancy loss was higher for those who reported drinking alcohol during pregnancy (RR: 1.54; CI: 1.04–2.13) and being food insecure (RR 1.39; CI: 1.02–1.91). Conclusion: The proportion of, and the socio-demographic associations with, pregnancy loss differed for Bakiga and Indigenous Batwa women. These differences underscore the importance of collecting Indigenous health data to understand not only the extent of, but also the varied contextual circumstances that are associated with pregnancy loss. This nuanced and stratified information is critical for planning meaningful health programming to reduce pregnancy loss for Indigenous women.

Original language	English
Article number	100700
Journal	Sexual and Reproductive Healthcare
Volume	32
DOIs	https://doi.org/10.1016/j.srhc.2022.100700
Publication status	Published - 1 Jun 2022
Externally published	Yes

Bibliographical note

Funding Information:
Funding was provided by a Frederick Banting Doctoral Graduate Scholarship (CIHR), an International Development Research Centre doctoral research award, and a University of Guelph Summerlee research grant awarded to Kaitlin Patterson. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Publisher Copyright:
© 2022 Elsevier B.V.

Research programs

ISS-GLSJ

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.srhc.2022.100700

Cite this

Patterson, K. A., Yang, S., Sargeant, J., Lwasa, S., Berrang-Ford, L., Kesande, C., Communities, B., Twesigomwe, S., Rhoda, J. A., Nkalubo, J., & Harper, S. L. (2022). Socio-demographic associations with pregnancy loss among Bakiga and Indigenous Batwa women in Southwestern Uganda. Sexual and Reproductive Healthcare, 32, Article 100700. https://doi.org/10.1016/j.srhc.2022.100700

@article{082d45ce70c2401b8091be84d4e84ac3,

title = "Socio-demographic associations with pregnancy loss among Bakiga and Indigenous Batwa women in Southwestern Uganda",

abstract = "Objective: To assess the extent of pregnancy loss (i.e., miscarriage and/or stillbirth) and examine its association with socio-demographic characteristics among Bakiga and Indigenous Batwa women in Kanungu District, southwest Uganda. Methods: As part of a larger community-based, participatory project, a retrospective survey of maternal health histories was conducted in ten Batwa and ten Bakiga communities (n = 555 participants) collecting data on self-reported pregnancy loss (i.e., miscarriage and stillbirth) and socio-demographic characteristics. Socio-demographic associations with pregnancy loss (i.e., total miscarriages and stillbirths) were examined using multivariable Poisson and negative binomial regression. Results: Batwa women experienced pregnancy loss more commonly than Bakiga women did (149.8/1000 vs. 96.3/1000 pregnancies). In the final adjusted model for Batwa women, being in the middle (RR 1.92; CI: 1.21–3.07) and highest (RR 1.79; CI: 1.14–2.82) wealth tertiles (compared to lowest wealth tertile) and living in Community X (RR 4.33; CI 2.27–8.28) (compared to all other communities) were associated with increased pregnancy loss. For Bakiga women, the proportion of pregnancy loss was higher for those who reported drinking alcohol during pregnancy (RR: 1.54; CI: 1.04–2.13) and being food insecure (RR 1.39; CI: 1.02–1.91). Conclusion: The proportion of, and the socio-demographic associations with, pregnancy loss differed for Bakiga and Indigenous Batwa women. These differences underscore the importance of collecting Indigenous health data to understand not only the extent of, but also the varied contextual circumstances that are associated with pregnancy loss. This nuanced and stratified information is critical for planning meaningful health programming to reduce pregnancy loss for Indigenous women.",

author = "Patterson, {Kaitlin A.} and Seungmi Yang and Jan Sargeant and Shuaib Lwasa and Lea Berrang-Ford and Charity Kesande and Batwa Communities and Sabastian Twesigomwe and Rhoda, {Jane Anyango} and Julius Nkalubo and Harper, {Sherilee L.}",

note = "Funding Information: Funding was provided by a Frederick Banting Doctoral Graduate Scholarship (CIHR), an International Development Research Centre doctoral research award, and a University of Guelph Summerlee research grant awarded to Kaitlin Patterson. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Publisher Copyright: {\textcopyright} 2022 Elsevier B.V.",

year = "2022",

month = jun,

day = "1",

doi = "10.1016/j.srhc.2022.100700",

language = "English",

volume = "32",

journal = "Sexual and Reproductive Healthcare",

issn = "1877-5756",

publisher = "Elsevier",

}

TY - JOUR

T1 - Socio-demographic associations with pregnancy loss among Bakiga and Indigenous Batwa women in Southwestern Uganda

AU - Patterson, Kaitlin A.

AU - Yang, Seungmi

AU - Sargeant, Jan

AU - Lwasa, Shuaib

AU - Berrang-Ford, Lea

AU - Kesande, Charity

AU - Communities, Batwa

AU - Twesigomwe, Sabastian

AU - Rhoda, Jane Anyango

AU - Nkalubo, Julius

AU - Harper, Sherilee L.

N1 - Funding Information: Funding was provided by a Frederick Banting Doctoral Graduate Scholarship (CIHR), an International Development Research Centre doctoral research award, and a University of Guelph Summerlee research grant awarded to Kaitlin Patterson. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Publisher Copyright: © 2022 Elsevier B.V.

PY - 2022/6/1

Y1 - 2022/6/1

N2 - Objective: To assess the extent of pregnancy loss (i.e., miscarriage and/or stillbirth) and examine its association with socio-demographic characteristics among Bakiga and Indigenous Batwa women in Kanungu District, southwest Uganda. Methods: As part of a larger community-based, participatory project, a retrospective survey of maternal health histories was conducted in ten Batwa and ten Bakiga communities (n = 555 participants) collecting data on self-reported pregnancy loss (i.e., miscarriage and stillbirth) and socio-demographic characteristics. Socio-demographic associations with pregnancy loss (i.e., total miscarriages and stillbirths) were examined using multivariable Poisson and negative binomial regression. Results: Batwa women experienced pregnancy loss more commonly than Bakiga women did (149.8/1000 vs. 96.3/1000 pregnancies). In the final adjusted model for Batwa women, being in the middle (RR 1.92; CI: 1.21–3.07) and highest (RR 1.79; CI: 1.14–2.82) wealth tertiles (compared to lowest wealth tertile) and living in Community X (RR 4.33; CI 2.27–8.28) (compared to all other communities) were associated with increased pregnancy loss. For Bakiga women, the proportion of pregnancy loss was higher for those who reported drinking alcohol during pregnancy (RR: 1.54; CI: 1.04–2.13) and being food insecure (RR 1.39; CI: 1.02–1.91). Conclusion: The proportion of, and the socio-demographic associations with, pregnancy loss differed for Bakiga and Indigenous Batwa women. These differences underscore the importance of collecting Indigenous health data to understand not only the extent of, but also the varied contextual circumstances that are associated with pregnancy loss. This nuanced and stratified information is critical for planning meaningful health programming to reduce pregnancy loss for Indigenous women.

AB - Objective: To assess the extent of pregnancy loss (i.e., miscarriage and/or stillbirth) and examine its association with socio-demographic characteristics among Bakiga and Indigenous Batwa women in Kanungu District, southwest Uganda. Methods: As part of a larger community-based, participatory project, a retrospective survey of maternal health histories was conducted in ten Batwa and ten Bakiga communities (n = 555 participants) collecting data on self-reported pregnancy loss (i.e., miscarriage and stillbirth) and socio-demographic characteristics. Socio-demographic associations with pregnancy loss (i.e., total miscarriages and stillbirths) were examined using multivariable Poisson and negative binomial regression. Results: Batwa women experienced pregnancy loss more commonly than Bakiga women did (149.8/1000 vs. 96.3/1000 pregnancies). In the final adjusted model for Batwa women, being in the middle (RR 1.92; CI: 1.21–3.07) and highest (RR 1.79; CI: 1.14–2.82) wealth tertiles (compared to lowest wealth tertile) and living in Community X (RR 4.33; CI 2.27–8.28) (compared to all other communities) were associated with increased pregnancy loss. For Bakiga women, the proportion of pregnancy loss was higher for those who reported drinking alcohol during pregnancy (RR: 1.54; CI: 1.04–2.13) and being food insecure (RR 1.39; CI: 1.02–1.91). Conclusion: The proportion of, and the socio-demographic associations with, pregnancy loss differed for Bakiga and Indigenous Batwa women. These differences underscore the importance of collecting Indigenous health data to understand not only the extent of, but also the varied contextual circumstances that are associated with pregnancy loss. This nuanced and stratified information is critical for planning meaningful health programming to reduce pregnancy loss for Indigenous women.

UR - http://www.scopus.com/inward/record.url?scp=85125135102&partnerID=8YFLogxK

U2 - 10.1016/j.srhc.2022.100700

DO - 10.1016/j.srhc.2022.100700

M3 - Article

C2 - 35220104

AN - SCOPUS:85125135102

SN - 1877-5756

VL - 32

JO - Sexual and Reproductive Healthcare

JF - Sexual and Reproductive Healthcare

M1 - 100700

ER -

Socio-demographic associations with pregnancy loss among Bakiga and Indigenous Batwa women in Southwestern Uganda

Abstract

Bibliographical note

Research programs

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this