ArticleBMJ open2020
Factors associated with the awareness of vaginal fistula among women of reproductive age: findings from the 2018 Nigerian demographic health cross-sectional survey.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 18 citations in OpenAlex.
- Knowledge of obstetric fistulas and associated factors among women of reproductive age in Ethiopia: Systematic review and meta-analysis.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Review
- Knowledge of Obstetric Fistula and Its Associated Factors Among Women of Childbearing Age in Buno Bedele Zone, Southwest Ethiopia: A Cross-Sectional Study.Health science reports · 2025Article
- Knowledge of obstetrical fistula and its associated factors among reproductive-age women in Ejere Woreda, West Shewa Zone, Oromia Region, Ethiopia: a community-based study.Frontiers in global women's health · 2025Article
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- Women's knowledge of symptoms of obstetric fistula, experiences, and associated factors in Sierra Leone.PloS one · 2024Article
- Article
- Systematic review and meta-analysis of women's awareness of obstetric fistula and its determinants in Ethiopia.Frontiers in global women's health · 2023Review
- Article
- Prevalence and factors associated with the awareness of obstetric fistula among women of reproductive age in The Gambia: a multilevel fixed effects analysis.BMC public health · 2022Article
- Awareness of obstetric fistula and its associated factors among women of reproductive age in sub-Saharan Africa.Tropical medicine and health · 2022Article
- Article
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8 authors at 3 institutions in 3 countries.
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Abstract
introductionInvoluntary leakage of urine and or stool per vaginam (vaginal fistula) after childbirth remains a public health challenge in Africa and South East Asia. To the best of our knowledge, there is no previous national data that examined the awareness of vaginal fistula among women in Nigeria.
aimTo determine the prevalence of awareness of urinary/faecal incontinence due to vaginal fistula, and the associated risk factors among women with no previous experience of incontinence.
methodsWe used a cross-sectional study, the 2018 Nigerian Demographic Health Survey, to analyse awareness of vaginal fistula among women with no previous leakage of urine or stool. The primary outcome was childbirth experience, and other variables were demographics, access to information and reproductive or sexual history. The descriptive, univariate and multivariable models were presented.
resultsOf 26 585 women interviewed, 50 (0.2%) who had experienced fistula were excluded from the risk factor analysis. The mean age of women with childbirth experience was 32.8±8.6 years, while that of women without childbirth experience was 20.3±6.2 years. The prevalence of vaginal fistula awareness was 52.0%. Factors associated with the awareness include the following: childbirth experience (adjusted OR (AOR)=1.14; 95% CI, 1.01 to 1.30); age of 20-24 years (AOR=1.36; 95% CI, 1.18 to 1.56) and older; currently working (AOR=1.35; 95% CI, 1.22 to 1.49) and ownership of a mobile phone (AOR=1.16; 95% CI, 1.05 to 1.27). Other associated factors include the following: having at least secondary education; wealth quintiles, ethnicity, regional location, religion, access to radio, newspaper and internet; age up to 17 years at first sex; history of previous termination of pregnancy and use of contraception.
conclusionA significant number of young women with no childbirth experience had low level of awareness. We recommend vaginal fistula awareness programmes that will target women at risk of vaginal fistula and the inclusion of other useful questions to improve the quality of information in future surveys.
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