Mathieu Maheu?Giroux|Véronique Filippi|Nathalie Maulet|Sékou Samadoulougou|Márcia C. Castro|Nicolas Méda|Mariève Pouliot|Fati Kirakoya?Samadoulougou
Risk factors for vaginal fistula symptoms in Sub-Saharan Africa: a pooled analysis of national household survey data
Imperial College London|St Mary's Hospital|London School of Hygiene & Tropical Medicine|UCLouvain|UCLouvain|Harvard Global Health Institute|Centre Muraz|University of Copenhagen|UCLouvain
vaginal fistula vf one severe maternal morbidities immediate consequence chronic urinary andor fecal incontinence epidemiological evidence regarding risk factors vf dominated facilitybased studies aim estimate effect size selected risk factors vf using populationbased survey data pooled available demographic health surveys multiple indicators cluster surveys carried subsaharan africa collected information vf symptoms bayesian matched logistic regression models accounted imperfect sensitivity specificity selfreports vf symptoms used effect size estimation 27 surveys pooled including responses 332889 women able read decreased odds vf 13 95 credible intervals cri 1 23 higher odds vf symptoms observed women short stature 150 cm odds ratio 131 95 cri 102168 experienced intimate partner sexual violence 213 95 cri 160286 reported sexual debut age 14 141 95 cri 116171 reported first birth age 14 139 95 cri 104182 effect postprimary education female genital mutilation problems obtaining permission seek health care statistically significant increasing literacy delaying age first sexbirth preventing sexual violence could contribute elimination obstetric fistula concomitant improvements access quality sexual reproductive healthcare however required end fistula subsaharan africa