Knowledge and Associated Factors of Pelvic Organ Prolapse among Women in Ebonyi State, Nigeria

Author(s): Anozie Okechukwu B, Nwafor Johnbosco I, Esike Chidi U, Ewah Richard L, Edegbe Felix O, Obuna Johnson A, Ukaegbe Chukwuemeka I

Introduction: Despite high prevalence of pelvic organ prolapse in low-resource settings and its negative effect on the quality of life of women affected by the condition, women in resource-constrained settings often have limited knowledge about the condition which limits their ability to seek medical treatment.

Aim: To assess the knowledge and associated factors of pelvic organ prolapse among women in Ebonyi State, Nigeria.

Materials and Methods: This was an interviewer-administered questionnaire-based cross-sectional study conducted among 302 women from 13th to 17th January, 2020 in Abakaliki, Ebonyi State. The participants were randomly selected and Pelvic organ prolapse knowledge questionnaire and incontinence knowledge questionnaire (PIKQ) was used to collect the data. SPSS version 22 was used for data processing and analysis. Descriptive statistics were calculated for most variables. Multivariable logistic regression was used to identify the associated factors. A variable was considered significant at p-value<0.05.

Results: A total of 302 women participated in this study with a mean age of 56.5 ± 9.8 years. Of these participants, 286 (94.7%) had awareness of pelvic organ prolapse and 47 (19.7%) had good knowledge of the condition. Age between 46 and 50 years (AOR = 7.165, 95%CI = 1.749 - 29.357, P = 0.006), occupation such as farming (AOR = 16.812, 95%CI = 9.749 - 55.620, P < 0.0001) and civil service (AOR = 18.691, 95%CI = 6.825 - 86.094, P < 0.0001), having primary education (AOR = 8.098, 95%CI = 7.773 - 8.907, P < 0.0001) or secondary education (AOR = 12.34, 95%CI = 1.654 - 6.342, P = 0.01) were associated with good knowledge of pelvic organ prolapse.

Conclusion: The level of knowledge regarding pelvic organ prolapse was low among study participants which indicates a

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