Cognitive impairment and the associated factors among women with a history of pregnancy complications in rural southwestern Uganda

dc.contributor.authorKihumuro, Raymond Bernard
dc.contributor.authorPeace, Kellen
dc.contributor.authorChun, Sarah
dc.contributor.authorWakida, Edith K.
dc.contributor.authorObua, Celestino
dc.contributor.authorAinamani, Herbert E
dc.date.accessioned2023-11-23T08:54:35Z
dc.date.available2023-11-23T08:54:35Z
dc.date.issued2023-10-30
dc.descriptionCognitive impairment and the associated factors among women with a history of pregnancy complications in rural southwestern Ugandaen_US
dc.description.abstractBackground Worldwide, there is a growing concern about the rising number of people with declining cog nitive functioning. However, findings on this phenomenon are inconclusive. Our study aimed to assess the prevalence of cognitive impairment and the associated factors in women with a history of pregnancy complications in rural southwestern Uganda. Methods This was a cross-sectional study carried out among women above 40 years of age in the greater Kabale district of southwestern Uganda between March and April 2022. Study par ticipants were identified using a consecutive sampling method. Predictor variables included pregnancy complications and other social demographic factors that were assessed by semi structured interviews while cognitive functioning as an outcome variable was assessed by Montreal Cognitive Assessment (MoCA-B) tool. Data were analyzed using STATA at a 95% Confidence level. Logistic regression analyses were selected for statistical modelling while odds ratios were calculated to assess the strength of associations between the predictor and outcome variables.Results In total, 75% (212/280) of participants had some form of cognitive impairment, with 45% (123/280) falling into mild CI, 31% (86/280) moderate CI and 4% (10/280) severe CI. Twenty-three percent (68/280) of participants fell into category of normal cognitive function ing. Participants with >65 years of age had higher odds of developing cognitive impairment (OR = 2.94; 95%CI: 0.96–9.04, p = 0.06) than those with < 65 years of age. Protective factors to cognitive impairment include delivering from a health facility (OR = 0.31,95% CI:0.16–0.60, p = < .001), primary and post primary levels of education (OR = 0.05; 95% CI: 0.02–0.13, p<0.001, OR = 0.04; 95%CI: 0.02–0.23, p<0.001) respectively. Conclusion Results from this study show a high prevalence of cognitive impairment among women with a history of pregnancy complications in rural southwestern Uganda. Interventions geared toward preventing cognitive impairment among females with a history of pregnancy compli cations should be emphasized.en_US
dc.description.sponsorshipFogarty International Center [U.S Department of State’s Office of the U.S. Global AIDS coordinator and Health Diplomacy (S/GAC) and the president’s Emergency plan for AIDS relief (PEPFAR)] of the National Institutes of Health Under Award Number R25TW011210 Given to Prof Celecitino Obua.The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscripten_US
dc.identifier.citationhttps://doi.org/10.1371/journal.pone.0293258en_US
dc.identifier.urihttps://ir.bsu.ac.ug//handle/20.500.12284/599
dc.language.isoen_USen_US
dc.publisherPLOS ONEen_US
dc.titleCognitive impairment and the associated factors among women with a history of pregnancy complications in rural southwestern Ugandaen_US
dc.typeArticleen_US

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