Abstract:
Introduction: Abnormal uterine bleeding is the most common compliant among reproductive age
women. The prevalence of abnormal uterine bleeding varies significantly from country to country.
It seriously affects women's quality of life, productivity, and ability to engage in social and
professional interactions. However, data on abnormal uterine bleeding in Ethiopia are limited and
also the factor that affecting abnormal uterine bleeding are inconsistent.
Objective: -This study aimed to assess the prevalence of abnormal uterine bleeding and associated
factors among reproductive-age women in Woldia town, North-Wollo, Ethiopia, 2023.
Methods: Community-based cross-sectional study design was employed from April 1 to April 15
/2023. One thousand two hundred thirty-two (1232) women were selected by using simple random
sampling technique (computer generator random number). Data was collected by using pre-tested
structured interviewer-administered questionnaire. The collected data was checked for its
completeness and coded, then entered into EPI data version 4.6 and exported to SPSS version 26
for analysis. Bi-variable and multivariable binary logistic regression were used to identify an
association between the outcome and predictor variables.
Result; - A total of 1200 women participated in the present study with a response rate of 97.4%.
Out of the total study participants 36.5% 95% CI (33.8-39.3) participants had abnormal uterine
bleeding. The most prevalent patterns were heavy menstrual bleeding (20%). Multi-variable
logistic regression analysis revealed that late reproductive age (AOR=4.11, 95% CI: (2.99-5.63),
regular smoker (AOR=1.78, 95% CI: (1.04-3.05), hypertension (AOR=2.25, 95%CI (1.13-4.47)
and had high stress (AOR=4.69, 95% CI: (3.57-6.19) were statistically significant associations
with abnormal uterine bleeding.
Conclusion & recommendation:
The findings of this study suggested that advanced age, high blood pressure, regular cigarette
smoking, and high levels of stress all contributed to abnormal uterine bleeding. Women should
change their lifestyles to lower their blood pressure, feel less stressed, and stop smoking in order
to control abnormal uterine bleeding. Women in their late reproductive years should also
receive additional therapies, examinations, and counseling.
Keywords: Abnormal uterine bleeding, Reproductive age, Woldia, Ethiopia.
