BACKGROUND Despite the remarkable reduction of maternal mortality, unsafe and untimely menstrual regulation (MR) remains a major maternal health problem in Bangladesh. This study aimed to determine the prevalence and identify determinants of MR among ever-married women in Bangladesh. METHODS Data for this study have been extracted from Bangladesh Demographic and Health Survey (BDHS) 2014. The survey followed a two-stage stratified sampling procedure and the study used a sub-sample of 8084 ever-married women aged 15 to 49 years extracted from survey sample of 17,863. Univariate and multivariate mixed-effect logistic regression analyses were used to identify risk factors for MR accounting for potential between-clusters variations. RESULTS The weighted prevalence of MR was 12.3% (95% CI: 11.1-13.4%) among (991/8084) ever-married women. Women were less likely to have MR if they were from Chittagong (AOR 0.74, 95% CI: 0.57-0.96; p = 0.026) and Sylhet (AOR 0.53, 95% CI: 0.36-0.77; p = 0.001) divisions. Women were more likely to have MR if they were from high (AOR 1.47, 95% CI: 1.18-1.83; p = 0.001) and the highest (AOR 1.62, 95% CI: 1.27-2.05; p < 0.001) socioeconomic status (SES) group; being employed (AOR 1.35, 95% CI: 1.16-1.56; p < 0.001), having one or two children (AOR 1.73, 95% CI: 1.24-2.40: p = 0.001) and ≥ 3 children (AOR 2.56, 95% CI: 1.82-3.58; p < 0.001), and having membership of non-government organization (NGO) (AOR 1.18, 95% CI: 1.02-1.38; p = 0.030). CONCLUSION MR is prevalent among Bangladeshi women and independently associated with geographic location, SES, parity, employment and NGO membership status. Health policy should prioritize in reducing spatial and socioeconomic inequalities in relation to MR services by ensuring accessibility and availability of MR services, especially in suburban divisions. Furthermore, abortion should be legalized in Bangladesh that will ultimately reduce the morbidity and mortality associated with unsafe abortion.

中文翻译：

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孟加拉国已婚妇女月经调节的患病率和决定因素：来自全国调查的证据。

背景尽管孕产妇死亡率显着降低，但不安全和不及时的月经调节（MR）仍然是孟加拉国的一个主要孕产妇健康问题。本研究旨在确定孟加拉国已婚女性中 MR 的患病率并确定其决定因素。方法 本研究的数据取自 2014 年孟加拉国人口与健康调查 (BDHS)。该调查采用两阶段分层抽样程序，并使用了 8084 名年龄在 15 至 49 岁的已婚女性的子样本调查样本为 17,863 人。使用单变量和多变量混合效应逻辑回归分析来确定 MR 的风险因素，以解释潜在的簇间差异。结果 (991/8084) 已婚女性中 MR 的加权患病率为 12.3% (95% CI: 11.1-13.4%)。来自吉大港（AOR 0.74，95% CI：0.57-0.96；p = 0.026）和锡尔赫特（AOR 0.53，95% CI：0.36-0.77；p = 0.001）区的女性患 MR 的可能性较小。如果女性社会经济地位处于较高（AOR 1.47，95% CI：1.18-1.83；p = 0.001）和最高（AOR 1.62，95% CI：1.27-2.05；p < 0.001），则女性更有可能患有 MR（ SES）​​组；正在工作（AOR 1.35，95% CI：1.16-1.56；p < 0.001），有 1 或 2 个孩子（AOR 1.73，95% CI：1.24-2.40：p = 0.001）和 ≥ 3 个孩子（AOR 2.56，95%） CI：1.82-3.58；p < 0.001），并且是非政府组织 (NGO) 成员（AOR 1.18，95% CI：1.02-1.38；p = 0.030）。结论 MR 在孟加拉国女性中普遍存在，并且与地理位置、社会经济地位、平等、就业和非政府组织成员身份独立相关。卫生政策应优先考虑通过确保 MR 服务的可及性和可用性，减少与 MR 服务相关的空间和社会经济不平等，特别是在郊区。此外，堕胎应在孟加拉国合法化，这将最终降低与不安全堕胎相关的发病率和死亡率。