乌干达的移民,艾滋病毒和计划生育之间的交叉点:基于人口的横截面研究
medRxiv : the preprint server for health sciences
|August 23, 2023
概括
在乌干达农村地区,未得到满足的避孕需求很高. 最近的女性移民,尤其是艾滋病毒感染者,对避孕药的需求增加,突出了关键的公共卫生问题.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 低使用现代避孕药与艾滋病毒和移民有关.
- 很少有研究研究了移民和艾滋病毒感染状况对避孕措施使用的综合影响.
研究的目的:
- 评估最近迁移和艾滋病毒血清状况对现代避孕药的未满足需求的交叉.
- 确定与乌干达农村人口中无法满足的避孕需求相关的因素.
主要方法:
- 在Rakai社区队列研究 (2011-2013) 中,对3417名15至49岁的性活跃女性进行了横截面分析.
- 确定了最近的移民和艾滋病毒感染者的参与者.
- 使用波桑回归来评估移民,艾滋病毒状况和未满足的避孕需求之间的关联.
主要成果:
- 总体而言,43.9%的参与者有未满足的避孕需求.
- 与长期居民相比,最近的移民有更高的未满足需求 (adjPRR=1.14) .
- 艾滋病毒感染者生活与较低的未满足需求相关 (adjPRR=0.80).
- 在艾滋病毒感染者中观察到最大的未满足需求 (48.7%),尽管相互作用并不显著.
结论:
- 乌干达农村地区对现代避孕药的未满足需求是相当大的.
- 最近的移民,特别是在艾滋病毒感染妇女中,与未满足的避孕需求增加有关.
- 需要针对移民群体进行有针对性的干预,特别是那些感染艾滋病毒的人群.
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