孟加拉国不使用现代避孕方法及其预测因素的空间变化
Md Nuruzzaman Khan1,2, Melissa L Harris3
1Department of Population Science, Jatiya Kabi Nazrul Islam University, Trishal, Mymensingh, Bangladesh. sumonrupop@gmail.com.
Scientific reports
|August 24, 2023
概括
在孟加拉国,近43%的妇女不使用现代避孕措施,区域差异很大. 低教育水平和贫困是导致这种差距的关键因素.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 空间流行病学 空间流行病学
背景情况:
- 现代避孕药的使用对于生殖健康和计划生育至关重要.
- 了解非使用的空间变化对于孟加拉国有针对性的干预措施至关重要.
研究的目的:
- 调查孟加拉国现代避孕药不使用的空间变化.
- 确定与这种非使用相关的个人,家庭和社区层面的因素.
- 为促进避孕药的采用提供特定区域政策的信息.
主要方法:
- 利用了来自2017/18年孟加拉国人口和健康调查的16135名妇女的数据.
- 采用莫兰的I和Gettis-Ord Gi*统计来评估空间自相关性.
- 在集群层面应用地理加权回归来探索特定位置的风险因素.
主要成果:
- 42.8%的女性报告说没有使用现代避孕,地理差异很大 (p < 0.001).
- 在Sylhet,Barishal和Chattogram部门观察到高非使用率的热点.
- 低使用率的冷点集中在Rangpur,Mymensingh和Rajshahi部门.
- 低教育水平 (妇女和伴侣),社区文盲和贫困是显著的风险因素,在不同地点产生不同的影响.
结论:
- 在孟加拉国现代避孕药不使用方面存在显著的空间异质性.
- 需要有针对性的,特定区域的战略来解决影响避孕药的复杂因素.
- 干预措施应考虑教育成就,社区识字能力和贫困水平,以实现有效的计划生育计划.
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