导致赞比亚青少年女孩使用避孕措施变化的因素:分解分析
Mumbi Chola1,2, Khumbulani Hlongwana1,3, Themba G Ginindza1,3
1Department of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu Natal, South Africa.
Journal of public health in Africa
|November 13, 2023
概括
赞比亚的青少年使用避孕药在1996年至2014年间略有增加,主要是由于人口行为的变化,如年龄和伙伴关系状况. 有针对性的干预措施对于改善年轻人获取和吸收至关重要.
科学领域:
- 人口统计学 人口统计学
- 公共卫生 公共卫生
- 生殖健康 生殖健康
背景情况:
- 青少年使用避孕药在低收入和中等收入国家很低,尽管已知的好处.
- 了解影响青少年使用避孕药的因素对于公共卫生倡议至关重要.
研究的目的:
- 分析1996年至2014年在赞比亚的青少年女孩 (15-19岁) 中使用避孕药的变化.
- 确定和量化导致避孕药使用变化的关键决定因素.
主要方法:
- 利用了1996年和2013/14年的赞比亚人口与健康调查数据.
- 采用多变量分解分析来评估影响避孕药使用变化的因素.
- 分析了来自9,072名青少年女孩的样本数据.
主要成果:
- 青少年女孩的整体避孕药使用率在1996年至2013/14年间从7.6%增加到10.6%.
- 人口行为的变化,特别是年龄和伴侣关系状况,是增加避孕药使用的主要驱动因素.
- 婚姻/同居 (44%) 和农村居住 (20%) 显著导致观察到的变化.
结论:
- 在赞比亚促进青少年使用避孕措施的干预措施必须考虑年龄,居住地和教育因素.
- 行为变化是增加年轻女性现代避孕药的关键.
- 需要量身定制的策略来满足青少年女孩在避孕方面的多样化需求.
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