尼日利亚产后避孕使用的决定因素
Obinna Princewill Anyatonwu1, Kelechi Amy Nwoku1, Håkan Jonsson1
1Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden.
Frontiers in global women's health
|December 27, 2023
概括
在尼日利亚,产后避孕药的使用率为27%. 诸如对排卵的了解,居住在城市南部,没有距离障碍的医疗保健等因素增加了使用率,而区域差异和共同决策减少了使用率.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 产后避孕对母亲和儿童的福祉至关重要,减少婴儿死亡风险.
- 健康信念模型 (HBM) 提供了一个理解健康行为,包括避孕选择的框架.
- 了解影响尼日利亚产后避孕使用的因素对于有针对性的干预至关重要.
研究的目的:
- 调查影响尼日利亚产后避孕使用的因素.
- 应用健康信念模型 (HBM) 来将产后避孕药使用的发现置于背景.
- 确定尼日利亚产后避孕药的人口和社会经济决定因素.
主要方法:
- 尼日利亚人口健康调查 (NDHS) 的横截面数据的二次分析.
- 包括28,041名妇女,分析自我报告的产后避孕药使用情况.
- 多变量逻辑回归用于识别影响因素,由HBM指导.
主要成果:
- 在尼日利亚,产后避孕药的使用率为27%.
- 使用率增加与排卵的知识,城市南部居住,接近医疗保健和年龄相关 (25-49).
- 教育,财富,婚姻状况与使用正相关;东北/西北地区和共享决策的几率较低.
结论:
- 需要针对特定地区和特定年龄的干预措施来促进尼日利亚的避孕措施使用.
- 建议提高年轻的弱势妇女的获取和负担能力.
- 促进妇女在医疗保健决策中的自主权可以改善产后避孕药的使用率.
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