与卢旺达的产后计划生育使用相关的因素
Muzungu Hirwa Sylvain1, Rwema Valens2
1Centre of Excellence in Data Science, University of Rwanda, Kigali, Rwanda. sylvain.hirwa@yahoo.com.
Contraception and reproductive medicine
|January 3, 2024
概括
卢旺达的产后计划生育显示,随着时间的推移,现代避孕药的使用越来越多. 剖腹产,医疗保险和更多的5岁以下儿童与更高的使用量有关,而年龄较大和终止妊娠与更低的使用量有关.
科学领域:
- 生殖健康 生殖健康
- 人口统计学 人口统计学
- 公共卫生 公共卫生
背景情况:
- 产后计划生育对于母亲和新生儿的福祉至关重要.
- 卢旺达关于产后计划生育的证据有限.
- 这项研究调查了卢旺达在分娩后恢复/启动使用避孕药的情况.
研究的目的:
- 分析卢旺达妇女分娩后恢复或开始使用避孕方法的时间.
- 确定与卢旺达产后避孕药使用相关的因素.
主要方法:
- 利用了2020年卢旺达人口和健康调查 (RDHS) 的数据.
- 采用生存分析技术,包括卡普兰-梅尔和考克斯危险比例模型.
- 根据研究设计进行了调整,并使用缩放的舒恩菲尔德余数测试了考克斯模型假设.
主要成果:
- 包括5682名妇女;在产后两年,现代避孕药的使用率达到79%.
- 剖腹产,医疗保险,以及更多的五岁以下儿童增加了避孕药的使用.
- 较年长的孕产妇年龄,较高的理想家庭规模和先前的妊娠终止减少了使用;天主教妇女的使用率更高.
结论:
- 卢旺达的产后计划生育服务需要加强.
- 需要针对女性进行量身定制的干预措施,这些干预措施与低避孕吸收相关的因素有关.
- 政策制定者和临床医生应该专注于改善产后计划生育的获取和采用.
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