在赞比亚,影响已婚/有伴侣的妇女决定使用避孕的因素
Chilochibi Chiziba1, Mwimba Chewe1, Peter Hangoma1,2,3
1Department of Health Policy and Management, School of Public Health, University of Zambia, Lusaka, Zambia.
Frontiers in global women's health
|March 7, 2024
概括
在赞比亚,虽然避孕药的使用正在增加,但许多妇女缺乏决策权. 赋予妇女在家庭选择中的权力是增加避孕使用和满足生殖健康需求的关键.
科学领域:
- 生殖健康 生殖健康
- 人口统计学 人口统计学
- 社会学 社会学 社会学
背景情况:
- 赞比亚显示,已婚妇女在过去三十年中使用避孕药的比例在增加.
- 尽管有这种趋势,但未满足的避孕需求仍然很高,影响了20%的生育年龄妇女.
- 影响避孕决策的超出可用性的因素需要进行调查.
研究的目的:
- 分析影响妇女决定是否使用避孕措施的能力因素在赞比亚.
- 确定避孕决定权的社会经济和人口因素.
- 为改善避孕药的使用和生殖自主性的干预提供信息.
主要方法:
- 赞比亚人口和健康调查 (DHSs) 数据的2013/2014年和2018年的物流回归分析.
- 分析包括了8,335名已婚或有伴侣的生育年龄妇女.
- 调整的几率比率的估计和对避孕决定的预测概率.
主要成果:
- 只有13.7%的女性认为丈夫是避孕的唯一决策者,86.3%的女性决定或参与决策.
- 与未受过教育的妇女相比,有初级/中等教育的妇女决定避孕的可能性较低.
- 对家庭决策的贡献和使用障碍方法 (如避孕套) 与更大的决策权力有关.
结论:
- 较低的家庭决策权显著阻碍了妇女决定使用避孕措施的能力.
- 干预措施应优先考虑具有有限决策权的妇女,以增加避孕药的使用.
- 需要进一步的研究来了解教育和特定的避孕方法在决策中的作用.
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