个人,伴侣和社区变量与城市和农村的具体避孕方法相关的信念 肯尼亚
Caila Brander1, Kathryn Risher2, George Odwe3
1Research Division of Ibis Reproductive Health, Cambridge, MA, United States.
Contraception
|April 19, 2024
概括
伴侣和社区的负面态度增加了女性持有避孕健康信仰的可能性. 广泛解决这些问题对于支持避孕使用至关重要.
科学领域:
- 生殖健康 生殖健康
- 社会和行为科学 社会和行为科学
- 全球健康 全球健康
背景情况:
- 全球对避孕药物的需求仍然很高,但尚未得到满足.
- 避孕药的健康信仰作为使用障碍,但并未得到充分理解.
- 了解这些信仰对于改善获得和采用计划生育方法至关重要.
研究的目的:
- 在避孕药,注射剂和植入物之间检查两个与健康相关的信念 (不孕不育和严重的健康问题) 的定量差异.
- 识别与这些信仰相关的个人,关系和社区层面的因素.
主要方法:
- 在肯尼亚 (内罗毕和霍马湾) 的5081名15-39岁妇女的基线数据上进行了横截面研究.
- 后勤回归分析被用来识别与有关不孕不育和严重健康问题的方法特定信念相关的因素.
- 一个社会生态框架指导了潜在风险因素的识别.
主要成果:
- 大约25%的参与者认为避孕方法会导致严重的健康问题;更少的人认为避孕方法会导致不孕.
- 感知到合作伙伴的认可与持有对方法负面信念的可能性较低有关.
- 负面的社交网络体验和当前/过去的避孕药使用与特定的信念模式有关.
结论:
- 在肯尼亚,社区和合作伙伴的负面态度与个体层面的避孕健康信仰的增加有关.
- 干预措施应提供关于避孕健康和生育的全面信息,针对所有年龄段的伴侣和女性.
- 建议在常用的避孕方法中解决这些问题,以支持避孕药的使用.
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