与埃塞俄比亚妇女使用现代避孕药相关的个人和社区层面因素:多层次建模分析分析
Hailay Gebrekidan1,2, Mussie Alemayehu2, Gurmesa Tura Debelew1
1Department of Population and Family Health, Institute of Health, Faculty of Public Health, Jimma University, Jimma, Ethiopia.
PloS one
|May 16, 2024
概括
在埃塞俄比亚,现代避孕药的使用率很低,只有37%的使用率. 个人因素,如教育和社区特点,如农业环境和高识字率,显著预测现代避孕药的普及.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 人口统计学 人口统计学
背景情况:
- 现代避孕药的使用对于预防意外怀孕,减少堕胎,改善母亲和儿童健康至关重要.
- 埃塞俄比亚面临着现代避孕药使用率低的挑战,原因是缺乏多层次因素分析.
研究的目的:
- 调查埃塞俄比亚在生育年龄妇女中使用现代避孕药的个人和社区水平预测因素.
主要方法:
- 分析了265个集群中的6117名妇女的横截面调查数据,使用两级混合效应物流回归模型进行分析.
- 统计分析包括描述性统计,混合效应建模,和变异的措施,如集群内相关性.
主要成果:
- 埃塞俄比亚现代避孕药的使用率为37.4%.
- 高等教育,与医疗保健提供者的讨论,农业集群,更高的社区素养,赋权妇女和支持性的社区规范与使用率的增加有关.
- 离婚/寡妇身份与使用率较低有关.
结论:
- 个人和社区因素都对埃塞俄比亚的现代避孕措施使用产生了重大影响.
- 干预措施应侧重于妇女赋权,社区对计划生育的支持,提高识字能力,并针对所有生育年龄的妇女.
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