两种调查方法用于估计意外怀孕的比较,孟加拉国
Md Nuruzzaman Khan1, Shimlin Jahan Khanam1, Melissa L Harris2
1Department of Population Science, Jatiya Kabi Nazrul Islam University, Trishal-2204, Mymensingh, Bangladesh.
Bulletin of the World Health Organization
|July 29, 2024
概括
人口和健康调查 (DHS) 的测量可能低估了孟加拉国的意外怀孕率. 诸如年龄较大和更多的孩子等因素与DHS和伦敦计划外怀孕测量结果的差异有关.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 调查方法 调查方法
背景情况:
- 准确测量意外怀孕对于公共卫生规划至关重要.
- 像人口和健康调查 (DHS) 这样的现有措施可能在捕捉真实流行率方面存在局限性.
- 伦敦计划外怀孕指标提供了一个替代的评估工具.
研究的目的:
- 用孟加拉国DHS和伦敦测量来比较意外怀孕的发生率.
- 为了确定与这两种测量工具之间的差异相关的因素.
- 为孟加拉国计划生育计划的改进提供信息.
主要方法:
- 在孟加拉国四个地区对1200名分娩后妇女进行了横截面调查.
- 使用DHS和伦敦测量问题来评估怀孕意图.
- 多变量逻辑回归分析了与不一致反应相关的因素.
主要成果:
- 意外怀孕的发病率为24.3% (DHS) 和31.0% (伦敦测量).
- 措施之间的不一致率为27.1%.
- 与不一致性相关的因素包括母亲的年龄较大,婴儿的女性性别,更高的平等性,较低的社会经济地位,农村居住地和特定的地区.
结论:
- 国土安全部的措施可能低估了孟加拉国的意外怀孕.
- 意外怀孕的实际负担可能比目前公认的要高.
- 加强孟加拉国的计划生育计划是必不可少的.
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