加纳生育年龄妇女使用现代避孕药:一个多层混合效应物流回归模型
Begetayinoral Kussia Lahole1, Debora Banga2, Kusse Urmale Mare3
1Department of Midwifery, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia. begetakussia92@gmail.com.
Contraception and reproductive medicine
|September 28, 2024
概括
加纳的现代避孕方法使用率很低,只有26.36%的生育年龄妇女使用这些方法. 教育和婚姻状况等因素增加了使用率,而年龄和地区差异减少了使用率,强调了有针对性的计划生育干预措施的需要.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 人口统计学 人口统计学
背景情况:
- 性和生殖健康是生殖年龄妇女的全球公共卫生重点.
- 现代避孕方法对于调节生育,减少意外怀孕和改善母亲健康结果至关重要.
- 目前对影响加纳现代避孕措施采用因素的有限数据使得这项研究成为必要.
研究的目的:
- 调查加纳在生育年龄的妇女中使用现代避孕药的决定因素.
- 确定与现代避孕药的使用增加和减少相关的因素.
主要方法:
- 来自2022年加纳人口与健康调查的数据分析,涉及6839名女性的加权样本.
- 应用一个多层次的逻辑回归模型来识别与现代避孕药使用相关的因素.
- 使用调整的赔率比率 (AOR) 和95%置信区间 (CI) 评估关联,统计显著性设置为p < 0.05.
主要成果:
- 在加纳的生育年龄妇女中,现代避孕药的整体使用率为26.36%.
- 与现代避孕药使用积极相关的因素包括中等教育,较差的家庭地位,以及已婚,同居,离婚或分居.
- 与现代避孕药使用负面相关的因素包括年龄较大的年龄组 (35-49岁),妊娠流产史和居住在特定地区 (大阿克拉,博诺东部,北部,萨凡纳,东北部).
结论:
- 加纳现代避孕药的使用率较低,受社会经济和人口因素的影响.
- 学历,社会经济地位和婚姻状况是增加避孕药的关键驱动因素.
- 年龄和地区差异对现代避孕药的使用构成重大障碍,强调需要量身定制的干预措施.
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