尼泊尔妇女在堕胎后使用避孕药:从纵向队列研究中得出的结果
Sunita Karki1, Mahesh C Puri2, Anupama Ale Magar2
1Center for Research On Environment, Health and Population Activities (CREHPA), Kusunti, Lalitpur, P.O. Box 9626, Kathmandu, Nepal. sunita@crehpa.org.np.
Reproductive health
|December 24, 2024
概括
在尼泊尔,超过一半的妇女在堕胎后使用现代避孕措施. 避孕药的使用在三年内没有显著增加,突出显示了持续的服务缺口.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 妇科 妇科医生 妇科
背景情况:
- 尼泊尔政府的目标是将避孕服务与堕胎护理相结合.
- 尽管有国家战略,但在堕胎后的避孕服务中仍然存在重大差距.
- 了解堕胎后的避孕措施使用对于生殖健康结果至关重要.
研究的目的:
- 评估尼泊尔妇女在堕胎后使用避孕药的情况.
- 在36个月内分析现代避孕药的使用趋势.
- 确定影响堕胎后继续使用避孕药的因素.
主要方法:
- 一项队列研究涉及1831名尼泊尔寻求堕胎的妇女.
- 通过36个月的8次采访 (2019年4月 - 2023年12月) 收集的数据.
- 使用双变量和多变量分析来检查数据.
主要成果:
- 59%的妇女在堕胎后使用现代避孕药;注射剂是最常见的.
- 想要多个孩子的妇女中断避孕药的比例更高 (aHR 0.62).
- 识字 (aHR -0.15) 和拥有现有的孩子 (aHR -0.30) 与更高的继续率有关.
结论:
- 略超过一半的妇女在堕胎后使用现代避孕措施.
- 在为期三年的研究期间,使用现代避孕药的百分比没有显著上升.
- 调查结果表明,尼泊尔在持续的堕胎后避孕护理方面存在持续的挑战.
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