空间分布和与加纳妇女未满足避孕需求相关的因素
Yaw Marfo Okyere1, Richard Gyan Aboagye2, Ebenezer N K Boateng3
1School of Nursing and Midwifery, University of Cape Coast, Cape Coast, Ghana.
Reproductive health
|March 5, 2025
概括
不满足的避孕需求影响了加纳26.7%的妇女,区域差异很大. 针对热点地区的有针对性的干预措施和赋予妇女权力对于改善生殖健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 空间流行病学 空间流行病学
背景情况:
- 未满足的避孕需求是撒哈拉以南非洲的一个关键公共卫生问题,影响超过20%的妇女.
- 本研究探讨了加纳妇女对避孕措施未满足需求的空间分布和相关因素.
研究的目的:
- 评估加纳未满足避孕需求的空间模式.
- 确定与未得到满足的避孕需求相关的个人和区域因素.
主要方法:
- 利用了2022年加纳人口与健康调查的数据,其中包括7762名16-49岁的已婚或同居的妇女.
- 采用多层回归分析和空间分析 (Getis-Ord G热点,集群和异常值) 来检查未满足的避孕需求.
- 结果以调整的赔率比率 (AOR) 和95%的置信区间 (CI) 呈现.
主要成果:
- 总体而言,未满足的避孕需求为26.7%,热点地区位于加纳北部.
- 与较低的未满足需求相关的因素包括年龄较大 (35-39岁),就业和接触计划生育信息.
- 更高的未满足需求与同居状态,由女性领导的家庭,更高的平价以及在大阿克拉,沃尔塔,东部和博诺东部地区的居住有关.
结论:
- 在加纳,在未满足的避孕需求方面存在显著的区域和地区层面的差异.
- 改善获得避孕药的机会至关重要,尤其是在北部热点地区.
- 有针对性的干预措施,通过就业赋予妇女权力,促进共享决策,可以减少未满足的需求,改善生殖健康.
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