在塞内加尔的生育年龄妇女中使用现代避孕方法:多层次混合效应分析
Hiwot Tezera Endale1, Habtu Kifle Negash2,3, Winta Tesfaye4
1Department of Medical Biochemistry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
PloS one
|May 20, 2025
概括
在塞内加尔,现代避孕药的使用率很低,受年龄,教育和医疗保健等因素的影响. 农村妇女和特定地区的妇女面临重大障碍,需要有针对性的干预措施来改善计划生育.
科学领域:
- 人口统计学 人口统计学
- 公共卫生 公共卫生
- 生殖健康 生殖健康
背景情况:
- 在包括塞内加尔在内的低收入和中等收入国家,尽管生育率高,但现代避孕药的使用率很低.
- 关于影响塞内加尔妇女采用现代避孕措施的因素的研究有限.
研究的目的:
- 确定在塞内加尔的生育年龄妇女中使用现代避孕药的关键决定因素.
主要方法:
- 分析了2023年塞内加尔人口和健康调查数据 (n=8,833名女性).
- 利用多层次的后勤回归模型来识别与现代避孕药使用相关的因素.
- 报告的经调整的几率比率 (AORs) 具有95%的置信区间 (CI),统计学显著性设置为p < 0.05.
主要成果:
- 在生育年龄的妇女中,现代避孕药的使用率为32.16%.
- 与使用积极相关的因素包括年龄较大,中学教育,就业,未决定/不想要更多的孩子,晚年第一次性行为/出生,现场工作者访问,医疗机构访问,媒体曝光和更高的收入.
- 在农村地区和特定地区 (Ziguinchor, Diourbel, Tambacounda, Louga, Matam, Kédougou, Sédhiou) 观察到使用可能性较低.
结论:
- 年龄,教育,就业,媒体曝光和获得医疗保健是塞内加尔现代避孕使用的关键决定因素.
- 农村妇女和某些地区的妇女在获得和使用避孕措施方面遇到障碍.
- 在服务不足的地区进行有针对性的干预对于提高计划生育和生殖健康结果至关重要.
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