Understanding the link between urban household food insecurity and contraceptive use among reproductive-age women in Lideta Sub-City, Addis Ababa, Ethiopia

Q3 Medicine
Ephrem Tadesse Goda, Terefe Degefa Boshera, Mengistu Ketema Aredo
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Abstract

Introduction: The enhancement of reproductive health in women can result in an improvement of children’s nutritional status resulting in improvement of reproductive health. This association is important for sustainable population growth without overusing resources. This study aims to examine the relationship between household food insecurity and contraceptive use.Method: A study was conducted on 651 reproductive-age women in three randomly selected Woredas (districts), Lideta Sub-city from February to March 2023. Six Ketenas (villages) were selected using a probability proportional to size technique from three Woredas. Data were collected through a validated survey by trained individuals, and household income and expenditure were used to measure food insecurity access. The Pearson chi-square test (c2) and logistic regression were used to examine the relationship between household food insecurity and contraceptive use, considering other covariates.Result: Modern contraception usage was at 50.5% in the study area. Women with food insecurity had only a 32.0% usage rate, while those who were food secure had the higher rate of 68.7%. Women in food-insecure households had a 76.5% lower chance of using modern contraception. Positive attitude, family planning information, partner discussion, income, and childhood mortality were associated with contraceptive use (p <0.05).Conclusion: Use of modern methods of contraception showed a negative correlation with food insecurity. Therefore,  addressing household food insecurity as a potential obstacle to the development of family planning services requires comprehensive stakeholder engagement and socio-economic policy intervention.
了解埃塞俄比亚亚的斯亚贝巴利德塔副城城市家庭粮食不安全与育龄妇女使用避孕药具之间的联系
导言:提高妇女的生殖健康水平可以改善儿童的营养状况,从而提高生殖健康水平。这种联系对于在不过度使用资源的情况下实现人口的可持续增长非常重要。本研究旨在探讨家庭粮食不安全与避孕药具使用之间的关系:研究于 2023 年 2 月至 3 月在利德塔副城随机抽取的三个县(区)的 651 名育龄妇女进行了调查。采用概率与规模成比例的技术,从三个区选出了六个 Ketenas(村)。数据由经过培训的人员通过有效调查收集,家庭收入和支出用于衡量粮食不安全状况。在考虑其他协变量的情况下,采用皮尔逊卡方检验(c2)和逻辑回归法来研究家庭粮食不安全与避孕药具使用之间的关系:结果:在研究地区,现代避孕药具的使用率为 50.5%。粮食无保障的妇女使用率仅为 32.0%,而粮食有保障的妇女使用率更高,达到 68.7%。粮食不安全家庭的妇女使用现代避孕方法的几率要低 76.5%。积极态度、计划生育信息、伴侣讨论、收入和儿童死亡率与避孕药具的使用有关(P <0.05):结论:现代避孕方法的使用与粮食不安全呈负相关。因此,要解决作为计划生育服务发展潜在障碍的家庭粮食不安全问题,需要利益相关者的全面参与和社会经济政策干预。
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来源期刊
Ethiopian Medical Journal
Ethiopian Medical Journal Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
0
期刊介绍: The Ethiopian Medical Journal (EMJ) is the official Journal of the Ethiopian Medical Association (EMA) and devoted to the advancement and dissemination of knowledge pertaining to the broad field of medicine in Ethiopia and other developing countries. Prospective contributors to the Journal should take note of the instructions of Manuscript preparation and submission to EMJ as outlined below.
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