Dynamics of contraceptive use among married women in North and South Yangon, Myanmar: findings from a cross-sectional household survey

Q2 Medicine
Myint Myint Wai , Espen Bjertness , Thein Thein Htay , Tippawan Liabsuetrakul , Aye Nyein Moe Myint , Hein Stigum , Johanne Sundby
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引用次数: 9

Abstract

Objective

The objective was to explore the sociodemographic factors associated with contraceptive use, the variation in prevalence and duration of contraceptive use across the age groups and parity among 18–49-year-old married women in North and South Yangon.

Study design

We conducted a cross-sectional study regarding contraceptive use among married women aged 18–49 in North and South Yangon from September to November 2016. We used a questionnaire based on the Demographic and Health Surveys Program, with additional questions on the duration of contraception along the life-course. Associations between contraceptive prevalence and sociodemographic factors were tested by χ2. We describe the percentages of contraceptive use and nonuse across the age and parity subgroups, and the mean duration of contraception. We compared the contraceptive prevalence ratios across the parity using logistic regression.

Results

The contraceptive prevalence of modern methods was 66% (95% confidence interval: 61.5%–69.9%) with better coverage in rural (69.6%) than in urban women (61.5%). Contraceptive use varied by age and parity, demonstrating lower prevalence in the oldest age group (45–49) and high parity (parity five and above). The mean duration of contraceptive use rose with increased age and parity, except in the oldest-age and high-parity groups.

Conclusions

The findings called for greater attention to improve the contraceptive coverage of married women living in urban areas around Yangon city (periurban women).

Implications

The study identified the pockets of low contraceptive coverage in a region with the highest contraceptive prevalence in Myanmar. Women above the age of 40 and women who had high parity had low contraceptive prevalence. Women living near the city showed lower contraceptive coverage compared to their rural counterparts.

Abstract Image

缅甸仰光北部和南部已婚妇女避孕药具使用动态:来自横断面家庭调查的结果
目的探讨与避孕药具使用相关的社会人口因素,以及仰光北部和南部18 - 49岁已婚妇女避孕药具使用的流行率和持续时间的差异。研究设计我们于2016年9月至11月对仰光北部和南部18-49岁已婚妇女的避孕措施使用情况进行了横断面研究。我们使用了一份基于人口与健康调查计划的问卷,并附加了关于在整个生命过程中避孕持续时间的问题。采用χ2检验避孕普及率与社会人口学因素的相关性。我们描述了在年龄和胎次亚组中使用和不使用避孕措施的百分比,以及避孕的平均持续时间。我们使用逻辑回归比较了各胎次的避孕流行率。结果现代避孕方法的普及率为66%(95%可信区间:61.5% ~ 69.9%),农村妇女的普及率(69.6%)高于城市妇女(61.5%)。避孕药具的使用因年龄和胎次而异,在年龄最大的年龄组(45-49岁)患病率较低,而胎次较高(五胎次及以上)。除了最高龄和高胎次组外,避孕药具使用的平均持续时间随着年龄和胎次的增加而增加。结论应重视提高仰光周边城区已婚妇女(城郊妇女)的避孕覆盖率。该研究在缅甸避孕普及率最高的地区确定了避孕覆盖率低的地区。40岁以上的妇女和胎次高的妇女避孕普及率较低。居住在城市附近的妇女的避孕覆盖率低于农村妇女。
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来源期刊
Contraception: X
Contraception: X Medicine-Obstetrics and Gynecology
CiteScore
5.10
自引率
0.00%
发文量
17
审稿时长
22 weeks
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