Risk and protective factors for intention of contraception use among women in Ghana.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2020-12-04 eCollection Date: 2020-07-01 DOI:10.1177/2055102920975975
Manik Ahuja, Esther Frimpong, Joy Okoro, Rajvi Wani, Sarah Armel
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引用次数: 11

Abstract

The use of various forms of contraception in Ghana gained prominence after the government resorted to investing more in family planning programs when maternal mortality was declared an emergency in the country. In Ghana, the intention to use and actual usage of contraceptives is influenced by many factors, which may lead to non-usage or discontinuation. This quantitative study was conducted to determine risk and protective factors impacting on the intention and usage of contraceptives. Survey data from the Ghana 2014 Demographic and Health Survey (DHS) (n = 9396) was used. A sub-sample of 7661 women in their reproductive age were included in this study, who reported being sexually active within the last year. Logistic regression analyses were conducted to test the association between a broad range of risk and protective factors including religion, early sexual intercourse, frequency of sex, number of lifetime sexual partners with intention to use contraception. We controlled for income, educational attainment, and age. Overall (n = 3661; 47.8%) reported no intention of contraception use. Logistic regression analysis revealed that no formal education (OR = 1.49; 95% CI, 1.29-1.72; p < 0.001), and primary school as highest educational level (OR = 1.19; 95% CI, 1.04-1.25; p < 0.001), Islamic religion (OR = 0.73; 95% CI, 0.59-0.90; p < 0.001), not currently employed (OR = 1.50; 95% CI, 1.34-1.69; p < 0.001), husband opposing contraception use (OR = 2.19; 95% CI, 1.42-3.46; p < 0.001), and currently pregnant (OR = 1.30; 95% CI, 1.09-1.54; p < 0.001) were also positively associated with no intention of use. Engaging religious leaders for advocacy in the community was identified as an approach to address barriers and increase awareness on contraceptive use. Targeted family planning programs should intensify public education on safe sex behaviors.

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加纳妇女避孕意向的风险和保护因素。
在加纳宣布产妇死亡率为紧急情况后,政府加大了对计划生育方案的投资,各种避孕方式的使用在加纳得到了重视。在加纳,避孕药具的使用意图和实际使用受到许多因素的影响,这些因素可能导致不使用或停止使用。本定量研究旨在确定影响避孕意向和使用的风险和保护因素。使用了2014年加纳人口与健康调查(DHS)的调查数据(n = 9396)。在这项研究中包括了7661名育龄妇女的子样本,她们在过去一年内报告过性活跃。进行了逻辑回归分析,以检验广泛的风险和保护因素之间的关系,包括宗教、早期性行为、性频率、有意使用避孕措施的终生性伴侣的数量。我们控制了收入、受教育程度和年龄。总体(n = 3661;47.8%)报告无意使用避孕措施。Logistic回归分析显示无正规教育(OR = 1.49;95% ci, 1.29-1.72;p < 0.001),小学为最高学历(OR = 1.19;95% ci, 1.04-1.25;p < 0.001),伊斯兰教(OR = 0.73;95% ci, 0.59-0.90;p < 0.001),目前没有工作(OR = 1.50;95% ci, 1.34-1.69;p < 0.001),丈夫反对使用避孕措施(OR = 2.19;95% ci, 1.42-3.46;p < 0.001),且目前怀孕(OR = 1.30;95% ci, 1.09-1.54;P < 0.001)也与无用药意图呈正相关。经确定,让宗教领袖在社区进行宣传是消除障碍和提高对避孕药具使用认识的一种方法。有针对性的计划生育项目应加强对公众的安全性行为教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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