埃塞俄比亚南部阿瓦萨Hawella Tulla郊区已婚妇女未满足的计划生育需求及其相关因素:基于社区的研究

Abiyu Ayalew Assefa, Samson G Selassie, Abebayehu Mesele, Henok Bekele Kebede, Anteneh Fikrie, Geleta Abera
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引用次数: 1

摘要

背景:计划生育需求未得到满足仍然是发展中国家,特别是撒哈拉以南非洲的一个主要公共卫生问题。同样,在埃塞俄比亚,计划生育方面未得到满足的需求相当高。但是,关于计划生育需要未得到满足的相关因素的资料有限,特别是在研究领域。因此,本研究旨在评估Hawella Tulla郊区已婚妇女未满足的计划生育及其相关因素。方法:采用以社区为基础的横断面研究方法,对436名已婚妇女进行调查。采用双变量和多变量logistic回归模型,p值为:结果:已婚妇女未满足计划生育需求的总体比例为18.1% (95% CI: 14.5%, 21.8%)。初婚年龄在18岁以下的AOR = 1.95 (95% CI: 1.14, 3.33)、未接受过正规教育的女性AOR = 2.23 (95% CI: 1.02, 4.84)、伴侣不支持计划生育的女性AOR = 2.32 (95% CI: 1.35, 3.99)和没有媒体接触的女性AOR = 2.13 (95% CI: 1.19, 3.81)与未满足计划生育需求的增加显著相关。结论:尽管研究区计划生育服务覆盖率高,但未满足计划生育需求的程度仍然相当高。初婚年龄在18岁以下、妇女没有接受过正规教育、妇女的伴侣不支持计划生育的使用以及家中没有媒体渠道,这些都被发现与计划生育需求未得到高度满足有关。因此,需要努力通过教育、避免早婚和鼓励以夫妇为基础的计划生育干预措施赋予妇女权力。增加媒体访问也是明智的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Unmet need for family planning and associated factors among currently married women in Hawella Tulla subcity, Hawassa, southern Ethiopia: community-based study.

Unmet need for family planning and associated factors among currently married women in Hawella Tulla subcity, Hawassa, southern Ethiopia: community-based study.

Unmet need for family planning and associated factors among currently married women in Hawella Tulla subcity, Hawassa, southern Ethiopia: community-based study.

Unmet need for family planning and associated factors among currently married women in Hawella Tulla subcity, Hawassa, southern Ethiopia: community-based study.

Background: The unmet need for family planning remains a major public health concern in developing countries, especially in sub-Saharan Africa. Similarly, in Ethiopia, the unmet need for family planning is considerably high. However information regarding associated factors of unmet need of family planning is limited, the study area in particular. Thus, this study was aimed at assessing unmet family planning and associated factors among currently married women in Hawella Tulla Subcity.

Methods: A community based cross-sectional study was employed on 436 currently married women. Both bivariable and multivariable logistic regression model were used and having P-value of < 0.05 was considered as independently associated factors. Strength of association of the variable was described using adjusted odd ratios with their 95% confidence interval.

Result: The overall unmet need for family planning among currently married women was found to be 18.1% (95% CI: 14.5%, 21.8%). Having age of below 18 years at first marriage AOR = 1.95 (95% CI: 1.14, 3.33), woman's not attained formal education AOR = 2.23 (95% CI: 1.02, 4.84), women whose partner had non-supportive for family planning use AOR = 2.32 (95% CI: 1.35, 3.99) and women without media access AOR = 2.13 (95% CI: 1.19, 3.81) were significantly associated with increasing unmet need for family planning.

Conclusions: Despite the presence of high family planning services coverage in the study area, the magnitude of unmet need for family planning is still reasonably high. Having age of below 18 years at first marriage, woman's not attained formal education, women whose partner had non-supportive for family planning use and inavailability of media access in the house were found to be associated with high unmet need for family planning. Therefore, efforts are needed to empower women through education, avoiding early marriage and encouraging couple-based family planning interventions. Increasing media access is also advisable intervention.

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