西非国家已婚妇女的避孕药具使用情况及其相关因素：利用多项式逻辑回归进行的人口调查

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-01 DOI:10.2147/OAJC.S451908

B. Terefe, M. Jembere, E. Enyew, Bogale Chekole

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Results About 80.86% of women did not use any method, while 16.56% of women used modern methods. Maternal age of 35–49 years (RRR=0.77, 95% CI, 0.72,0.82), had given first birth after 20 years (RRR=0.80,95% CI, 0.77,0.83), cohabitation after 20 years old (RRR=1.24,95% CI, 1.18,1.29), being employed (RRR=1.38,95% CI, 1.33,1.43), women who have from 3–5, and more than five living children (RRR=2.06,95% CI,1.97,2.16, and (RRR=2.57, 95% CI, 2.42,2.74), primary(RRR=1.59, 95% CI, 1.52,1.66), secondary/higher education (RRR=2.08, 95% CI, 1.99,2.18), antenatal visit (RRR= 1.38, 95% CI 1.28,1.49), institutional delivery(AOR=1.42, 95% CI, 1.35,1.49), husband working status (RRR=1.39, 95% CI, 1.28,1.51), media exposure(RRR=1.23, 95% CI, 1.19,1.28), visited health facility more than once (RRR=1.09, 95% CI, 1.05,1.13), rural women (RRR=0.89,95% CI,0.85,0.93), female households (RRR=0.79, 95% CI,0.76,0.83), richer (RRR=1.42, 95% CI,1.33,1.51), and richest wealth indexes (RRR=1.69,95% CI,1.58,1.82) were associated. 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引用次数: 0

摘要

背景可持续发展目标 3.7 强调普及计划生育。然而，在发展中国家，特别是在西非，现代避孕方法的使用率仍然很低。本研究旨在评估该地区避孕药具的使用现状，重点关注不同的避孕方法。方法我们分析了 13 个西非国家（2012-2022 年）的人口与健康调查数据，涉及 117 165 名已婚妇女。通过二元和多元多项式逻辑回归，我们确定了与避孕药具使用相关的关键因素。二元回归的显著性以 p≤0.2 为限，多元多项式回归的显著性以 p < 0.05 为限。结果约 80.86%的妇女未使用任何方法，16.56%的妇女使用现代方法。产妇年龄为 35-49 岁（RRR=0.77，95% CI，0.72,0.82），20 岁后生育第一胎（RRR=0.80，95% CI，0.77,0.83），20 岁后同居（RRR=1.24，95% CI，1.18,1.29），有工作（RRR=1.38，95% CI，1.RRR=2.57，95% CI，2.42,2.74），小学（RRR=1.59，95% CI，1.52,1.66），中学/高等教育（RRR=2.08，95% CI，1.99,2.18），产前检查（RRR=1.24，95% CI，1.18,1.29）。18）、产前检查（RRR=1.38，95% CI，1.28,1.49）、住院分娩（AOR=1.42，95% CI，1.35,1.49）、丈夫工作状况（RRR=1.39，95% CI，1.28,1.51）、媒体接触（RRR=1.23，95% CI，1.19,1.28）、去过医疗机构一次以上（RRR=1.09，95% CI，1.05,1.13）、农村妇女（RRR=0.89，95% CI，0.85,0.93）、女性家庭（RRR=0.79，95% CI，0.76,0.83）、较富裕（RRR=1.42，95% CI，1.33,1.51）和最富有指数（RRR=1.69，95% CI，1.58,1.82）相关。结论本研究显示，西非妇女的避孕药具使用率较低。加强孕产妇生殖健康服务，如产前保健、住院分娩和健康检查，同时针对大众传媒和弱势妇女，有可能显著提高现代避孕技术的采用率。

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Contraceptive Utilization and Its Associated Factors Among Married Women in West African Countries: A Population-Based Survey Using Multinomial Logistic Regression

Background The international development agenda emphasizes universal access to family planning, as seen in Sustainable Development Goal 3.7. However, the use of modern contraceptive methods remains low in developing countries, specifically in West Africa. This study aimed to assess the current status of contraceptive use in the region, focusing on different methods. Methods We analyzed Demographic and Health Survey data from 13 West African nations (2012–2022) involving 117,165 married women. Using binary and multiple multinomial logistic regression, we identified key factors associated with contraceptive use. Adjusted odds ratios with 95% confidence intervals were utilized, and significance was determined at p ≤ 0.2 for binary regression and p < 0.05 for multiple multinomial regression. Results About 80.86% of women did not use any method, while 16.56% of women used modern methods. Maternal age of 35–49 years (RRR=0.77, 95% CI, 0.72,0.82), had given first birth after 20 years (RRR=0.80,95% CI, 0.77,0.83), cohabitation after 20 years old (RRR=1.24,95% CI, 1.18,1.29), being employed (RRR=1.38,95% CI, 1.33,1.43), women who have from 3–5, and more than five living children (RRR=2.06,95% CI,1.97,2.16, and (RRR=2.57, 95% CI, 2.42,2.74), primary(RRR=1.59, 95% CI, 1.52,1.66), secondary/higher education (RRR=2.08, 95% CI, 1.99,2.18), antenatal visit (RRR= 1.38, 95% CI 1.28,1.49), institutional delivery(AOR=1.42, 95% CI, 1.35,1.49), husband working status (RRR=1.39, 95% CI, 1.28,1.51), media exposure(RRR=1.23, 95% CI, 1.19,1.28), visited health facility more than once (RRR=1.09, 95% CI, 1.05,1.13), rural women (RRR=0.89,95% CI,0.85,0.93), female households (RRR=0.79, 95% CI,0.76,0.83), richer (RRR=1.42, 95% CI,1.33,1.51), and richest wealth indexes (RRR=1.69,95% CI,1.58,1.82) were associated. Conclusion This study revealed a low level of contraceptive use among women in West Africa. Strengthening maternal reproductive health services, such as antenatal care, institutional delivery, and health visits, while also targeting mass media and disadvantaged women, has the potential to significantly increase the adoption of modern contraception techniques.

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来源期刊

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.