埃塞俄比亚现代避孕药具使用的演变景观:二十年分析。

IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
International Journal of Public Health Pub Date : 2025-04-11 eCollection Date: 2025-01-01 DOI:10.3389/ijph.2025.1607680
Ermias Tadesse Beyene, Sumin Kim, Seungman Cha, Yan Jin, Myunggu Jung
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引用次数: 0

摘要

目的:在过去的二十年中,埃塞俄比亚现代避孕药具的使用率有所增加。尽管做出了这些努力,但由于对地区差异和决定因素的了解有限,对现代避孕的需求仍然没有得到满足。方法:分析2000年、2005年、2011年、2016年和2019年埃塞俄比亚人口与健康调查(EDHS)的数据。描述性统计调查了已婚非孕妇使用现代避孕药具的区域差异和趋势。多水平分析确定了影响现代避孕药具使用的个人和社区因素。结果:在全国范围内,现代避孕普及率(mCP)有所增加,但地区差距扩大,特别是亚的斯亚贝巴和索马里之间的差距从34.8个百分点扩大到51.8个百分点。社区财富、居住地、年龄、受教育程度和子女数量等因素对避孕药具的使用有显著影响。mCP增幅最大的是15-24岁的女性,从2000年到2019年增长了49.4个百分点。结论:在个人和社区两级提供量身定制的生殖健康服务,对于解决埃塞俄比亚已婚妇女在现代避孕药具使用方面日益扩大的地区差异至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evolving Landscape of Modern Contraceptive Use in Ethiopia: A Two-Decade Analysis.

Objective: The prevalence of modern contraceptive use in Ethiopia has increased in the past two decades. Despite these efforts, unmet needs for modern contraception persist, with limited knowledge on regional variations and determining factors.

Method: We analyzed data from the Ethiopian Demographic and Health Surveys (EDHS) from 2000, 2005, 2011, 2016, and 2019. Descriptive statistics examined regional variations and trends in modern contraceptive use among married, non-pregnant women. Multilevel analysis identified individual and community-level factors influencing modern contraceptive use.

Result: Nationally, modern contraceptive prevalence (mCP) increased, but regional disparities widened, notably between Addis Ababa and Somalia, from 34.8 to 51.8 percentage points. Factors such as community wealth, residence, age, education, and number of children significantly influenced contraceptive use. The greatest increase in mCP was among women aged 15-24, with a rise of 49.4 percentage points from 2000 to 2019.

Conclusion: Tailored reproductive health services at both individual and community levels are essential to address the growing regional disparities in modern contraceptive use among married women in Ethiopia.

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来源期刊
International Journal of Public Health
International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.20
自引率
2.20%
发文量
269
审稿时长
12 months
期刊介绍: The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.
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