与青少年实施计划生育相关的因素。加纳Kassena Nankana市的比较横断面研究

IF 1.5 Q2 NURSING
Kennedy Diema Konlan, David Adedia, Felix Kwasi Nyande
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引用次数: 0

摘要

计划生育大大降低了孕产妇死亡率,有助于实现可持续发展目标。然而,加纳未满足的计划生育需求仍然相对较高。这项研究评估了在资源有限的情况下影响计划生育使用的因素。方法采用多阶段抽样方法,选取纳夫龙戈中部副市17-56岁的384名成年人为研究对象。在Microsoft Excel 365中进行数据清理,然后转移到SPSS 27和R中进行分析。确定综合得分并将其转化为百分比。75%以上的百分比得分被编码为利用或良好的现代计划生育知识,具体取决于具体部分。采用皮尔逊卡方检验检验总体利用率自变量与计划生育总体知识之间的关系。逻辑回归和互补的对数-对数模型被用来模拟利用和现代计划生育知识的预测因素。p值≤0.05均认为有统计学意义。结果现代计划生育的总体利用率不高(43.2%)。总体而言,受访者对现代计划生育有较好的了解(81.3%)。已婚年轻人(RR = 2.1, 95% CI: 1.39-3.27, p值= 0.001)更有可能使用现代避孕药具。年轻男性实施计划生育的可能性低于女性(RR = 0.21, 95% CI: 0.12-0.34, p < 0.001)。37岁以上人群(RR = 1.72, 95% CI: 1.11-2.71, p值= 0.017)对现代计划生育知识的了解程度高于17 ~ 26岁人群。与受过高等教育的人群相比,受高等教育的人群(RR = 2.53, 95% CI: 1.54 ~ 4.31, p值<; 0.001)和受高等教育的人群(RR = 1.79, 95% CI: 1.27 ~ 2.55, p值= 0.001)对现代计划生育有较好的认识。家庭收入在500至1000塞迪之间(RR = 5.39, 95% CI: 2.18-17.99, p值= 0.002)和家庭收入超过1000塞迪(RR = 5.12, 95% CI: 2.04-17.25, p值= 0.003)的家庭比家庭收入低于500塞迪的家庭更有可能对计划生育有良好的了解。结论本研究显示现代计划生育知识水平较高,而利用率较低。计划生育干预措施必须纳入行为改变理论模型,以便在资源有限的情况下将高知识转化为青年人有效和持续地接受计划生育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Factors Associated With the Utilization of Family Planning Among Young Adults. A Comparative Cross-Sectional Study in the Kassena Nankana Municipality, Ghana

Factors Associated With the Utilization of Family Planning Among Young Adults. A Comparative Cross-Sectional Study in the Kassena Nankana Municipality, Ghana

Background

Family planning significantly reduces maternal mortality and contributes to achieving the Sustainable Development Goals. However, the unmet need for family planning in Ghana is still relatively high. This study assessed the factors influencing the use of family planning in a resource-limited setting.

Methods

The study used 384 adults (17–56 years) in the Navrongo central sub-municipality, selected using the multi-stage sampling method. Data was cleaned in Microsoft Excel 365 before being transferred to SPSS version 27 and R for analysis. Composite scores were determined and transformed into percentages. The percentage scores of more than 75% were coded as utilisation or good knowledge of modern family planning, depending on the specific section. The Pearson Chi-square test was performed to examine the relationship between the independent variables on overall utilisation and overall knowledge of family planning. Logistic regression and complementary log-log models were used to model the predictors of the utilisation and knowledge of modern family planning. All p-values ≤ 0.05 were deemed statistically significant.

Results

The overall utilisation of modern family planning was not very high (43.2%). Overall, the respondents showed good knowledge (81.3%) of modern family planning. Married young adults (RR = 2.1, 95% CI: 1.39–3.27, p-value = 0.001) were more likely to utilise modern contraceptives. Male young adults are less likely to utilise family planning (RR = 0.21, 95% CI: 0.12–0.34, p < 0.001) than females. Those aged at least 37 years (RR = 1.72, 95% CI: 1.11–2.71, p-value = 0.017) were more likely to have good knowledge of modern family planning than those aged 17 to 26 years. Compared with those with tertiary education, those below SHS (RR = 2.53, 95% CI: 1.54–4.31, p-value < 0.001) and those with SHS education (RR = 1.79, 95% CI: 1.27–2.55, p-value = 0.001) were more likely to have good knowledge of modern family planning. Those with household income between 500 and 1000 (RR = 5.39, 95% CI: 2.18–17.99, p-value = 0.002) and household income more than 1000 cedis (RR = 5.12, 95% CI: 2.04–17.25, p-value = 0.003) were more likely to have good knowledge of family planning than those with household income below 500 cedis per month.

Conclusion

This study revealed a high level of knowledge and relatively low utilization of modern family planning. Family planning interventions must incorporate behaviour change theoretical models to translate high knowledge to effective and sustained uptake of family planning among young adults in resource-limited settings.

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来源期刊
CiteScore
2.90
自引率
6.70%
发文量
41
期刊介绍: Journal of Child and Adolescent Psychiatric Nursing (JCAPN) is the only nursing journal to focus exclusively on issues of child and adolescent mental health around the world. As a primary resource for nurses and other healthcare professionals in clinical practice, educator roles, and those conducting research in mental health and psychiatric care, the journal includes peer-reviewed, original articles from a wide range of contributors in a broad variety of settings.
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