加纳有人工流产史的15-49岁妇女避孕药具使用的流行率和预测因素

Advances in Preventive Medicine Pub Date : 2020-08-28 eCollection Date: 2020-01-01 DOI:10.1155/2020/2630905
Mohammed Gazali Salifu, Kamaldeen Mohammed
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引用次数: 3

摘要

背景:加纳的堕胎率从每1000名妇女中27人到61人不等,造成妇科并发症和孕产妇死亡率。15-49岁妇女使用现代避孕药具及其相关因素的情况已有记录。然而,特别是有人工流产史的妇女使用现代避孕药具的情况报告不足。因此,本研究旨在确定这一未被报告的人群中避孕药具使用的比例和预测因素。方法:本研究使用2017年加纳孕产妇健康调查(GMHS)的二手数据进行分析。该分析是对3039名年龄(15-49岁)有人工流产史的妇女进行加权抽样。采用描述性和推理性两种方法。采用卡方检验、单变量和多变量logistic回归技术评估结果变量与预测因子之间的统计学相关性。统计学意义为95%置信区间,p值≤0.05。结果:在3039名参与者中,37% (95% CI: 34.6, 38.84)使用避孕药。我们发现妇女的年龄、结合、居住地、对生育期的了解、总妊娠结局和地区是人工流产后避孕药使用的强显著预测因子(95% CI, p≤0.05)。结论:该人群避孕药具使用率较低。因此,有必要广泛提供堕胎后避孕服务,并加强努力,有效地将安全堕胎做法法纳入加纳的保健服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and Predictors of Contraceptives Use among Women Aged (15-49 years) with Induced Abortion History in Ghana.

Background: The incidence of abortion in Ghana ranges from 27 per 1000 to 61 per 1000 women, causing gynecological complications and maternal mortality. The use of modern contraceptives and its associated factors among women aged 15-49 years have been documented. However, utilization of modern contraceptives specifically among women with induced abortion history is underreported. This study therefore aimed at determining the proportion and identifying predictors of contraceptives use in this underreported population.

Methods: This study used secondary data from the 2017 Ghana Maternal Health Survey (GMHS) for the analysis. The analysis is on a weighted sample of 3,039 women aged (15-49 years) with a history of induced abortion. Both descriptive and inferential methods were employed. The chi-square test, univariate and multivariate logistic regression techniques were used to assess statistical associations between the outcome variable and the predictors. Statistical significance was set at 95% confidence interval and p values ≤0.05.

Results: Out of the 3,039 participants, 37% (95% CI: 34.6, 38.84) used contraceptives. We identified women' age, union, place of residence, knowledge of fertile period, total pregnancy outcomes, and region as strong significant (95% CI, p ≤ 0.05) predictors of post induced abortion contraceptives use.

Conclusion: Contraceptives use among this vulnerable population is low. Therefore, there is a need to provide widespread access to postabortion contraception services and enhance efforts to efficiently integrate safe abortion practices law into health services in Ghana.

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