埃塞俄比亚已婚男性参与计划生育服务的患病率和决定因素：一项系统综述和荟萃分析

IF 2.7 Q2 OBSTETRICS & GYNECOLOGY

Womens Health Pub Date : 2022-05-01 DOI:10.1177/17455057221099083

Bekalu Getnet Kassa, Lebeza Alemu Tenaw, A. Ayele, Gebrehiwot Ayalew Tiruneh

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引用次数: 2

摘要

背景:男性参与计划生育不仅包括使用避孕药具，还包括鼓励和支持其伴侣的避孕需求和选择，鼓励同伴使用计划生育，并影响政策，使与男性有关的方案更加有利。在埃塞俄比亚，研究中男性参与计划生育的流行程度和相关因素高度不一致。因此，本研究的目的是使用系统回顾和荟萃分析来估计埃塞俄比亚男性参与计划生育的总体患病率及其相关因素。方法:利用PubMed、谷歌Scholar、EMBASE、HINAR、Scopus、Web of Sciences等软件进行电子文献检索，不受时间限制，确定主要研究。采用预先测试的标准化数据提取格式提取数据，并使用STATA 14统计软件进行分析。随机效应模型用于估计男性参与的总患病率。结果:共纳入17项研究，得出埃塞俄比亚男性参与计划生育的总患病率为39.66%(95%可信区间= 29.86,49.45)。教育程度(调整优势比= 1.99,95%可信区间= 1.26,3.14)、与妻子讨论计划生育(调整优势比= 4.15,95%可信区间= 2.21,7.80)、知识(调整优势比= 1.83,95%可信区间= 1.26,2.64)、对计划生育持积极态度(调整优势比= 2.57,95%可信区间= 1.70,3.90)、批准使用避孕药具(调整优势比= 2.57,95%可信区间= 1.70，3.90)与男子参与计划生育服务有显著关系。结论:埃塞俄比亚男性参与计划生育的总体患病率明显较低。政府和非政府组织、服务提供者、方案规划者和利益攸关方应使男性参与计划生育的机会和便利得到提倡。此外，为了增强男子在利用计划生育服务方面的作用，需要一个有利于教育、改变行为和公开讨论生殖健康问题的环境。

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Prevalence and determinants of the involvement of married men in family planning services in Ethiopia: A systematic review and meta-analysis

Background: Male involvement in family planning includes not only using contraceptives but also encouraging and supporting their partners’ contraception needs and choices, encouraging peers to use family planning, and influencing policy to make male-related programs more conducive. In Ethiopia, the prevalence and associated factors of male involvement in family planning were highly inconsistent across studies. As a result, the goal of this study was to use a systematic review and meta-analysis to estimate the pooled prevalence of male involvement in family planning and its associated factors in Ethiopia. Methods: Electronic literature search using PubMed, Google Scholar, EMBASE, HINAR, Scopus, and Web of Sciences were performed without time restriction to identify the primary studies. Data were extracted using a pretested standardized data extraction format and analyzed using STATA 14 statistical software. A random-effect model was used to estimate the pooled prevalence of male involvement. Results: A total of 17 studies were included to give the pooled prevalence of male involvement in family planning in Ethiopia, which was 39.66% (95% confidence interval = 29.86, 49.45). Educational status (adjusted odds ratio = 1.99, 95% confidence interval = 1.26, 3.14), discussion of family planning with wife (adjusted odds ratio = 4.15, 95% confidence interval = 2.21, 7.80), knowledge (adjusted odds ratio = 1.83, 95% confidence interval = 1.26, 2.64), positive attitude about family planning (adjusted odds ratio = 2.57, 95% confidence interval = 1.70, 3.90), and approval of contraceptive use (adjusted odds ratio = 2.57, 95% confidence interval = 1.70, 3.90) were found to be significantly associated with involvement of men in family planning service. Conclusion: The overall prevalence of male involvement in family planning in Ethiopia was significantly low. Male involvement in family planning should be made available, accessible, and advocated for by government and non-governmental organizations, service providers, program planners, and stakeholders. In addition, to increase the role of men in the use of family planning services, a conducive environment for education, behavioral change, and open discussion about reproductive health issues is required.

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来源期刊

Womens Health OBSTETRICS & GYNECOLOGY-

CiteScore

2.80

自引率

4.20%

发文量

审稿时长

15 weeks

期刊介绍： For many diseases, women’s physiology and life-cycle hormonal changes demand important consideration when determining healthcare management options. Age- and gender-related factors can directly affect treatment outcomes, and differences between the clinical management of, say, an adolescent female and that in a pre- or postmenopausal patient may be either subtle or profound. At the same time, there are certain conditions that are far more prevalent in women than men, and these may require special attention. Furthermore, in an increasingly aged population in which women demonstrate a greater life-expectancy.