Achamyeleh Birhanu Teshale, Vicky Qi Wang, Godness Kye Biney, Edward Kwabena Ameyaw, Nicholas Kofi Adjei, Sanni Yaya
{"title":"基于撒哈拉以南非洲已婚妇女子女数量和构成的避孕药具使用模式:多层次分析。","authors":"Achamyeleh Birhanu Teshale, Vicky Qi Wang, Godness Kye Biney, Edward Kwabena Ameyaw, Nicholas Kofi Adjei, Sanni Yaya","doi":"10.1186/s40834-023-00240-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The relationship between composition of children and contraception use has received limited scholarly attention in sub-Saharan Africa. In this study, we examined the relationship between contraceptive methods, the number and composition of children in SSA.</p><p><strong>Methods: </strong>Data on 21 countries in sub-Saharan Africa (SSA) countries that had a Demographic and Health Survey on or before 2015 were analysed. We applied a multilevel multinomial logistic regression model to assess the influence of family composition on contraceptive use. Adjusted relative risk ratio (aRRR) and 95% CI were estimated. The significant level was set at p < 0.05. All the analyses were conducted using weighted data.</p><p><strong>Results: </strong>Women who had one son and two daughters (aRRR = 0.85, CI = 0.75, 0.95), two sons and one daughter (aRRR = 0.81 CI = 0.72, 0.92), one son and three daughters (aRRR = 0.66, CI = 0.54, 0.80), two sons and two daughters (aRRR = 0.59, CI = 0.50, 0.69), and three or more sons (aRRR = 0.75, CI = 0.63, 0.91) were less likely to use temporary modern contraceptive methods. Those with two sons and two daughters were less likely to use traditional methods (aRRR = 0.52, CI = 0.35, 0.78). Women in the older age group (35-49 years) were less likely to use temporary modern methods (aRRR = 0.60; 95%CI; 0.57, 0.63). However, this group of women were more likely to use permanent (sterilization) (aRRR = 1.71; 95%CI; 1.50, 1.91) and traditional methods (aRRR = 1.28; 95%CI; 1.14, 1.43).</p><p><strong>Conclusion: </strong>These findings suggest that contraception needs of women vary based on the composition of their children, hence a common approach or intervention will not fit. As a result, contraception interventions ought to be streamlined to meet the needs of different categories of women. The findings can inform policymakers and public health professionals in developing effective strategies to improve contraceptive use in SSA.</p>","PeriodicalId":10637,"journal":{"name":"Contraception and Reproductive Medicine","volume":"8 1","pages":"39"},"PeriodicalIF":0.0000,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10364431/pdf/","citationCount":"0","resultStr":"{\"title\":\"Contraceptive use pattern based on the number and composition of children among married women in sub-Saharan Africa: a multilevel analysis.\",\"authors\":\"Achamyeleh Birhanu Teshale, Vicky Qi Wang, Godness Kye Biney, Edward Kwabena Ameyaw, Nicholas Kofi Adjei, Sanni Yaya\",\"doi\":\"10.1186/s40834-023-00240-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The relationship between composition of children and contraception use has received limited scholarly attention in sub-Saharan Africa. In this study, we examined the relationship between contraceptive methods, the number and composition of children in SSA.</p><p><strong>Methods: </strong>Data on 21 countries in sub-Saharan Africa (SSA) countries that had a Demographic and Health Survey on or before 2015 were analysed. We applied a multilevel multinomial logistic regression model to assess the influence of family composition on contraceptive use. Adjusted relative risk ratio (aRRR) and 95% CI were estimated. The significant level was set at p < 0.05. All the analyses were conducted using weighted data.</p><p><strong>Results: </strong>Women who had one son and two daughters (aRRR = 0.85, CI = 0.75, 0.95), two sons and one daughter (aRRR = 0.81 CI = 0.72, 0.92), one son and three daughters (aRRR = 0.66, CI = 0.54, 0.80), two sons and two daughters (aRRR = 0.59, CI = 0.50, 0.69), and three or more sons (aRRR = 0.75, CI = 0.63, 0.91) were less likely to use temporary modern contraceptive methods. Those with two sons and two daughters were less likely to use traditional methods (aRRR = 0.52, CI = 0.35, 0.78). Women in the older age group (35-49 years) were less likely to use temporary modern methods (aRRR = 0.60; 95%CI; 0.57, 0.63). However, this group of women were more likely to use permanent (sterilization) (aRRR = 1.71; 95%CI; 1.50, 1.91) and traditional methods (aRRR = 1.28; 95%CI; 1.14, 1.43).</p><p><strong>Conclusion: </strong>These findings suggest that contraception needs of women vary based on the composition of their children, hence a common approach or intervention will not fit. As a result, contraception interventions ought to be streamlined to meet the needs of different categories of women. 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引用次数: 0
摘要
背景:在撒哈拉以南非洲地区，儿童组成与避孕措施使用之间的关系受到了有限的学术关注。在本研究中，我们探讨了避孕方法与SSA儿童数量和组成之间的关系。方法:对2015年或之前进行人口与健康调查的撒哈拉以南非洲(SSA) 21个国家的数据进行分析。我们采用多水平多项逻辑回归模型来评估家庭构成对避孕药具使用的影响。估计校正相对风险比(aRRR)和95% CI。结果:有一个儿子和两个女儿(aRRR = 0.85, CI = 0.75, 0.95)、两个儿子和一个女儿(aRRR = 0.81 CI = 0.72, 0.92)、一个儿子和三个女儿(aRRR = 0.66, CI = 0.54, 0.80)、两个儿子和两个女儿(aRRR = 0.59, CI = 0.50, 0.69)和三个或更多儿子(aRRR = 0.75, CI = 0.63, 0.91)的妇女使用临时现代避孕方法的可能性较低。有两个儿子和两个女儿的妇女较少使用传统方法(aRRR = 0.52, CI = 0.35, 0.78)。年龄较大的妇女(35-49岁)较少使用临时现代方法(aRRR = 0.60;95%可信区间;0.57, 0.63)。然而，这组妇女更有可能使用永久性(绝育)(aRRR = 1.71;95%可信区间;1.50, 1.91)和传统方法(aRRR = 1.28;95%可信区间;1.14, 1.43)。结论:这些研究结果表明，妇女的避孕需求因其子女的组成而异，因此通用的方法或干预措施将不适合。因此，避孕措施应当精简，以满足不同类别妇女的需要。研究结果可以为决策者和公共卫生专业人员提供信息，以制定有效的战略来改善SSA的避孕药具使用。
Contraceptive use pattern based on the number and composition of children among married women in sub-Saharan Africa: a multilevel analysis.
Background: The relationship between composition of children and contraception use has received limited scholarly attention in sub-Saharan Africa. In this study, we examined the relationship between contraceptive methods, the number and composition of children in SSA.
Methods: Data on 21 countries in sub-Saharan Africa (SSA) countries that had a Demographic and Health Survey on or before 2015 were analysed. We applied a multilevel multinomial logistic regression model to assess the influence of family composition on contraceptive use. Adjusted relative risk ratio (aRRR) and 95% CI were estimated. The significant level was set at p < 0.05. All the analyses were conducted using weighted data.
Results: Women who had one son and two daughters (aRRR = 0.85, CI = 0.75, 0.95), two sons and one daughter (aRRR = 0.81 CI = 0.72, 0.92), one son and three daughters (aRRR = 0.66, CI = 0.54, 0.80), two sons and two daughters (aRRR = 0.59, CI = 0.50, 0.69), and three or more sons (aRRR = 0.75, CI = 0.63, 0.91) were less likely to use temporary modern contraceptive methods. Those with two sons and two daughters were less likely to use traditional methods (aRRR = 0.52, CI = 0.35, 0.78). Women in the older age group (35-49 years) were less likely to use temporary modern methods (aRRR = 0.60; 95%CI; 0.57, 0.63). However, this group of women were more likely to use permanent (sterilization) (aRRR = 1.71; 95%CI; 1.50, 1.91) and traditional methods (aRRR = 1.28; 95%CI; 1.14, 1.43).
Conclusion: These findings suggest that contraception needs of women vary based on the composition of their children, hence a common approach or intervention will not fit. As a result, contraception interventions ought to be streamlined to meet the needs of different categories of women. The findings can inform policymakers and public health professionals in developing effective strategies to improve contraceptive use in SSA.
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