Steele F, Curtis S L, Choe M
Department of Statistics, London School of Economics and Political Science, UK.
Stud Fam Plann. 1999 Mar;30(1):28-42. doi: 10.1111/j.1728-4465.1999.00028.x.
This article uses linked data from the 1995 Morocco DHS calendar and the 1992 Morocco DHS service-availability module to study the effect of service environment on contraceptive discontinuation, switching, and adoption of a modern method following a birth. The 1995 Morocco DHS also collected information on the source of supply for each episode of use of a modern method recorded in the calendar, allowing study of the association between the source of supply and discontinuation and switching rates. Multilevel event-history models are used to evaluate the impact of individual-level sociodemographic characteristics and community-level indicators of family planning service provision. The findings show that the presence of a nearby public health center is associated with higher modern-method adoption after a birth and lower method-failure rates; the presence of a pharmacy is associated with lower discontinuation due to side effects or health concerns. The degree of method-choice potential has a positive impact on both the rate of switching from the pill to another modern method and on modern-method adoption after a birth.
本文使用来自1995年摩洛哥 DHS 日历和1992年摩洛哥 DHS 服务可及性模块的关联数据，研究服务环境对产后避孕方法停用、更换以及采用现代避孕方法的影响。1995年摩洛哥 DHS 还收集了日历中记录的每次现代避孕方法使用情况的供应来源信息，从而能够研究供应来源与停用率和更换率之间的关联。采用多层次事件史模型来评估个体层面的社会人口学特征以及计划生育服务提供的社区层面指标的影响。研究结果表明，附近有公共卫生中心与产后更高的现代避孕方法采用率以及更低的方法失败率相关；有药店与因副作用或健康问题导致的更低停用率相关。方法选择潜力程度对从口服避孕药更换为另一种现代避孕方法的比率以及产后现代避孕方法的采用率均有积极影响。
