Gupta Neeru, Katende Charles, Bessinger Ruth
MEASURE Evaluation Project, ORC Macro, 11785 Beltsville Drive, Calverton, MD 20705, USA.
Stud Fam Plann. 2003 Mar;34(1):19-31. doi: 10.1111/j.1728-4465.2003.00019.x.
This study examines the associations between multimedia behavior change communication (BCC) campaigns and women's and men's use of and intention to use modern contraceptive methods in target areas of Uganda. Data are drawn primarily from the 1997 and 1999 Delivery of Improved Services for Health (DISH) evaluation surveys, which collected information from representative samples of women and men of reproductive age in the districts served by the DISH project. Additional time-trend analyses rely on data from the 1995 Uganda Demographic and Health Survey. Logistic regressions are used to assess the associations between BCC exposure and family planning attitudes and practices, controlling for individuals' background characteristics. To minimize the biases of self-reported exposure, the analyses also explore cluster-level indexes of the penetration of BCC messages in the community. Results indicate that exposure to BCC messages was associated with increased contraceptive use and intention to use. Some evidence of self-reported bias is found, and the pathways to fertility-related behavioral change appear different for women and men.
本研究考察了多媒体行为改变沟通（BCC）活动与乌干达目标地区女性和男性使用现代避孕方法的情况以及使用意愿之间的关联。数据主要取自1997年和1999年改善卫生服务提供情况（DISH）评估调查，这些调查从DISH项目所服务地区具有代表性的育龄妇女和男子样本中收集信息。额外的时间趋势分析依赖于1995年乌干达人口与健康调查的数据。逻辑回归用于评估BCC接触与计划生育态度和行为之间的关联，并对个体的背景特征进行控制。为尽量减少自我报告接触情况的偏差，分析还探讨了BCC信息在社区中的渗透情况的群组层面指标。结果表明，接触BCC信息与避孕措施使用增加及使用意愿增强有关。发现了一些自我报告偏差的证据，而且与生育相关行为改变的途径在女性和男性中似乎有所不同。
