Ali S, Rozi S, Mahmood M A
Department of Community Health Sciences, Aga Khan University, Karachi.
J Pak Med Assoc. 2004 Sep;54(9):461-5.
To estimate the prevalence and factors associated with practice of modern contraceptive methods among currently married women of reproductive age group (15-49 years) in District Naushahro Feroze.
A community based cross-sectional survey was conducted from May to June 2000. We interviewed 420 currently married women of reproductive age group (15-49) years. Information regarding socio-demographic factors, economic condition, their source of information for the message of family planning and reason of using any modern contraceptive method.
The prevalence of modern contraceptive method was 27.9%. Final multiple logistic regression analysis showed that with husband agreement (OR, 5.4; 95% CI 2.2-13.2), women could go alone to a health care provider (OR, 1.4; 95% CI 1.1-2.4) and women employment status (OR, 2.5 95% CI 1.2-5.2) were significantly associated with practice of modern contraceptive methods. Similarly, those women who had 3 or more children were more likely to use any modern contraceptive methods compared to those who have 2 or less children. In addition, husband's education was also found significantly associated with family planning practice.
The practice of modern contraceptive method is low. Socio demographic factors of women were significantly associated with use of modern contraceptive methods. Male and female education and small group discussions of various issues related to family planningand reproductive health may be helpful in creating awareness in the district.
评估瑙沙罗费罗泽区目前处于生育年龄组（15 - 49岁）的已婚妇女中现代避孕方法的使用率及其相关因素。
于2000年5月至6月进行了一项基于社区的横断面调查。我们采访了420名目前处于生育年龄组（15 - 49岁）的已婚妇女。收集了有关社会人口因素、经济状况、她们获取计划生育信息的来源以及使用任何现代避孕方法的原因等信息。
现代避孕方法的使用率为27.9%。最终的多元逻辑回归分析表明，获得丈夫同意（比值比[OR]，5.4；95%置信区间[CI] 2.2 - 13.2）、能够独自前往医疗服务提供者处（OR，1.4；95% CI 1.1 - 2.4）以及妇女的就业状况（OR，2.5；95% CI 1.2 - 5.2）与现代避孕方法的使用显著相关。同样，与生育2个或更少孩子的妇女相比，生育3个或更多孩子的妇女更有可能使用任何现代避孕方法。此外，还发现丈夫的教育程度与计划生育实践也显著相关。
现代避孕方法的使用率较低。妇女的社会人口因素与现代避孕方法的使用显著相关。男性和女性教育以及关于计划生育和生殖健康的各种问题的小组讨论可能有助于在该地区提高认识。
