Oye-Adeniran Boniface A, Adewole Isaac F, Umoh Augustine V, Oladokun Adesina, Ghadegsin Abidoye, Ekanem Ekanem E, Yusuf Bidemi, Odeyemi Kofo A, Iwere Ngozi, Mahmoud Pat
Department of Obstetrics & Gynaecology, College of Medicine, University of Lagos (CMUL), Lagos, Nigeria.
Afr J Reprod Health. 2006 Aug;10(2):90-104.
A cross sectional, community-based, descriptive study among women of reproductive age group (15-49 years) in Nigeria to explore the possible reasons for contraceptive non-use despite reported high awareness was carried out. Data were obtained using a standard questionnaire instrument and applied on 2001 respondents. Contraceptive prevalence among sexually active respondents was 14.8% for all methods, 10.1% for modern methods and only 0.8% for emergency contraceptives. The most frequently stated reasons for non-use of contraceptives, among those who had never used any contraceptives but who did not want more children were: "did not think about it", "against religious belief" and "fear of side effects." Prior counseling significantly improved the continuation rate of contraception. Multivariate analysis showed that older, married and more educated women tended to use contraceptives more. Health-care providers should be trained to offer counseling services to all clients in general, and young, unmarried and uneducated women in particular in order to improve their acceptance of contraceptives.
在尼日利亚开展了一项基于社区的横断面描述性研究，以探究育龄期（15 - 49岁）女性尽管报告显示避孕意识较高但仍不使用避孕药具的可能原因。数据通过标准问卷工具收集，并应用于2001名受访者。性活跃受访者中所有避孕方法的普及率为14.8%，现代方法为10.1%，紧急避孕药仅为0.8%。在从未使用过任何避孕药具但不想再生育的人群中，最常提及的不使用避孕药具的原因是：“没有考虑过”、“违背宗教信仰”和“担心副作用”。事先咨询显著提高了避孕的持续率。多变量分析表明，年龄较大、已婚且受教育程度较高的女性更倾向于使用避孕药具。医疗保健提供者应接受培训，以便为所有客户，尤其是年轻、未婚和未受过教育的女性提供咨询服务，从而提高她们对避孕药具的接受度。
