Sinha Rakhi, Goyal Neerav, Sirois Adam, Valeeva Natalia, Doocy Shannon
Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Am J Disaster Med. 2008 Sep-Oct;3(5):295-300.
Studies have been done to characterize primary "urgent" health needs in displaced populations; few studies have explored specifically family planning (FP) needs.
To investigates the hypothesis that there exists an unmet need for FP among Iraqi nationals in Amman, Jordan.
Married Iraqi individuals attending seven nongovernmental organization clinics were asked a subset of survey questions to ascertain FP health needs and access.
16.1 percent (n = 76) of respondents reported need for FP services, of which 16 percent (n = 397) report having access to FP counseling, and 43 percent (n = 33) had access to contraceptives. After 30 years of age, need for FP decreased yearly 12 percent (OR = 0.88, CI = 0.84-0.92, p = 0.00). After one year of living in Amman, Jordan, the odds of needing FP services increases yearly 13 percent (OR = 1.13, CI = 1.05-1.22, p = 0.001). In addition, if the respondent has one or more children younger than 5 years in the same household, the odds of needing FP services increases by 85 percent (OR = 1.85, CI = 1.0-3.44, p = 0.05).
This study illustrates a clear unmet need in FP services among Iraqis in Amman, Jordan, especially among the long-term displaced.
已有研究对流离失所人群的主要“紧急”健康需求进行了特征描述；但很少有研究专门探讨计划生育需求。
调查约旦安曼的伊拉克国民中存在未满足的计划生育需求这一假设。
对在七家非政府组织诊所就诊的已婚伊拉克人询问了一部分调查问卷问题，以确定计划生育健康需求和服务可及性。
16.1%（n = 76）的受访者表示需要计划生育服务，其中16%（n = 397）报告可获得计划生育咨询，43%（n = 33）可获得避孕药具。30岁以后，对计划生育的需求每年下降12%（比值比=0.88，可信区间=0.84 - 0.92，p = 0.00）。在约旦安曼生活一年后，需要计划生育服务的几率每年增加13%（比值比=1.13，可信区间=1.05 - 1.22，p = 0.001）。此外，如果受访者在同一家庭中有一个或多个5岁以下的孩子，需要计划生育服务的几率会增加85%（比值比=1.85，可信区间=1.0 - 3.44，p = 0.05）。
本研究表明约旦安曼的伊拉克人，尤其是长期流离失所者中，计划生育服务存在明显未满足的需求。
