Islamic University, Kushtia, Bangladesh.
Asia Pac J Public Health. 2010 Oct;22(4):436-50. doi: 10.1177/1010539510370780. Epub 2010 Jul 20.
This article investigates socioeconomic correlates of contraceptive use and method choice in rural Bangladesh. To meet the objectives of the study, the authors used nationally representative 2004 Bangladesh Demographic and Health Survey data. The findings indicate that contraceptive prevalence rate among currently married nonpregnant women was 61%. The prevalence of modern methods was 49%. Oral pill and periodic abstinence were the most preferred modern and traditional methods, respectively. Both bivariate and multivariate analyses reveal that women's age, number of living children, having a male child, women's education, religion, NGO membership, and place of region are important determinants of contraceptive use and method choices. Findings suggest that discussion between husband and wife on family planning has the most single significant effect on both current contraceptive use (odds ratio [OR] = 4.45; confidence interval [CI] = 3.95-5.01) and modern method preference (OR = 1.57; CI = 1.28-1.93). The doorstep delivery service of modern methods should be strengthened to further increase effective family planning that is required to reduce the total fertility rate in Bangladesh.
本文调查了孟加拉国农村地区避孕措施使用和方法选择的社会经济相关因素。为了实现研究目标，作者使用了具有全国代表性的 2004 年孟加拉国人口与健康调查数据。研究结果表明，目前已婚未怀孕妇女的避孕普及率为 61%。现代方法的普及率为 49%。口服避孕药和定期禁欲分别是最受欢迎的现代和传统方法。单变量和多变量分析都表明，妇女的年龄、存活子女数量、有男孩、教育程度、宗教、非政府组织成员资格和地区位置是影响避孕措施使用和方法选择的重要决定因素。研究结果表明，夫妻之间关于计划生育的讨论对当前避孕措施的使用（比值比 [OR] = 4.45；置信区间 [CI] = 3.95-5.01）和现代方法偏好（OR = 1.57；CI = 1.28-1.93）都有最单一的显著影响。应加强现代方法的上门服务，以进一步增加有效的计划生育，这是降低孟加拉国总生育率所必需的。
