Dassah Edward T, Odoi Alexander T, Owusu-Asubonteng Gerald
Department of Obstetrics and Gynaecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Eur J Contracept Reprod Health Care. 2013 Aug;18(4):293-9. doi: 10.3109/13625187.2013.790951. Epub 2013 May 7.
To determine the prevalence, socio-demographic and reproductive factors associated with long-acting reversible contraceptive (LARC) use among clients resorting to reversible birth control methods in a tertiary hospital in Ghana.
Retrospective review of records of clients who opted for reversible family planning (FP) methods at Komfo Anokye Teaching Hospital, Kumasi, Ghana, from 1 July 2003 to 30 June 2008. We recorded data on their contraceptive history, and socio-demographic- and reproductive characteristics. Categorical variables were compared using the χ(2) test and factors associated with LARC uptake examined by binomial regression with a log-link function to estimate relative risks (RRs) and 95% confidence intervals (CIs).
Of 5946 clients who opted for reversible contraception, 71% chose LARCs, and the remaining 29% chose shorter-acting contraceptives. LARCs were employed mainly by women with more living children (p trend < 0.001) who had previously used LARCs (adjusted RR: 1.49; 95% CI: 1.39-1.60). Over half of non-contraceptive users started with LARCs while 27% of women switched from shorter-acting contraceptives to LARCs.
The prevalence of LARC uptake was much higher than the national average. Significant factors associated with current LARC use were the number of surviving children and previous LARC use.
确定在加纳一家三级医院中，采用可逆避孕方法的客户中长效可逆避孕法（LARC）使用情况及其相关的社会人口统计学和生殖因素。
回顾性分析2003年7月1日至2008年6月30日期间在加纳库马西的Komfo Anokye教学医院选择可逆计划生育（FP）方法的客户记录。我们记录了他们的避孕史、社会人口统计学和生殖特征。分类变量采用χ²检验进行比较，通过具有对数链接函数的二项式回归分析与LARC使用相关的因素，以估计相对风险（RRs）和95%置信区间（CIs）。
在5946名选择可逆避孕的客户中，71%选择了LARC，其余29%选择了短效避孕药。LARC主要由子女较多的女性使用（p趋势<0.001），这些女性之前曾使用过LARC（调整后的RR：1.49；95%CI：1.39 - 1.60）。超过一半的非避孕使用者开始时选择LARC，而27%的女性从短效避孕药改用LARC。
LARC的使用率远高于全国平均水平。与当前LARC使用相关的重要因素是存活子女数量和之前的LARC使用情况。
