肯尼亚城市地区的伴侣沟通、生育目标不一致与避孕措施的使用
Partner communication, discordant fertility goals, and contraceptive use in urban Kenya.
作者信息
Tumlinson Katherine, Speizer Ilene S, Davis Joshua T, Fotso Jean Christophe, Kuria Paul, Archer Linda H
机构信息
Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
出版信息
Afr J Reprod Health. 2013 Sep;17(3):79-90.
This study assesses the degree of partner communication and perceived partner concordance and their association with contraceptive use among 2,891 women and 1,362 men in urban Kenya. Twenty-three percent of men and 30% of women report never discussing FP with their partner. Approximately 70% of participants perceive their partner to have concordant fertility desires. Multivariate analyses revealed that both male (AOR = 7.7 [95% CI = 5.5-10.7]) and female (AOR = 2.8 [95% CI = 2.3-3.3]) participants were more likely to use contraception if they report discussing FP with their partner. Participants who perceive that their partner wants fewer children also were more likely to use contraception (AOR, females = 1.8 [95% CI = 1.2-2.8]), (AOR, males = 1.9 [95% CI = 1.2-3.1]). Discussion of FP is a key determinant of contraceptive use; in couples with discordant fertility goals, pro-natalist males do not always dictate contraceptive behavior in urban Kenya.
本研究评估了肯尼亚城市地区2891名女性和1362名男性中伴侣间沟通的程度、伴侣间生育意愿的一致性及其与避孕措施使用之间的关联。23%的男性和30%的女性表示从未与伴侣讨论过计划生育问题。约70%的参与者认为其伴侣的生育意愿与其一致。多变量分析显示，无论是男性（调整后比值比[AOR]=7.7[95%置信区间（CI）=5.5 - 10.7]）还是女性（AOR = 2.8[95% CI = 2.3 - 3.3]），如果报告与伴侣讨论过计划生育问题，使用避孕措施的可能性更高。认为伴侣想要更少孩子的参与者使用避孕措施的可能性也更高（女性AOR = 1.8[95% CI = 1.2 - 2.8]），（男性AOR = 1.9[95% CI = 1.2 - 3.1]）。讨论计划生育问题是避孕措施使用的关键决定因素；在生育目标不一致的夫妻中，肯尼亚城市地区主张生育的男性并不总是主导避孕行为。
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