Diro Chala W, Afework Mesganaw F
Department of Public Health, Faculty of Health Sciences, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
BMC Public Health. 2013 Oct 1;13:903. doi: 10.1186/1471-2458-13-903.
Traditionally, women have been the main respondents for most of knowledge, attitude and practice survey related to family planning and fertility intention. However it is not well known how responses of women about husbands reflect the husband's attitude and practices. Thus this study is conducted to examine agreement of wife and husband regarding family planning use and fertility desire in Dukem, Ethiopia.
A community based cross sectional survey was conducted on 422 married couple's in Dukem town, central Ethiopia which were selected by using systematic sampling method. The study was conducted from November, 2010 to December, 2010. Data pertaining to fertility intentions and contraception was collected and the level of agreement (kappa statistics) between husbands and wives was computed.
The observed concordance was 71.6% for ideal family size, 94.9% for contraceptive attitude, 95.9% for fertility desire, and 99.7% for report of number of currently living children. The unadjusted kappa statistic varied from 0.61(p<=0.000) for contraceptive attitude to high of 0.99(P<=0.000) for number of living children, for ideal family size 0.63(P<=0.000), fertility desire 0.91(P<=0.000), ever use of contraceptive 0.84(P<=0.000) and current use of contraceptive 0.87(P<=0.000) having kappa values in between. Overall greater degree of agreement was observed for reproductive health events as compared to family planning attitudes and intentions.
In surveys pertaining to reproductive health events, the wife's response may be taken as proxy for the couple's response, but for assessing family planning attitudes and intentions, may require collecting information from husbands and wives separately.
传统上，在大多数与计划生育和生育意愿相关的知识、态度和实践调查中，女性一直是主要受访者。然而，女性对丈夫的回答如何反映丈夫的态度和行为，目前尚不清楚。因此，本研究旨在调查埃塞俄比亚杜克姆地区夫妻在计划生育使用和生育愿望方面的一致性。
采用系统抽样方法，对埃塞俄比亚中部杜克姆镇的422对已婚夫妇进行了一项基于社区的横断面调查。研究于2010年11月至2010年12月进行。收集了与生育意愿和避孕相关的数据，并计算了夫妻之间的一致性水平（kappa统计量）。
理想家庭规模的观察一致性为71.6%，避孕态度为94.9%，生育愿望为95.9%，现有子女数量报告为99.7%。未调整的kappa统计量从避孕态度的0.61（p<=0.000）到现有子女数量的0.99（p<=0.000）不等，理想家庭规模为0.63（p<=0.000），生育愿望为0.91（p<=0.000），曾经使用避孕措施为0.84（p<=0.000），当前使用避孕措施为0.87（p<=0.000），kappa值介于两者之间。与计划生育态度和意愿相比，生殖健康事件的总体一致性程度更高。
在与生殖健康事件相关的调查中，妻子的回答可被视为夫妻双方的回答，但在评估计划生育态度和意愿时，可能需要分别收集丈夫和妻子的信息。
