Deputy Project Director, Evidence to Action (E2A) Project, Management Sciences for Health, 1201 Connecticut Avenue, NW, Suite 700, Washington, DC 20036.
Stud Fam Plann. 2014 Mar;45(1):59-72. doi: 10.1111/j.1728-4465.2014.00376.x.
Rates of emergency contraceptive (EC) use in sub-Saharan Africa are highest in Kenya and Nigeria, although little is known about user characteristics and use dynamics in these countries. To better meet women's emergency contraceptive needs and to contribute to the limited knowledge base regarding this method in Africa, this study examines data from a sample of EC users drawn from a large, representative household survey that included sexually experienced women in urban Kenya and Nigeria. Bivariate and multivariate analyses reveal greater knowledge of EC among these urban women than was reported in other nationally representative surveys. Recent users of EC were more likely to be in their 20s, unmarried, and more highly educated than never users or ever users of EC in both countries. Results contradict public perceptions of EC users as young adolescents and indicate the importance of strengthening EC provision in Africa, including targeting information and services to unmarried women and supporting private pharmacies in delivering quality services.
在撒哈拉以南非洲，紧急避孕（EC）的使用率最高的是肯尼亚和尼日利亚，尽管人们对这些国家的用户特征和使用动态知之甚少。为了更好地满足妇女对紧急避孕的需求，并为非洲关于这种方法的有限知识基础做出贡献，本研究分析了从一个大型、有代表性的家庭调查中抽取的 EC 用户样本数据，该调查包括肯尼亚和尼日利亚城市中经历过性行为的妇女。双变量和多变量分析显示，这些城市妇女对 EC 的了解程度高于其他全国代表性调查的报告。最近使用 EC 的人比从未使用过 EC 或曾经使用过 EC 的人更年轻、未婚、受教育程度更高，这在两国都是如此。结果与公众对 EC 用户是青少年的看法相矛盾，表明需要在非洲加强 EC 的提供，包括向未婚妇女提供信息和服务，并支持私人药店提供优质服务。
