Marrone Gaetano, Abdul-Rahman Lutuf, De Coninck Zaake, Johansson Annika
Afr J Reprod Health. 2014 Mar;18(1):102-9.
Adolescent girls in Ghana still face a number of challenges accessing reproductive/sexual health services despite efforts to improve their accessibility. This paper explores the key socio-demographic factors associated with contraceptive use amongst adolescent girls in Ghana using the 2008 Ghana Demographic and Health Survey (GDHS). Data from the 2008 GDHS was analyzed. Socio-demographic variables were selected to assess their interaction with contraceptive use. Multivariable regression analyses were performed. Odds ratios and confidence intervals were computed. Place of residence and marital status were the most important predictors of contraceptive use among sexually active adolescents. Rural residents were less likely to use contraceptives compared to urban residents (OR 0.32, CI 0.12-0.84, p = 0.021) as well as married respondents compared to their unmarried peers (OR 0.27, 95% CI 0.11-0.67, p = 0.005). The accessibility of reproductive/sexual health services needs to be improved and promoted in rural areas and among married adolescent women.
尽管加纳努力提高生殖/性健康服务的可及性，但该国少女在获取这些服务方面仍面临诸多挑战。本文利用2008年加纳人口与健康调查（GDHS），探讨了与加纳少女使用避孕药具相关的关键社会人口因素。对2008年GDHS的数据进行了分析。选取社会人口变量以评估其与避孕药具使用的相互作用。进行了多变量回归分析。计算了比值比和置信区间。居住地和婚姻状况是性活跃青少年中使用避孕药具的最重要预测因素。与城市居民相比，农村居民使用避孕药具的可能性较小（比值比0.32，置信区间0.12 - 0.84，p = 0.021）；与未婚同龄人相比，已婚受访者使用避孕药具的可能性也较小（比值比0.27，95%置信区间0.11 - 0.67，p = 0.005）。农村地区以及已婚少女中生殖/性健康服务的可及性需要得到改善和推广。
