尼日利亚埃努古地区高等教育机构学生中同伴驱动的避孕选择及对避孕方法的偏好
Peer-driven contraceptive choices and preferences for contraceptive methods among students of tertiary educational institutions in Enugu, Nigeria.
作者信息
Iyoke Ca, Ezugwu Fo, Lawani Ol, Ugwu Go, Ajah Lo, Mba Sg
机构信息
Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Enugu Nigeria.
Department of Obstetrics and Gynecology, Enugu State University Teaching Hospital, Enugu Nigeria.
出版信息
Patient Prefer Adherence. 2014 Jul 31;8:1043-50. doi: 10.2147/PPA.S67585. eCollection 2014.
PURPOSE
To describe the methods preferred for contraception, evaluate preferences and adherence to modern contraceptive methods, and determine the factors associated with contraceptive choices among tertiary students in South East Nigeria.
METHODS
A questionnaire-based cross-sectional study of sexual habits, knowledge of contraceptive methods, and patterns of contraceptive choices among a pooled sample of unmarried students from the three largest tertiary educational institutions in Enugu city, Nigeria was done. Statistical analysis involved descriptive and inferential statistics at the 95% level of confidence.
RESULTS
A total of 313 unmarried students were studied (194 males; 119 females). Their mean age was 22.5±5.1 years. Over 98% of males and 85% of females made their contraceptive choices based on information from peers. Preferences for contraceptive methods among female students were 49.2% for traditional methods of contraception, 28% for modern methods, 10% for nonpharmacological agents, and 8% for off-label drugs. Adherence to modern contraceptives among female students was 35%. Among male students, the preference for the male condom was 45.2% and the adherence to condom use was 21.7%. Multivariate analysis showed that receiving information from health personnel/media/workshops (odds ratio 9.54, 95% confidence interval 3.5-26.3), health science-related course of study (odds ratio 3.5, 95% confidence interval 1.3-9.6), and previous sexual exposure prior to university admission (odds ratio 3.48, 95% confidence interval 1.5-8.0) all increased the likelihood of adherence to modern contraceptive methods.
CONCLUSION
An overwhelming reliance on peers for contraceptive information in the context of poor knowledge of modern methods of contraception among young people could have contributed to the low preferences and adherence to modern contraceptive methods among students in tertiary educational institutions. Programs to reduce risky sexual behavior among these students may need to focus on increasing the content and adequacy of contraceptive information held by people through regular health worker-led, on-campus workshops.
目的
描述首选的避孕方法，评估对现代避孕方法的偏好和依从性，并确定尼日利亚东南部大学生避孕选择的相关因素。
方法
对尼日利亚埃努古市三所最大的高等教育机构中未婚学生的汇总样本进行了一项基于问卷的横断面研究，内容包括性行为习惯、避孕方法知识和避孕选择模式。统计分析采用95%置信水平的描述性和推断性统计。
结果
共研究了313名未婚学生（194名男性；119名女性）。他们的平均年龄为22.5±5.1岁。超过98%的男性和85%的女性根据同伴提供的信息做出避孕选择。女学生对避孕方法的偏好为：传统避孕方法占49.2%，现代方法占28%，非药物制剂占10%，非标签药物占8%。女学生对现代避孕药具的依从性为35%。男学生中，对男用避孕套的偏好为45.2%，使用避孕套的依从性为21.7%。多变量分析表明，从卫生人员/媒体/工作坊获得信息（比值比9.54，95%置信区间3.5 - 26.3）、与健康科学相关的课程学习（比值比3.5，95%置信区间1.3 - 9.6）以及大学入学前有过性接触（比值比3.48，95%置信区间1.5 - 8.0）均增加了使用现代避孕方法的可能性。
结论
在年轻人对现代避孕方法了解不足的情况下，他们在很大程度上依赖同伴获取避孕信息，这可能导致了高等教育机构学生对现代避孕方法的低偏好和低依从性。减少这些学生危险性行为的项目可能需要侧重于通过定期由卫生工作者主导的校内工作坊，增加人们所掌握的避孕信息的内容和充分性。
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