印度本地治里市区已婚女性未满足的避孕需求。

Unmet need for contraception among married women in an urban area of Puducherry, India.

作者信息

Sulthana Bahiya, Shewade Hemant Deepak, Sunderamurthy Bhuvaneswary, Manoharan Keerthana, Subramanian Manimozhi

机构信息

Department of Community Medicine, IGMCRI, Puducherry; The International Union Against Tuberculosis & Lung Disease, South East Asia Office, New Delhi 110 016, India.

出版信息

Indian J Med Res. 2015 Jan;141(1):115-8. doi: 10.4103/0971-5916.154513.

DOI:10.4103/0971-5916.154513

PMID:25857503

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4405926/

Abstract

BACKGROUND & OBJECTIVES: Unmet need for contraception remains a national problem. The study was conducted in an urban area of Puducherry, India, among the eligible couples to assess the unmet need for contraception and to determine the awareness and pattern of use of contraceptives along with the socio-demographic factors associated with the unmet needs for contraception.

METHODS

This cross-sectional study included eligible couples with married women in age group of 15-45 yr as the study population (n=267). Probability proportional to size sampling followed by systematic random sampling was used. A pre-tested questionnaire was administered to collect data from the respondents. Double data entry and validation of data was done.

RESULTS

Unmet need for contraception was 27.3 per cent (95% CI: 22.3-33); unmet need for spacing and limiting was 4.9 and 22.5 per cent, respectively. Among those with unmet need (n=73), 50 per cent reported client related factors (lack of knowledge, shyness, etc.); and 37 per cent reported contraception related factors (availability, accessibility, affordability, side effects) as a cause for unmet need.

INTERPRETATION & CONCLUSIONS: Our study showed a high unmet need for contraception in the study area indicating towards a necessity to address user perspective to meet the contraception needs.

摘要

背景与目的

避孕需求未得到满足仍是一个全国性问题。本研究在印度本地治里的一个城市地区，对符合条件的夫妇进行，以评估避孕需求未得到满足的情况，确定避孕方法的知晓率和使用模式，以及与避孕需求未得到满足相关的社会人口学因素。

方法

这项横断面研究纳入年龄在15 - 45岁的已婚女性及其配偶作为研究人群（n = 267）。采用按规模大小概率抽样随后进行系统随机抽样的方法。使用经过预测试的问卷从受访者收集数据。进行了双份数据录入和数据验证。

结果

避孕需求未得到满足的比例为27.3%（95%置信区间：22.3 - 33）；生育间隔和生育限制需求未得到满足的比例分别为4.9%和22.5%。在避孕需求未得到满足的人群（n = 73）中，50%报告了与使用者相关的因素（缺乏知识、害羞等）；37%报告了与避孕相关的因素（可获得性、可及性、可承受性、副作用）是需求未得到满足的原因。