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阿姆哈拉州阿维地区丹吉拉镇行政区目前已婚妇女计划生育需求未满足的决定因素;一项横断面研究。

Determinants of unmet need for family planning among currently married women in Dangila town administration, Awi Zone, Amhara regional state; a cross sectional study.

作者信息

Genet Ewnetu, Abeje Gedefaw, Ejigu Tadese

机构信息

Amhara Development Association, Bahir Dar Ethiopia, Ethiopia.

School of Public Health, College of Medicine and Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

Reprod Health. 2015 May 13;12:42. doi: 10.1186/s12978-015-0038-3.

Abstract

BACKGROUND

Unmet need for family planning is a major problem of developing countries. Evidences about unmet need for family planning and associated factors are not enough in Dangila town. Therefore, this study was done to assess the magnitude and determinants of unmet need for family planning among currently married women in Dangila town.

METHODOLOGY

Community based cross sectional study design was used to collect data from a total of 551 currently married women from February to March 2014. Data were collected using pretested structured interviewer administered questionnaire after written consent was obtained from respondents. Collected data were edited, coded, and entered to SPSS version 16.0. Bivariate and multivariable logistic regression analyses were done to identify determinants of unmet need for family planning.

RESULTS

This study revealed that 17.4 % of married women had unmet need for family planning. In this study, women who were housewife/farmers were about 7 [OR = 6.81 (1.91-24.29)] times more likely to have unmet need compared to employed women. Women who were not counseled about family planning by health workers [OR = 6.76 (3.17-14.42)], women whose partner had non-supportive attitude for family planning use [OR = 3.34 (1.26-8.90)] and rural women [OR = 17.65 (4.35-71.67)] were also more likely to have unmet need for family planning. About 33 %, 32 %, 23.5 % and 11.8 % of women mentioned less perceived risk of pregnancy due to breast feeding, fear of side effects, partner opposition and religious prohibition respectively as reasons for not using contraceptives at the time of interview.

CONCLUSIONS

The level of unmet need for family planning in the study area is still high compared to the target set (10 %) in the national family planning guide plan of Ethiopia to be achieved by the end of 2015. Therefore, it is important to strengthen counseling and partner involvement in Dangila town to reduce unmet need for family planning.

摘要

背景

计划生育需求未得到满足是发展中国家的一个主要问题。在丹吉拉镇,关于计划生育需求未得到满足及其相关因素的证据不足。因此,本研究旨在评估丹吉拉镇目前已婚妇女中计划生育需求未得到满足的程度及其决定因素。

方法

采用基于社区的横断面研究设计,于2014年2月至3月从总共551名目前已婚妇女中收集数据。在获得受访者书面同意后,使用预先测试的结构化访谈问卷收集数据。收集到的数据经过编辑、编码,并录入SPSS 16.0版本。进行二元和多变量逻辑回归分析,以确定计划生育需求未得到满足的决定因素。

结果

本研究显示,17.4%的已婚妇女计划生育需求未得到满足。在本研究中,家庭主妇/农民身份的妇女计划生育需求未得到满足的可能性是就业妇女的7倍左右[比值比(OR)=6.81(1.91 - 24.29)]。未接受卫生工作者计划生育咨询的妇女[OR = 6.76(3.17 - 14.42)]、其伴侣对计划生育使用持不支持态度的妇女[OR = 3.34(1.26 - 8.90)]以及农村妇女[OR = 17.65(4.35 - 71.67)]计划生育需求未得到满足的可能性也更高。分别有33%、32%、23.5%和11.8%的妇女在访谈时提到,因母乳喂养对怀孕风险的认知较低、害怕副作用、伴侣反对和宗教禁令是未使用避孕药具的原因。

结论

与埃塞俄比亚国家计划生育指导计划设定的到2015年底要实现的目标(10%)相比,研究地区计划生育需求未得到满足程度仍然很高。因此,加强丹吉拉镇的咨询服务以及让伴侣参与进来对于减少计划生育需求未得到满足情况很重要。

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