印度马哈拉施特拉邦农村地区部落身份与间隔避孕措施使用之间的关联。
Association between tribal status and spacing contraceptive use in rural Maharashtra, India.
作者信息
Battala Madhusudana, Raj Anita, Ghule Mohan, Nair Saritha, Silverman Jay, Dasgupta Anindita, Donta Balaiah, Saggurti Niranjan
机构信息
Population Council, #142, First Floor, Golf Links, New Delhi 110003, India.
University of California San Diego School of Medicine, 9500 Gilman Drive, MC 0507, La Jolla, CA 92093-0507, USA; Center on Gender Equity and Health, University of California, San Diego, 9500 Gilman Drive, MC 0507, La Jolla, CA 92093-0507, USA.
出版信息
Sex Reprod Healthc. 2016 Mar;7:78-80. doi: 10.1016/j.srhc.2015.11.009. Epub 2015 Dec 8.
This study examines associations between tribal status and spacing contraception use (SCU) in rural Maharashtra, India. Cross-sectional analyses were conducted on baseline survey data from non-sterilized married couples (n = 867) participating in the CHARM family planning evaluation study. Participants were aged 18-30 years and 67.6% were tribal; 27.7% reported current SCU. Crude regression analyses indicated that tribals were less likely to use contraception (AOR = 0.04, 95% CI = 0.29, 0.54); this association was lost after adjusting for education, higher parity and desire for pregnancy, factors associated with tribal status. Findings suggest that lower SCU among tribals is driven by social vulnerabilities and higher fertility preferences.
本研究调查了印度马哈拉施特拉邦农村地区部落身份与间隔避孕措施使用（SCU）之间的关联。对参与CHARM计划生育评估研究的未绝育已婚夫妇（n = 867）的基线调查数据进行了横断面分析。参与者年龄在18至30岁之间，67.6%为部落成员；27.7%报告当前使用间隔避孕措施。粗回归分析表明，部落成员使用避孕措施的可能性较小（调整后比值比[AOR]=0.04，95%置信区间[CI]=0.29，0.54）；在调整了教育、较高胎次和怀孕意愿等与部落身份相关的因素后，这种关联消失了。研究结果表明，部落成员中较低的间隔避孕措施使用率是由社会脆弱性和较高的生育偏好驱动的。
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