孟加拉国男性参与生殖保健的相关因素。
Factors associated with male involvement in reproductive care in Bangladesh.
作者信息
Bishwajit Ghose, Tang Shangfeng, Yaya Sanni, Ide Seydou, Fu Hang, Wang Manli, He Zhifei, Da Feng, Feng Zhanchun
机构信息
School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China.
School of International Development and Global Studies, Faculty of Social Sciences, University of Ottawa, Ottawa, ON, K1N 6 N5, Canada.
出版信息
BMC Public Health. 2017 Jan 3;17(1):3. doi: 10.1186/s12889-016-3915-y.
BACKGROUND
Men's active involvement in reproductive healthcare has shown to be positively associated with maternal and child health outcomes. Bangladesh has made appreciable progress in its pursuance of maternal mortality related goals in the framework of the MDGs. However, there remains a lot to be accomplished to realise the long-term goals for which active participation of male counterparts in reproductive care is crucial. Therefore, the objective of the present study was to investigate factors associated with male involvement in reproductive health among Bangladeshi men.
METHODS
We used data from Bangladesh Demographic and Health Survey (BDHS) conducted in 2011. Study participants were 1196 married men, aged between 15 and 69 years and living in both urban and rural households. Level of male involvement (outcome variable) was measured based on the responses on knowledge, awareness and practice regarding reproductive health. Chi-square tests and multivariable logistic regression models were performed for data analysis.
RESULTS
Out of 1196 participants, only 40% were found to be active about partners' reproductive healthcare. Chi-square test showed significant association between active involvement and ever hearing about family planning (FP) in television, learning about FP through community health events, community health workers and poster/billboard. Results from logistic regression analysis revealed that type of residency [p = 0.004, AOR = 0.666, 95% CI = 0.504-0.879], literacy [secondary/higher education- p = 0.006. AOR = 0.579, 95% CI = 0.165-0.509], learning about family planning from Newspaper [p < 0.001. AOR = 1.952, 95% CI = 1.429-2.664], and television [p = 0.017. AOR = 1.514 95% CI = 1.298-1.886], and having been communicated about family planning by community health workers [p = 0.017. AOR = 1.946, 95% CI = 1.129-3.356] were significantly associated with active involvement of men in reproductive health issues.
CONCLUSIONS
Level of male involvement was associated with schooling experience, type of residency and exposure to electronic media. National health policy programs aimed at promoting male involvement in reproductive care should focus on improving knowledge and awareness of reproductive health though community health education programs with a special focus in the rural areas.
背景
男性积极参与生殖健康护理已被证明与母婴健康结果呈正相关。孟加拉国在千年发展目标框架内追求与孕产妇死亡率相关的目标方面取得了显著进展。然而，要实现长期目标仍有许多工作要做，而男性同行积极参与生殖护理至关重要。因此，本研究的目的是调查孟加拉国男性中与男性参与生殖健康相关的因素。
方法
我们使用了2011年进行的孟加拉国人口与健康调查（BDHS）的数据。研究参与者为1196名已婚男性，年龄在15至69岁之间，居住在城市和农村家庭。男性参与程度（结果变量）是根据对生殖健康知识、意识和实践的回答来衡量的。进行卡方检验和多变量逻辑回归模型进行数据分析。
结果
在1196名参与者中，只有40%的人被发现积极关注伴侣的生殖健康护理。卡方检验显示，积极参与与在电视上听说过计划生育（FP）、通过社区健康活动、社区卫生工作者以及海报/广告牌了解FP之间存在显著关联。逻辑回归分析结果显示，居住类型[p = 0.004，AOR = 0.666，95% CI = 0.504 - 0.879]、识字率[中等/高等教育 - p = 0.006，AOR = 0.579，95% CI = 0.165 - 0.509]、从报纸上了解计划生育[p < 0.001，AOR = 1.952，95% CI = 1.429 - 2.664]、从电视上了解计划生育[p = 0.017，AOR = 1.514，95% CI = 1.298 - 1.886]以及社区卫生工作者向其宣传过计划生育[p = 0.017，AOR = 1.946，95% CI = 1.129 - 3.356]与男性积极参与生殖健康问题显著相关。
结论
男性参与程度与受教育经历、居住类型和接触电子媒体有关。旨在促进男性参与生殖护理的国家卫生政策计划应通过社区健康教育计划，特别关注农村地区，着重提高生殖健康知识和意识。
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