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吉尔吉斯斯坦已婚男性使用现代避孕方法的流行情况和社会经济因素:来自人口与健康调查的证据。

Prevalence and socio-economic factors determining use of modern contraception among married men in Kyrgyzstan: evidence from a demographic and health survey.

机构信息

Office of the United Nations High Commissioner for Refugees, Moscow, Russian Federation.

The University of Liverpool/Laureate Online Education', Department of Health Sciences, Liverpool, UK.

出版信息

Public Health. 2017 Jan;142:56-63. doi: 10.1016/j.puhe.2016.10.008. Epub 2016 Nov 19.

Abstract

OBJECTIVES

This study aimed to estimate the prevalence of modern contraceptive use (MCU), and to identify socio-economic factors that are associated with MCU among married men in Kyrgyzstan.

STUDY DESIGN

A cross-sectional study based on the 2012 Kyrgyzstan Demographic and Health Survey data.

METHODS

This study used data from 460 married men aged 20-49 years. Descriptive statistics, Pearson's Chi-squared test and logistic regression were used to estimate the prevalence of MCU, and to define factors that influence MCU among married men in Kyrgyzstan.

RESULTS

The prevalence of MCU among married men aged 20-49 years was 22.2%. Men in the richer quintile were less likely to use modern contraceptives than men in the poorest quintile (adjusted odds ratio [aOR] 0.267, 95% confidence interval [CI] 0.100-0.715). Men with three living children had higher odds of MCU than men with no children or one child (aOR 3.534, 95% CI 1.221-10.229). Men who were unemployed were more likely to use modern contraceptives than men who were employed as manual labourers (aOR 4.511, 95% CI 1.104-18.442).

CONCLUSION

Top priority should be given to strengthening family planning communication programmes among married men and male education. There is a need to pay attention to the socio-economic determinants of MCU among men in the development of family planning programmes. Emphasis should be placed on increasing MCU among men with high socio-economic status.

摘要

目的

本研究旨在估计现代避孕方法(MCU)的使用情况,并确定与吉尔吉斯斯坦已婚男性使用 MCU 相关的社会经济因素。

研究设计

这是一项基于 2012 年吉尔吉斯斯坦人口与健康调查数据的横断面研究。

方法

本研究使用了 460 名年龄在 20-49 岁的已婚男性的数据。采用描述性统计、Pearson's Chi-squared 检验和逻辑回归来估计 MCU 的流行率,并确定影响吉尔吉斯斯坦已婚男性使用 MCU 的因素。

结果

20-49 岁已婚男性中使用现代避孕方法的比例为 22.2%。较富裕五分位数的男性使用现代避孕方法的可能性低于较贫穷五分位数的男性(调整后的优势比[aOR]0.267,95%置信区间[CI]0.100-0.715)。有三个活子女的男性使用现代避孕方法的可能性高于没有子女或只有一个子女的男性(aOR 3.534,95% CI 1.221-10.229)。失业男性使用现代避孕方法的可能性高于体力劳动者(aOR 4.511,95% CI 1.104-18.442)。

结论

应优先加强针对已婚男性和男性教育的计划生育宣传方案。在制定计划生育方案时,需要注意男性使用 MCU 的社会经济决定因素。应重点提高社会经济地位较高的男性的 MCU 使用率。

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