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孟加拉国就业和失业妇女中避孕药具使用情况及其决定因素

Prevalence and Determinants of Contraceptive use among Employed and Unemployed Women in Bangladesh.

作者信息

Islam Ahmed Zohirul, Mondal Md Nazrul Islam, Khatun Mt Laily, Rahman Md Mosiur, Islam Md Rafiqul, Mostofa Md Golam, Hoque Md Nazrul

机构信息

Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi 6205; Bangladesh.

International Health and Medicine, Division of Public Health, Graduate School of Medicine, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo, Tokyo 113-8519, Japan.

出版信息

Int J MCH AIDS. 2016;5(2):92-102. doi: 10.21106/ijma.83.

Abstract

BACKGROUND

Contraceptive use plays a significant role in controlling fertility, particularly in reaching the replacement level of fertility. The association between women's employment status and contraceptive use is poorly studied and understood in Bangladesh. The aim of this study was to determine the factors that influence contraceptive use among employed and unemployed women in Bangladesh.

METHODS

Data and necessary information of 16,616 married women were extracted from the Bangladesh Demographic and Health Survey (BDHS) 2011. The cross sectional data has been used for univariate analysis, to carry out the description of the variables; bivariate analysis, to find the associations among the variables; and binary logistic regression analysis, to evaluate the effects of selected sociodemographic factors on contraceptive use.

RESULTS

The results revealed that the contraceptive use was found higher among employed women (67%) than that of unemployed women. Women's age, education, region, number of living children, and child preference were found to be significantly associated with current use of contraception among employed women. On the other hand, women's age, education, husband's education, region, residence, religion, number of living children, ever heard about family planning, and child preference were identified as the significant predictors of contraceptive use among unemployed women.

CONCLUSION AND GLOBAL HEALTH IMPLICATIONS

A gap in using contraceptives among employed and unemployed women is identified. By creating employment opportunities for women to be enhanced the contraceptive use. Moreover, the sociodemographic factors need to be taken into consideration in formulating policies and implementing programs to increase the contraceptive prevalence rate among women.

摘要

背景

避孕措施在控制生育方面发挥着重要作用,特别是在实现生育更替水平方面。在孟加拉国,女性就业状况与避孕措施使用之间的关联研究较少且了解不足。本研究的目的是确定影响孟加拉国就业和失业女性避孕措施使用的因素。

方法

从2011年孟加拉国人口与健康调查(BDHS)中提取了16616名已婚女性的数据及必要信息。横断面数据用于单变量分析以描述变量;双变量分析以找出变量之间的关联;二元逻辑回归分析以评估所选社会人口学因素对避孕措施使用的影响。

结果

结果显示,就业女性的避孕措施使用率(67%)高于失业女性。就业女性的年龄、教育程度、地区、存活子女数量和子女偏好与当前避孕措施的使用显著相关。另一方面,失业女性的年龄、教育程度、丈夫的教育程度、地区、居住地、宗教、存活子女数量、是否听说过计划生育以及子女偏好被确定为避孕措施使用的显著预测因素。

结论及全球健康影响

已确定就业和失业女性在避孕措施使用方面存在差距。通过为女性创造就业机会可提高避孕措施的使用率。此外,在制定政策和实施项目以提高女性避孕普及率时,需要考虑社会人口学因素。

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