Solanke Bola Lukman
Department of Demography and Social Statistics, Obafemi Awolowo University, Ile-Ife, Nigeria.
Demography and Population Studies Programme, University of the Witwatersrand, Ile-Ife, South Africa.
J Health Popul Nutr. 2017 Jan 7;36(1):1. doi: 10.1186/s41043-016-0077-6.
Factors influencing contraceptive use and non-use among women of advanced reproductive age have been insufficiently researched in Nigeria. This study examines factors influencing contraceptive use and non-use among women of advanced reproductive age in Nigeria.
Secondary data were pooled and extracted from 2008 and 2013 Nigeria Demographic and Health Surveys (NDHS). The weighted sample size was 14,450 women of advanced reproductive age. The dependent variable was current contraceptive use. The explanatory variables were selected socio-demographic characteristics and three control variables. Analyses were performed using Stata version 12. Multinomial logistic regression was applied in four models.
Majority of the respondents are not using any method of contraceptive; the expected risk of using modern contraceptive relative to traditional method reduces by a factor of 0.676 for multiparous women (rrr = 0.676; CI: 0.464-0.985); the expected risk of using modern contraceptive relative to traditional method reduces by a factor of 0.611 for women who want more children (rrr = 0.611; CI: 0.493-0.757); the relative risk for using modern contraceptive relative to traditional method increases by a factor of 1.637 as maternal education reaches secondary education (rrr = 1.637; CI: 1.173-2.285); the relative risk for using modern contraceptive relative to traditional method increases by a factor of 1.726 for women in richest households (rrr = 1.726; CI: 1.038-2.871); and the expected risk of using modern contraceptive relative to traditional method increases by a factor of 1.250 for southern women (rrr = 1.250; CI: 1.200-1.818).
Socio-demographic characteristics exert more influence on non-use than modern contraceptive use. The scope, content and coverage of existing BCC messages should be extended to cover the contraceptive needs and challenges of women of advanced reproductive age in the country.
在尼日利亚，对影响高龄育龄妇女使用和不使用避孕措施的因素研究不足。本研究调查了影响尼日利亚高龄育龄妇女使用和不使用避孕措施的因素。
汇总并提取2008年和2013年尼日利亚人口与健康调查（NDHS）的二手数据。加权样本量为14450名高龄育龄妇女。因变量是当前的避孕措施使用情况。解释变量为选定的社会人口学特征和三个控制变量。使用Stata 12版本进行分析。在四个模型中应用多项逻辑回归。
大多数受访者未使用任何避孕方法；经产妇使用现代避孕措施相对于传统方法的预期风险降低了0.676倍（相对风险比rrr = 0.676；置信区间CI：0.464 - 0.985）；想要更多孩子的妇女使用现代避孕措施相对于传统方法的预期风险降低了0.611倍（rrr = 0.611；CI：0.493 - 0.757）；随着母亲教育程度达到中学水平，使用现代避孕措施相对于传统方法的相对风险增加了1.637倍（rrr = 1.637；CI：1.173 - 2.285）；最富有家庭的妇女使用现代避孕措施相对于传统方法的相对风险增加了1.726倍（rrr = 1.726；CI：1.038 - 2.871）；南部妇女使用现代避孕措施相对于传统方法的预期风险增加了1.250倍（rrr = 1.250；CI：1.200 - 1.818）。
社会人口学特征对不使用避孕措施的影响比对使用现代避孕措施的影响更大。应扩大现有行为改变沟通（BCC）信息的范围、内容和覆盖面，以涵盖该国高龄育龄妇女的避孕需求和挑战。
