Etokidem A J, Ndifon W, Etowa J, Asuquo E F
Department of Community Medicine, University of Calabar, Calabar, Nigeria.
School of Nursing, University of Ottawa, Ottawa, Canada.
Niger J Clin Pract. 2017 Jun;20(6):707-715. doi: 10.4103/njcp.njcp_193_15.
Nigeria is the most populous nation in Africa and the seventh most populous in the world. Despite a high fertility rate of 5.5 per woman and a high population growth rate of 3.2%, Nigeria's contraceptive prevalence is 15%, which is one of the lowest in the world. The objective of this study was to determine the knowledge of family planning and family planning preferences and practices of rural community women in Cross River State of Nigeria.
This was a cross-sectional study involving 291 rural women. Convenience sampling method was used. The women were assembled in a hall and a semi-structured questionnaire was administered to every consenting woman until the sample size was attained. Data obtained from the study were analyzed using the Statistical Package for the Social Sciences version 20 and presented in tables as frequencies and percentages as well as figures. Association between categorical variables was explored using chi-square test. Binary logistic regression was also performed to determine predictors of use of at least one family planning method at some point in time.
Fifty (17.2%) respondents were using at least one family planning method. One hundred and ninety-eight (68.3%) respondents had used at least one family planning method at some point in time. Reasons given for not using any family planning method included "Family planning is against my religious beliefs" (56%); "it is against our culture" (43.8%); "I need more children" (64.9%); "my partner would not agree" (35.3%); "family planning does not work" (42.9%); "it reduces sexual enjoyment" (76%); and "it promotes unfaithfulness/infidelity" (59%). Binary logistic regression conducted to predict the use of at least one family planning method at some point in time using some independent variables showed that who makes the decision regarding family planning use was the strongest predictor of family planning use (OR = 0.567; 95% CI = 0.391-0.821). This suggests that family planning uptake is more likely when couples make a joint decision.
The proportion of respondents who were currently using at least one family planning method was low. The findings of this study suggest that family planning uptake would increase if couples make joint decisions in this regard.
尼日利亚是非洲人口最多的国家，也是世界上人口第七多的国家。尽管该国每名妇女的生育率高达5.5，人口增长率高达3.2%，但其避孕普及率仅为15%，是世界上最低的之一。本研究的目的是确定尼日利亚克罗斯河州农村社区妇女的计划生育知识、计划生育偏好及实践情况。
这是一项涉及291名农村妇女的横断面研究。采用方便抽样法。这些妇女被召集在一个大厅里，向每一位同意参与的妇女发放一份半结构化问卷，直至达到样本量。从该研究中获得的数据使用社会科学统计软件包第20版进行分析，并以频率、百分比以及图表的形式呈现于表格中。使用卡方检验探究分类变量之间的关联。还进行了二元逻辑回归分析，以确定在某个时间点使用至少一种计划生育方法的预测因素。
50名（17.2%）受访者正在使用至少一种计划生育方法。198名（68.3%）受访者在某个时间点曾使用过至少一种计划生育方法。未使用任何计划生育方法的原因包括“计划生育违背我的宗教信仰”（56%）；“违背我们的文化”（43.8%）；“我需要更多孩子”（64.9%）；“我的伴侣不会同意”（35.3%）；“计划生育不起作用”（42.9%）；“它会降低性快感”（76%）；以及“它会助长不忠行为”（59%）。使用一些自变量进行二元逻辑回归分析，以预测在某个时间点使用至少一种计划生育方法的情况，结果显示谁来决定是否使用计划生育是计划生育使用情况的最强预测因素（比值比=0.567；95%置信区间=0.391 - 0.821）。这表明当夫妻双方共同做出决定时，采用计划生育措施的可能性更大。
目前正在使用至少一种计划生育方法的受访者比例较低。本研究结果表明，如果夫妻双方在这方面共同做出决定，计划生育的采用率将会提高。
