男性观念对尼日利亚计划生育需求及接受情况的影响。

Impact of men's perception on family planning demand and uptake in Nigeria.

作者信息

Adanikin Abiodun Idowu, McGrath Nuala, Padmadas Sabu S

机构信息

Department of Social Statistics and Demography and Centre for Global Health, Population, Poverty and Policy, University of Southampton, UK; Department of Obstetrics and Gynaecology, Ekiti State University, Ado-Ekiti, Nigeria.

Department of Social Statistics and Demography and Centre for Global Health, Population, Poverty and Policy, University of Southampton, UK; Primary Care and Population Studies Academic Unit, Faculty of Medicine, University of Southampton, UK.

出版信息

Sex Reprod Healthc. 2017 Dec;14:55-63. doi: 10.1016/j.srhc.2017.10.002. Epub 2017 Oct 4.

DOI:10.1016/j.srhc.2017.10.002

PMID:29195635

Abstract

OBJECTIVE

Evidence from the last three Demographic and Health Surveys (DHS) in Nigeria shows slow progress in family planning (FP) uptake, despite programmatic interventions. While socioeconomic and religious barriers continue to exist, psychosocial factors such as negative contraceptive perceptions by male partners may influence both spousal FP demand and use. Therefore, this research investigates the influence of male partners' contraceptive perceptions on spousal FP demand and use.

METHODS

We analysed the couple dataset from the 2013 Nigeria DHS.

RESULTS

One in five men held the perception that contraceptive use is women's business whereas two in five men reported that women who use family planning may become promiscuous, especially older men, those with no formal education, Muslims and residents in rural areas and northern region. Results from regression models, controlling for relevant sociodemographic characteristics, show that men's perception that contraception is women's business did not significantly influence FP demand. However, their fear that women who use family planning may become promiscuous was associated with lower odds of FP demand (AOR: 0.86; 95% CI: 0.76-0.97) and increased the odds of traditional methods use (AOR: 1.34; 95% CI: 1.01-1.79).

CONCLUSION

The findings direct the need to adopt targeted approach focusing on couples, and reorient policy and program efforts for FP counselling and behavioural changes in men.

摘要

目的

尼日利亚最近三次人口与健康调查（DHS）的证据显示，尽管有相关项目干预，但计划生育（FP）的普及进展缓慢。虽然社会经济和宗教障碍依然存在，但诸如男性伴侣对避孕的负面看法等心理社会因素可能会影响配偶对计划生育的需求和使用。因此，本研究调查男性伴侣的避孕观念对配偶计划生育需求和使用的影响。

方法

我们分析了2013年尼日利亚人口与健康调查中的夫妇数据集。

结果

五分之一的男性认为避孕是女性的事情，而五分之二的男性报告称，使用计划生育的女性可能会变得滥交，尤其是老年男性、未受过正规教育的男性、穆斯林以及农村地区和北部地区的居民。在控制了相关社会人口特征的回归模型结果显示，男性认为避孕是女性的事情这一观念并未对计划生育需求产生显著影响。然而，他们担心使用计划生育的女性可能会变得滥交，这与较低的计划生育需求几率相关（调整后比值比：0.86；95%置信区间：0.76 - 0.97），并增加了使用传统方法的几率（调整后比值比：1.34；95%置信区间：1.01 - 1.79）。