Singh Anjali, Singh K K, Verma Prashant
Department of Statistics, Banaras Hindu University, Varanasi, India.
Contracept Reprod Med. 2016 Oct 18;1:20. doi: 10.1186/s40834-016-0031-4. eCollection 2016.
The GAP between the knowledge of contraception and its actual practice is well recognized in the literature of family welfare studies. The present study assessed the relation between the level of knowledge and practice of contraception among the women and sought to explore the reasons behind the Knowledge, Attitude, and Practice - GAP (KAP GAP) regarding contraceptive users in six cities of Uttar Pradesh.
Present analysis based on 17,643 currently married women aged 15 to 49. A Bivariate analysis (2 test) and a multivariable logistic regression were performed for the study.
The highest percentages of respondents (women) were in the age group 35-49 (40-45 %) in all the districts considered. Knowledge of contraceptives was almost universal; tubal ligation and pill were the commonly known methods. Information about the contraceptive methods was mostly obtained through the husband. In the present study, there was a highly significant association ( < 0.01) of age group, educational status of respondents, the number of living children, the wealth of the respondent, media exposure and husband's education with the variable KAP GAP for all six cities. Health concern issues in all the districts were the most prominent reason for not using contraception.
There differences in the socioeconomic and demographic factors exist, which lead to KAP GAP in the family planning (FP) usages. Therefore, in designing effective family planning programme, there is a need to understand the various factors which influence the practice of contraception.
避孕知识与实际避孕行为之间的差距在家庭福利研究文献中已得到充分认识。本研究评估了女性避孕知识水平与避孕行为之间的关系，并试图探究北方邦六个城市中避孕使用者在知识、态度和行为方面存在差距（知识-态度-行为差距，即KAP差距）的原因。
本次分析基于17643名年龄在15至49岁的已婚女性。对该研究进行了双变量分析（卡方检验）和多变量逻辑回归分析。
在所有被考虑的地区，年龄在35 - 49岁组的受访者（女性）比例最高（40 - 45%）。避孕知识几乎普及；输卵管结扎和避孕药是最广为人知的方法。关于避孕方法的信息大多通过丈夫获得。在本研究中，对于所有六个城市，年龄组、受访者的教育程度、存活子女数量、受访者的财富状况、媒体曝光度和丈夫的教育程度与变量KAP差距之间存在高度显著的关联（<0.01）。在所有地区，健康担忧问题是不使用避孕措施的最主要原因。
社会经济和人口因素存在差异，这导致了计划生育使用方面的知识-态度-行为差距。因此，在设计有效的计划生育项目时，有必要了解影响避孕行为的各种因素。
