埃塞俄比亚北部阿克苏姆镇育龄已婚妇女对生育间隔或限制生育的意愿以及长效和永久性避孕方法的未使用情况。

Desire for birth spacing or limiting and non-use of long acting and permanent contraceptive methods among married women of reproductive age in Aksum Town, North Ethiopia.

作者信息

Haile Kebede, Gebremedhin Meresa, Berhane Haileselasie, Gebremedhin Tirhas, Abraha Alem, Berhe Negassie, Haile Tewodros, Gigar Goitom, Girma Yonas

机构信息

College of Health Science, Aksum University, P.O. Box 1010, Aksum, Ethiopia.

College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia.

出版信息

Contracept Reprod Med. 2016 Nov 15;1:22. doi: 10.1186/s40834-016-0033-2. eCollection 2016.

DOI:10.1186/s40834-016-0033-2

PMID:29201411

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5693538/

Abstract

BACKGROUND

Long acting and permanent contraceptive methods are the most effective family planning (FP) methods to prevent pregnancy and thereby averting adverse consequences of too many and ill-timed pregnancies. However, long acting and permanent contraceptive methods (LAPMs) are underutilized in Ethiopia for little documented reasons. Therefore, this study is aimed to assess magnitude and factors associated with desire for birth spacing for at least 2 years or limiting child bearing and non-use of LAPMs among married women of reproductive age in Aksum town, Northern Ethiopia.

METHODS

A community-based cross-sectional study was conducted in Aksum town, North Ethiopia from May to June, 2015 among 779 randomly selected married women of reproductive age. Data were collected using interviewer administered pre-tested questionnaire. Data were entered using Epi-Info version 6.04 and exported to SPSS version 16 for analysis. Multivariate logistic regression models were fitted to identify factors associated with desire for birth spacing or limiting and not using LAPMs.

RESULTS

The total desire for birth spacing or limiting was 69 % and amongst those women 85.2 % were not using LAPM. Education, occupation, husband's attitude towards LAPMs, age, number of pregnancy, regular media exposure and decider on the number of children to bear were significantly associated with desire for birth spacing or limiting. Moreover; education, occupation, husband's attitude towards LAPMs, discussion on family planning with husband, knowledge, attitude and intention to use LAPMs were significantly associated with not using LAPMs.

CONCLUSION

Desire for birth spacing or limiting and not using LAPMs is very high in the study area. Therefore, increasing access to family planning information and services with special emphasis on LAPMs and male involvement in the program are very important.

摘要

背景

长效和永久性避孕方法是预防怀孕从而避免过多和时机不当怀孕带来不良后果的最有效的计划生育方法。然而，在埃塞俄比亚，长效和永久性避孕方法未得到充分利用，原因鲜有记录。因此，本研究旨在评估埃塞俄比亚北部阿克苏姆镇育龄已婚妇女中，希望生育间隔至少2年或限制生育以及不使用长效和永久性避孕方法的情况及其相关因素。

方法

2015年5月至6月在埃塞俄比亚北部阿克苏姆镇开展了一项基于社区的横断面研究，随机选取了779名育龄已婚妇女。使用经过预测试的由访谈员管理的问卷收集数据。数据录入Epi-Info 6.04版本，并导出到SPSS 16版本进行分析。采用多变量逻辑回归模型来确定与希望生育间隔或限制生育以及不使用长效和永久性避孕方法相关的因素。

结果

希望生育间隔或限制生育的总体比例为69%，在这些妇女中，85.2%未使用长效和永久性避孕方法。教育程度、职业、丈夫对长效和永久性避孕方法的态度、年龄、怀孕次数、定期接触媒体以及生育子女数量的决定者与希望生育间隔或限制生育显著相关。此外，教育程度、职业、丈夫对长效和永久性避孕方法的态度、与丈夫讨论计划生育、知识、态度以及使用长效和永久性避孕方法的意愿与不使用长效和永久性避孕方法显著相关。