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孟加拉国曾婚育龄妇女避孕措施使用情况的社会人口学因素:来自三项人口与健康调查的证据

Sociodemographic Factors on Contraceptive Use among Ever-Married Women of Reproductive Age: Evidence from Three Demographic and Health Surveys in Bangladesh.

作者信息

Haq Iqramul, Sakib Saifullah, Talukder Ashis

机构信息

Department of Statistics, Jagannath University, Dhaka 1100, Bangladesh.

Statistics Discipline, Khulna University, Khulna 9208, Bangladesh.

出版信息

Med Sci (Basel). 2017 Dec 6;5(4):31. doi: 10.3390/medsci5040031.

Abstract

Contraceptive use among married women of reproductive age has showed a substantial progress over the last few decades in Bangladesh. This study explores the sociodemographic factors associated with contraceptive use among ever-married women of reproductive age in Bangladesh by utilizing the information extracted from three of the Bangladesh Demographic and Health Surveys (BDHSs) in 1993-1994, 2004 and 2014. Bivariate analysis was conducted by performing chi-squared test of independence to explore the relationship between selected sociodemographic factors and dependent variables. To know the adjusted effects of covariates, a popular binary logistic regression model was considered. Respondents' current age, place residence, division religion, education, age at first marriage, family planning (FP) media exposure, ideal number of children and fertility preferences are the significant determinants according to the most recent survey, BDHS 2014. However, wealth index and a respondent's current working status were found to be significant factors only in BDHS 2004. The results of the study strongly recommend efforts to increase the education level among poor people, particularly among women in Bangladesh. Program interventions, including health behavior education and family planning services and counselling, are especially needed for some categories of the population, including those living in rural areas, Sylhet, Chittagong and Dhaka divisions, as well as illiterate and Muslim ever-married women.

摘要

在过去几十年里,孟加拉国已婚育龄妇女的避孕措施使用情况取得了显著进展。本研究利用1993 - 1994年、2004年和2014年三次孟加拉国人口与健康调查(BDHS)提取的信息,探讨了孟加拉国已婚育龄妇女避孕措施使用情况的社会人口学因素。通过进行独立性卡方检验进行双变量分析,以探讨选定的社会人口学因素与因变量之间的关系。为了解协变量的调整效应,考虑了一种常用的二元逻辑回归模型。根据最新的2014年BDHS调查,受访者的当前年龄、居住地点、行政区宗教、教育程度、初婚年龄、计划生育(FP)媒体曝光率、理想子女数和生育偏好是重要的决定因素。然而,财富指数和受访者当前的工作状态仅在2004年的BDHS中被发现是重要因素。研究结果强烈建议努力提高孟加拉国贫困人口,特别是妇女的教育水平。对于某些人群,包括农村地区、锡尔赫特、吉大港和达卡行政区的居民,以及文盲和穆斯林已婚妇女,尤其需要开展包括健康行为教育、计划生育服务和咨询在内的项目干预措施。

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