School of Public Health and Psychosocial Studies, Auckland University of Technology, New Zealand.
Department of Preventive and Social Medicine, University of Otago, New Zealand.
Aust N Z J Public Health. 2018 Aug;42(4):365-371. doi: 10.1111/1753-6405.12761. Epub 2018 Jan 31.
iTaukei women's awareness and practice of family planning methods was investigated in New Zealand and Fiji to ascertain differences in behaviour within the context of changing developmental settings.
The study was cross-sectional in nature and recruited women aged 18 years and over from three suburbs in Suva, Fiji, and five cities in New Zealand.
Overall, 352 women participated in the study, 212 in Fiji and 140 in New Zealand. The study found that living in New Zealand was significantly associated with lower odds of being aware of family planning (OR 0.4, 95%CI 0.2-0.9, p=0.029) and using family planning methods (OR 0.5, 95%CI 0.2-0.9, p=0.027). Tertiary education was found to increase the odds of being aware (OR 2.8, 95%CI 1.3-6.2, p=0.009) and of using (OR 3.9, 95%CI 1.9-7.8, p=0.000) family planning.
Despite the greater availability of services and higher standards of living experienced in New Zealand compared with Fiji, there was no improvement in awareness and use of family planning among New Zealand participants. Implications for public health: Reduced awareness and use of family planning in New Zealand indicates a need for better targeting of services among minority Pacific ethnic groups.
为了确定在不断变化的发展环境下行为的差异，本研究在新西兰和斐济调查了伊塔凯妇女对计划生育方法的认知和实践情况。
本研究为横断面研究，从斐济的三个郊区和新西兰的五个城市招募了年龄在 18 岁及以上的女性。
共有 352 名女性参与了这项研究，其中 212 名来自斐济，140 名来自新西兰。研究发现，居住在新西兰与较低的计划生育认知率（OR 0.4，95%CI 0.2-0.9，p=0.029）和计划生育方法使用率（OR 0.5，95%CI 0.2-0.9，p=0.027）显著相关。研究发现，接受高等教育会增加对计划生育的认知（OR 2.8，95%CI 1.3-6.2，p=0.009）和使用（OR 3.9，95%CI 1.9-7.8，p=0.000）的几率。
尽管新西兰的服务更普及，生活水平更高，但与斐济相比，新西兰参与者的计划生育意识和使用情况并没有改善。对公共卫生的启示：新西兰计划生育意识和使用的减少表明，需要更好地针对少数太平洋族裔群体提供服务。
