Sano Yuji, Antabe Roger, Atuoye Kilian Nasung, Braimah Joseph A, Galaa Sylvester Z, Luginaah Isaac
Department of Sociology, Western University, London, ON, Canada.
Department of Geography, Western University, London, ON, Canada.
BMC Womens Health. 2018 Mar 12;18(1):49. doi: 10.1186/s12905-018-0540-1.
Although use of modern contraception is considered beneficial in lowering maternal and child mortality rates, the prevalence of contraceptive use remains low in the Democratic Republic of Congo. This study examined modern contraceptive use and its linkage to women's autonomy.
Data were drawn from the 2013-2014 Democratic Republic of Congo Demographic and Health Survey. We selected unsterilized and non-pregnant married women who have given birth in the last three years (N = 6680). Logistic regression models were fitted to explore the relationship between women's autonomy and modern contraceptive use.
The study found that only 7.1% of married women who had delivered within three years used modern contraceptive methods. After controlling for socioeconomic and demographic factors, the association between women's autonomy and modern contraceptive use remained positively significant (OR = 1.16; 95% CI = 1.05, 1.29).
The findings from this study indicate that it is not enough to provide women with educational and employment opportunities to increase the uptake of modern contraception, but also to enhance women's assertiveness to make their own decisions regardless of their partners' preferences within household settings. It is critical for government and other stakeholders to roll out programs aimed at reducing gender inequality and improving women's autonomy in decision-making about reproductive health.
尽管使用现代避孕方法被认为有助于降低孕产妇和儿童死亡率，但刚果民主共和国的避孕方法使用率仍然很低。本研究调查了现代避孕方法的使用情况及其与妇女自主权的联系。
数据来自2013 - 2014年刚果民主共和国人口与健康调查。我们选取了在过去三年中生育过的未绝育且未怀孕的已婚妇女（N = 6680）。采用逻辑回归模型来探讨妇女自主权与现代避孕方法使用之间的关系。
研究发现，在三年内分娩的已婚妇女中，只有7.1%使用现代避孕方法。在控制了社会经济和人口因素后，妇女自主权与现代避孕方法使用之间的关联仍然呈显著正相关（OR = 1.16；95% CI = 1.05，1.29）。
本研究结果表明，仅为妇女提供教育和就业机会以增加现代避孕方法的使用率是不够的，还需要增强妇女在家庭环境中不顾伴侣偏好做出自己决定的坚定性。政府和其他利益相关者推出旨在减少性别不平等和提高妇女在生殖健康决策方面自主权的项目至关重要。
