Osuafor Godswill N, Maputle Sonto M
School of Health Sciences, University of Venda, Thohoyandou, Limpopo, South Africa.
Afr J Reprod Health. 2017 Mar;21(1):64-72. doi: 10.29063/ajrh2017/v21i1.5.
South African new reproductive health policies have given weight to dual protection as a public health intervention against unintended pregnancies and sexually transmitted infections. However, studies of dual protection have remained scanty and under researched in South Africa. This situation has left the reproductive health policy makers clueless about salient strategies to promote dual contraceptive method use. A survey of 568 women in steady relationships aged 15-49 was conducted in Mahikeng Municipality. Using multivariate logistic regression independent predictors of contraceptive method use were examined and presented as odds ratio and 95% confidence intervals. Sixteen percent of the women were currently protecting against both unintended pregnancies and infectious diseases while 40% were protecting against unintended pregnancies only. Age, occupation, ever discussed condom use with partner; home language and religion were the independent predictors of dual method use. Non-barrier method use was associated with age, home language, religion, and duration of union. The study concludes that educative and enlightening programs that emphasize women's employment and communication about condom use may be specifically helpful in promoting dual method use.
南非新的生殖健康政策已将双重保护作为一项针对意外怀孕和性传播感染的公共卫生干预措施予以重视。然而，在南非，对双重保护的研究仍然很少且缺乏深入探讨。这种情况使生殖健康政策制定者对促进双重避孕方法使用的显著策略一无所知。在马希肯市对568名年龄在15至49岁、处于稳定关系中的女性进行了一项调查。使用多变量逻辑回归分析，研究了避孕方法使用的独立预测因素，并以比值比和95%置信区间呈现。16%的女性目前同时预防意外怀孕和传染病，而40%的女性仅预防意外怀孕。年龄、职业、是否曾与伴侣讨论过使用避孕套、母语和宗教是双重方法使用的独立预测因素。非屏障方法的使用与年龄、母语、宗教和婚姻持续时间有关。研究得出结论，强调女性就业以及关于避孕套使用的沟通的教育和启蒙项目可能对促进双重方法的使用特别有帮助。
