塞拉利昂青少年的避孕决定因素主要是行为因素。
Contraception determinants in youths of Sierra Leone are largely behavioral.
机构信息
Université Libre de Bruxelles, Ecole de Santé Publique, Research Center: Policies and Health Systems - International Health, 808, Route de Lennik, 1070, Brussels, Belgium.
hera, Right to Health and Development, Reet, Belgium.
出版信息
Reprod Health. 2018 Apr 19;15(1):66. doi: 10.1186/s12978-018-0504-9.
BACKGROUND
Sexual initiation occurs early in Sierra Leone. This study aims to analyze the determinants of condom and/or contraceptive use among a representative sample of young persons (10 to 24 years) in Sierra Leone.
METHODS
This is a secondary analysis of data from a study conducted to monitor the implementation of a UNFPA package of interventions directed to improve SRH in young people of Sierra Leone. This assessment was conducted in 2016 at the end of the Ebola outbreak. In consequence, determinants linked to healthy lifestyle behaviors and UNFPA interventions were explored in addition to the usual determinants: socio demographic and sexual lifestyle. This study is a household quantitative survey with open ended questions used to illustrate and complete the analysis.
RESULTS
A total of 1409 young people were interviewed: of these, 216 boys and 381 girls were sexually active. Those who were pregnant or wished for pregnancy were excluded, leaving 194 boys and 268 girls for the analysis of determinants. The proportion of young people using neither condom nor other contraception at their last sexual intercourse in the whole sample was 40.5% and there was no statistically significant difference between boys and girls (42.3 vs 39.2; P = 0.504). Determinants were assessed and, after multivariable analysis, results differed between boys and girls and showed the importance of behavioral aspects. Four determinants were common to boys and girls: literacy, distance, negotiation capacity and hand washing. However, the distance factor for girls was to the health facility and for boys it was to school. Three more determinants remained in the boy's model: sleeping under a bednet, number of sexual partners and knowledge of contraceptive methods. Opinions about condoms and contraception revealed important barriers; opposition to contraceptive use was the main reason for non-use for both boys and girls, while lack of access was an important reason for boys.
CONCLUSION
There is a need to reach out to the 40% of young people who are sexually active and neither pregnant nor with pregnancy desire, and are not using condom or contraception.
背景
性活动在塞拉利昂很早就开始了。本研究旨在分析塞拉利昂代表性年轻人（10 至 24 岁）中使用避孕套和/或避孕药具的决定因素。
方法
这是对一项监测人口基金为改善塞拉利昂年轻人生殖健康而实施的一揽子干预措施实施情况的研究数据进行的二次分析。这项评估是在 2016 年埃博拉疫情结束时进行的。因此，除了通常的决定因素（社会人口统计学和性行为方式）之外，还探讨了与健康生活方式行为和人口基金干预措施有关的决定因素。本研究是一项家庭定量调查，采用开放式问题进行分析。
结果
共采访了 1409 名年轻人：其中 216 名男孩和 381 名女孩有过性行为。剔除怀孕或希望怀孕的人后，共有 194 名男孩和 268 名女孩参加了决定因素分析。在整个样本中，最后一次性行为既不使用避孕套也不使用其他避孕药具的年轻人比例为 40.5%，男孩和女孩之间没有统计学上的显著差异（42.3%比 39.2%；P=0.504）。评估了决定因素，经过多变量分析，结果在男孩和女孩之间存在差异，并显示了行为方面的重要性。有四个决定因素在男孩和女孩中是共同的：文化程度、距离、谈判能力和洗手。然而，女孩的距离因素是到卫生机构，男孩的距离因素是到学校。男孩模型中还有三个更重要的决定因素：睡在蚊帐下、性伴侣数量和对避孕方法的了解。对避孕套和避孕药具的看法揭示了重要的障碍；对避孕药具使用的反对是男孩和女孩不使用的主要原因，而缺乏获得途径是男孩不使用的一个重要原因。
结论
需要接触到 40%的有性行为、不怀孕且不希望怀孕、既不使用避孕套也不使用避孕药具的年轻人。
Zotero 插件