Atiglo D Yaw, Codjoe Samuel N A
a Regional Institute for Population Studies , University of Ghana , Legon , Accra , Ghana.
Women Health. 2019 Apr;59(4):347-363. doi: 10.1080/03630242.2018.1500413. Epub 2018 Sep 24.
This study addressed a basic conceptual gap in research on the relationship between women's autonomy and contraceptive behavior and included intention to use while measuring the unmet demand for family planning. The study used data from the 2014 Ghana Demographic and Health Survey. The weighted sample included 2,017 sexually active, non-pregnant, fecund women in unions, aged 15-49 years, who wanted to delay conception for at least 2 years. The relation of household decision-making autonomy to current contraceptive use and intention was assessed, adjusting for women's socio-demographic, partner, and couple characteristics. About half of the women studied had a met demand for contraception, and over a third had no intention to use a contraceptive method in the future. In adjusted multinomial logistic regression models, household decision-making autonomy was not significantly associated with met contraceptive demand for contraceptives, but was associated with their intentions to use contraception (p = .05). Formal education, age, wealth, and region of residence were significantly associated with having a met demand. In Ghana, women's household decision-making autonomy appears to have modest relation to contraceptive uptake. Programs to improve meeting contraceptive demand should consider contextual factors and place differences in contraceptive uptake.
本研究填补了女性自主权与避孕行为关系研究中的一个基本概念空白，在衡量计划生育未满足需求时纳入了使用意愿。该研究使用了2014年加纳人口与健康调查的数据。加权样本包括2017名处于性活跃期、未怀孕、有生育能力、年龄在15至49岁、希望推迟怀孕至少两年的已婚女性。评估了家庭决策自主权与当前避孕使用情况及意愿之间的关系，并对女性的社会人口统计学、伴侣及夫妻特征进行了调整。约一半接受研究的女性对避孕有满足需求，超过三分之一的女性未来无意使用避孕方法。在调整后的多项逻辑回归模型中，家庭决策自主权与避孕满足需求无显著关联，但与她们使用避孕措施的意愿相关（p = 0.05）。正规教育、年龄、财富和居住地区与满足需求显著相关。在加纳，女性的家庭决策自主权与避孕措施的采用似乎关系不大。改善避孕需求满足情况的项目应考虑背景因素及避孕措施采用方面的地区差异。
