King Elizabeth J, Stojanovski Kristefer, Acosta Jennifer
a Department of Health Behavior and Health Education , University of Michigan School of Public Health , Ann Arbor , MI , USA.
Eur J Contracept Reprod Health Care. 2018 Aug;23(4):295-302. doi: 10.1080/13625187.2018.1493100. Epub 2018 Aug 14.
The objective of this research was to determine modern contraceptive use (MCU) and explore factors associated with MCU in the Western Balkans.
Multiple Indicator Cluster Survey (MICS) data from Bosnia and Herzegovina, Kosovo, Macedonia, Montenegro and Serbia, including the datasets from Roma settlements, were merged. Bivariate and multivariate analyses were used to assess which factors were associated with MCU among married women aged 15-49 in the region.
Among the 11,381 women surveyed, 13.75% reported MCU and 23.74% justified domestic violence. While bivariate analysis indicated that women who expressed justification of domestic violence were less likely to report MUC, this was not the case after adjusting for sociodemographic factors. Multivariate analysis showed that Roma were less likely than non-Roma to engage in MCU. Additionally, increased education, increased wealth, and urban residency were significantly associated with increased likelihood of MCU.
The results highlight the need for more attention from research, programming and policy communities in order to better understand and address the overall problematically low level of MCU and factors associated with low MCU. More efforts are needed to address the disparities in MCU among Roma women and women of lower socioeconomic status.
本研究的目的是确定现代避孕方法的使用情况，并探究西巴尔干地区与现代避孕方法使用相关的因素。
合并了来自波斯尼亚和黑塞哥维那、科索沃、马其顿、黑山及塞尔维亚的多指标类集调查（MICS）数据，包括来自罗姆人定居点的数据集。采用双变量和多变量分析来评估该地区15至49岁已婚女性中哪些因素与现代避孕方法的使用相关。
在接受调查的11381名女性中，13.75%报告使用了现代避孕方法，23.74%为家庭暴力行为辩解。双变量分析表明，为家庭暴力行为辩解的女性报告使用现代避孕方法的可能性较低，但在调整社会人口学因素后情况并非如此。多变量分析显示，罗姆人使用现代避孕方法的可能性低于非罗姆人。此外，受教育程度提高、财富增加和居住在城市与使用现代避孕方法的可能性增加显著相关。
研究结果凸显了研究、项目规划和政策制定群体需要给予更多关注，以便更好地理解和解决现代避孕方法总体使用率低这一问题以及与低使用率相关的因素。需要做出更多努力来解决罗姆女性和社会经济地位较低女性在现代避孕方法使用方面的差异。
