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影响内罗毕非正规住区已婚妇女选择未来避孕方法的特定方法属性。

Method-Specific Attributes that Influence Choice of Future Contraception Among Married Women in Nairobi's Informal Settlements.

出版信息

Stud Fam Plann. 2018 Sep;49(3):279-292. doi: 10.1111/sifp.12070. Epub 2018 Aug 20.

Abstract

Despite an extensive evidence base on contraceptive method choice, it remains uncertain which factors are most influential in predisposing women toward certain methods and against others. This paper addresses this gap in knowledge by making use of rarely-measured perceptions about specific methods, perceived social network experience of methods, and women's own past experiences using specific methods. We draw on baseline data from the project, "Improving Measurement of Unintended Pregnancy and Unmet Need for Family Planning." Using conditional logit analysis, we ascertain which perceived method-specific attributes, including past experience of methods by women themselves and by their friends, predict preferred future contraceptive method among 317 women living in Nairobi slums who are using no method but intend to start in the next 12 months. Results show that satisfaction with past use, positive experience of use by a woman's social network, husband/partner's approval, lack of interference with menses, and perception of safety for long term use were all associated with choice of a future method.

摘要

尽管有大量关于避孕方法选择的证据基础,但仍不确定哪些因素对女性倾向于某些方法而排斥其他方法的影响最大。本文通过利用对特定方法的很少被测量的看法、对方法的感知社会网络经验以及女性自己使用特定方法的过去经验来填补这一知识空白。我们利用项目“改善意外怀孕和计划生育未满足需求的衡量”的基线数据。使用条件逻辑分析,我们确定了哪些感知的特定方法属性,包括女性自己和朋友过去使用方法的经验,预测了 317 名居住在内罗毕贫民窟的、目前不使用任何方法但打算在未来 12 个月内开始使用的女性对未来避孕方法的偏好。结果表明,对过去使用的满意度、女性社交网络中使用的积极经验、丈夫/伴侣的认可、对月经无干扰以及对长期使用的安全性感知都与未来方法的选择有关。

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