避孕措施的使用情况及计划生育未满足需求的决定因素；喀麦隆西北地区的一项横断面调查。

Contraceptive use and determinants of unmet need for family planning; a cross sectional survey in the North West Region, Cameroon.

作者信息

Edietah Esambe Emmanuel, Njotang Philip Nana, Ajong Atem Bethel, Essi Marie José, Yakum Martin Ndinakie, Mbu Enow Robinson

机构信息

Department of Obstetrics and Gynaecology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.

Obstetrics and Gynaecology unit, Yaoundé Central Hospital, Higher Institute of Health Technologies, Yaoundé, Cameroon.

出版信息

BMC Womens Health. 2018 Oct 20;18(1):171. doi: 10.1186/s12905-018-0660-7.

DOI:10.1186/s12905-018-0660-7

PMID:30342502

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6195995/

Abstract

BACKGROUND

Reducing unmet need for family planning by increasing the rate of modern contraceptive use is indispensable if Cameroon must meet maternal mortality targets of the Sustainable Development Goals. The objective of this survey was to estimate the rate of contraceptive use and identify factors associated with unmet need for family planning in rural Cameroon.

METHODS

It was conducted a community-based cross sectional survey from February to March 2016 targeting women in a union of the Wum Health District. Participants were included by cluster multistep sampling and data collected by trained surveyors using a pretested questionnaire. Data were analysed using Epi-Info version 3.5.4. The odds ratio was used as a measure of association between unmet need for family planning and selected covariates with the statistical significant threshold set at p ≤ 0.05.

RESULTS

Among the 466 women included in the survey, 78.5% were legally married. The mean age of the participants was 28.7 ± 7.2 years with a mean number of years of cohabitation of 9.1 ± 7.4 years. A total of 438 women from the sample were evaluated for contraceptive use and unmet need for family planning. The rate of modern contraceptive use at the time of the survey was 13[10.1-16.6]% and about 5 in every 10 women had an unmet need for family planning (46.6[41.8-51.4]%) with 31.1% having an unmet need for spacing and 15.5% an unmet need for limiting births. The potential demand for contraception was estimated at 45.9% with only 39.8% of this demand met. When controlled for age, monthly revenue, occupation and partner's level of education, discussion of family planning within the couple (OR = 0.66[0.44-0.97], p-value = 0.032), and partner's approval of contraception (OR = 0.66[0.45-0.97], p-value = 0.035), were found to be significantly associated with decreasing unmet need for family planning.

CONCLUSION

With the very low rates of modern contraceptive use and potential demand for contraception in the Wum Health District, the rate of unmet need for family planning is still very high. Non discussion of family planning within the couple, and disapproval of contraception by the partner are significantly associated with high unmet need for family planning. More of couple-based family planning interventions should be encouraged.

摘要

背景

如果喀麦隆要实现可持续发展目标中的孕产妇死亡率目标，通过提高现代避孕方法的使用率来减少未满足的计划生育需求是必不可少的。本次调查的目的是估计喀麦隆农村地区的避孕使用率，并确定与未满足的计划生育需求相关的因素。

方法

2016年2月至3月，在武姆健康区的一个联盟中针对女性开展了一项基于社区的横断面调查。通过整群多阶段抽样纳入参与者，由经过培训的调查员使用预先测试的问卷收集数据。使用Epi-Info 3.5.4版本进行数据分析。比值比被用作衡量未满足的计划生育需求与选定协变量之间关联的指标，统计学显著性阈值设定为p≤0.05。

结果

在纳入调查的466名女性中，78.5%为合法结婚。参与者的平均年龄为28.7±7.2岁，平均同居年限为9.1±7.4年。样本中共有438名女性接受了避孕使用情况和未满足的计划生育需求评估。调查时现代避孕方法的使用率为13[10.1 - 16.6]%，每10名女性中约有5人存在未满足的计划生育需求（46.6[41.8 - 51.4]%），其中31.1%存在未满足的生育间隔需求，15.5%存在未满足的限制生育需求。避孕的潜在需求估计为45.9%，而这一需求仅得到了39.8% 的满足。在对年龄、月收入、职业和伴侣教育水平进行控制后，发现夫妻间关于计划生育的讨论（比值比=0.66[0.44 - 0.97]，p值=0.032）以及伴侣对避孕的认可（比值比=0.66[0.45 - 0.97]，p值=0.035）与降低未满足的计划生育需求显著相关。