Kinshasa School of Public Health, Universite de Kinshasa, Kinshasa, The Democratic Republic of the Congo.
School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, USA.
BMJ Open. 2018 Dec 22;8(12):e022295. doi: 10.1136/bmjopen-2018-022295.
To examine family planning outcomes among women living in military camps in Kinshasa, Democratic Republic of the Congo, and compare these outcomes with a representative sample of non-military women in Kinshasa.
Women of reproductive ages, 15-49 years. We compare two populations: women living in military camps and the general (non-military) population in Kinshasa.
For sampling, we used a two-stage cluster sampling design, where we first randomly selected enumeration areas (EA), and then randomly selected women within each EA (separately for each of the two populations). We administered a survey on contraceptive use and family planning to all participating women. We use bivariate and multivariate analysis to compare these populations for a range of family planning outcomes.
We find many statistically significant differences between women in military camps and general female population of Kinshasa. Although they do not have more children, women in military camps are less likely to be using contraception (all methods OR 0.24, 95% CI 0.11 to 0.53; modern methods OR 0.25, 95% CI 0.08 to 0.79; traditional methods OR 0.41, 95% CI 0.24 to 0.71) and less knowledgeable about many family planning methods (less likely to have heard of implants (OR 0.23, 95% CI 0.11 to 0.48), injectables (OR 0.19, 95% CI 0.08 to 0.44), condoms (OR 0.23, 95% CI 0.12 to 0.47), withdrawal (OR 0.05, 95% CI 0.02 to 0.17) and rhythm (OR 0.12, 95% CI 0.03 to 0.44) methods), while at the same time they are more likely to want to limit their births (OR 5.17, 95% CI 2.52 to 10.62), and less likely to have obtained their preferred family planning method (OR 0.14, 95% CI 0.03 to 0.64).
Women in military camps in Kinshasa appear to be an important and underserved population with regard to family planning. Our results suggest that women in military camps have limited access to modern family planning methods.
考察刚果民主共和国金沙萨军营中妇女的计划生育结果，并将这些结果与金沙萨非军人妇女的代表性样本进行比较。
15-49 岁的育龄妇女。我们比较了两个群体：居住在军营中的妇女和金沙萨的普通（非军人）人群。
对于抽样，我们使用了两阶段聚类抽样设计，首先随机选择人口普查区（EA），然后在每个 EA 内随机选择妇女（分别针对两个群体）。我们对所有参与的妇女进行了关于避孕和计划生育的调查。我们使用双变量和多变量分析来比较这两个群体在一系列计划生育结果方面的差异。
我们发现军营中的妇女与金沙萨普通女性人口之间存在许多统计学上的显著差异。尽管她们没有生育更多的孩子，但使用避孕措施的可能性较小（所有方法 OR 0.24，95%CI 0.11 至 0.53；现代方法 OR 0.25，95%CI 0.08 至 0.79；传统方法 OR 0.41，95%CI 0.24 至 0.71），对许多计划生育方法的了解也较少（不太可能听说过植入物（OR 0.23，95%CI 0.11 至 0.48）、注射剂（OR 0.19，95%CI 0.08 至 0.44）、避孕套（OR 0.23，95%CI 0.12 至 0.47）、撤退（OR 0.05，95%CI 0.02 至 0.17）和节律（OR 0.12，95%CI 0.03 至 0.44）方法），而同时她们更希望限制生育（OR 5.17，95%CI 2.52 至 10.62），并且不太可能获得她们首选的计划生育方法（OR 0.14，95%CI 0.03 至 0.64）。
金沙萨军营中的妇女似乎是计划生育方面一个重要但服务不足的群体。我们的结果表明，军营中的妇女获得现代计划生育方法的机会有限。
