Oluwasanu Mojisola M, John-Akinola Yetunde O, Desmennu Adeyimika T, Oladunni Opeyemi, Adebowale Ayo S
1 Department of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
2 Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Int Q Community Health Educ. 2019 Jul;39(4):233-243. doi: 10.1177/0272684X18821300. Epub 2019 Jan 2.
This study was conducted among married Igbo women in Nigeria who have the lowest median birth interval coupled with a culture of sex preference and low use of modern contraceptives. We examined the relationship between access to information on family planning and sex preference on the use of modern contraceptive (MC). The 2013 Nigeria Demographic and Health Survey data were used. The data of 1,661 women of reproductive age were analyzed in this study. Access to information on family planning was low, and almost half (48.6%) of the women had a score of zero. Controlling for possible confounding variables, the data show that women who have good (odds ratio [ OR]= 3.92; CI [2.28, 6.75], p < .001) and poor ( OR = 2.56; CI [1.85, 3.56], p < .001) access to information on family planning were more likely to use MC than those with no access to information on family planning. Sex preference showed no relationship with the use of MC. Families where husbands want more children than their wives inhibit ( OR = 0.62, CI [0.42, 0.90], p < .05) the use of MC compared with those families where husbands and wives fertility desire is the same. Public health programs by government and donors should intensify interventions to increase access to family planning information to promote the use of MC among married Igbo women.
本研究在尼日利亚已婚伊博族妇女中开展,她们的生育间隔中位数最低,同时存在性别偏好文化且现代避孕药具使用率较低。我们考察了计划生育信息获取与性别偏好对现代避孕药具(MC)使用的关系。使用了2013年尼日利亚人口与健康调查数据。本研究分析了1661名育龄妇女的数据。计划生育信息获取率较低,近一半(48.6%)的妇女得分为零。在控制可能的混杂变量后,数据显示,与无法获取计划生育信息的妇女相比,能够较好获取(优势比[OR]=3.92;置信区间[CI][2.28, 6.75],p < .001)和较差获取(OR = 2.56;CI [1.85, 3.56],p < .001)计划生育信息的妇女更有可能使用MC。性别偏好与MC的使用无关联。与夫妻生育意愿相同的家庭相比,丈夫想要的孩子比妻子多的家庭会抑制(OR = 0.62,CI [0.42, 0.90],p < .05)MC的使用。政府和捐助者的公共卫生项目应加强干预,以增加计划生育信息的获取,促进已婚伊博族妇女使用MC。