加纳已婚妇女计划生育需求未满足情况的患病率及决定因素——2014年加纳人口与健康调查的多项逻辑回归分析
Prevalence and determinants of unmet need for family planning among married women in Ghana-a multinomial logistic regression analysis of the GDHS, 2014.
作者信息
Wulifan Joseph K, Mazalale Jacob, Kambala Christabel, Angko William, Asante Job, Kpinpuo Stephen, Kalolo Albino
机构信息
1School of Business and Law, Department of Administration and Management Studies, University for Development Studies, Box UPW 36, Wa-campus, Wa, Ghana.
2Department of Economics, University of Malawi, Chancellor College, P.O Box 280, Zomba, Malawi.
出版信息
Contracept Reprod Med. 2019 Jan 30;4:2. doi: 10.1186/s40834-018-0083-8. eCollection 2019.
BACKGROUND
Documentary evidence points to high unmet need for family planning across sub-Saharan Africa. Modern contraceptive use has been staggering over decades with unacceptable marginal increases given that one in three women still report unmet need in Ghana. This study sought to re-examine through a further analysis on the prevalence and determinants of unmet need for family planning in Ghana using married women extracted from the recent 2014 Ghana Demographic and Health Survey.
METHOD
Data was analyzed using univariate, bivariate, logistic and multinomial logistic regression models.
RESULTS
Of the 4527 women, more than a third (35.17%) experienced unmet need of which 20.19% had unmet need for spacing while 14.98% reported unmet need for limiting. The logistic results showed that older aged women, being employed and women with higher ideal number of children were less likely to experience unmet need. However, women who did not know the couples' preferred number of children, women who had more than one union and those with higher number of living biological children were more likely to report unmet need. From the multinomial model, an increase in age, residing in a rural area, and being employed were associated with lower risk of unmet need for spacing. Additionally, Women who did not know the couples' ideal number of children, women who had higher age when they got married, and women with higher number of biological children were more likely to report unmet need for spacing. Women who had a higher number of ideal children, women who had secondary or higher education, women from higher socio-economic households, were less likely to report unmet need for limiting. .
CONCLUSIONS
We recommend the strengthening of contraception services in order to address the various age specific needs and women within the different socio-demographic sects so as to reduce unmet need. Addressing the needs of women with increasing number of living biological children is equally paramount.
背景
文献证据表明，撒哈拉以南非洲地区对计划生育的需求远未得到满足。几十年来，现代避孕方法的使用率一直很低，增长幅度微不足道，因为在加纳，仍有三分之一的女性表示其计划生育需求未得到满足。本研究旨在通过对从最近的2014年加纳人口与健康调查中提取的已婚女性进行进一步分析，重新审视加纳未满足的计划生育需求的患病率及其决定因素。
方法
使用单变量、双变量、逻辑回归和多项逻辑回归模型对数据进行分析。
结果
在4527名女性中，超过三分之一（35.17%）的人有未满足的需求，其中20.19%的人有间隔生育的未满足需求，14.98%的人表示有生育限制的未满足需求。逻辑回归结果显示，年龄较大的女性、就业女性以及理想子女数较多的女性未满足需求的可能性较小。然而，不知道夫妻理想子女数的女性、有不止一段婚姻关系的女性以及亲生子女数较多的女性更有可能表示有未满足的需求。从多项模型来看，年龄增长、居住在农村地区和就业与间隔生育未满足需求的风险较低相关。此外，不知道夫妻理想子女数的女性结婚时年龄较大以及亲生子女数较多的女性更有可能表示有间隔生育的未满足需求。理想子女数较多的女性、受过中等或高等教育的女性、来自社会经济地位较高家庭的女性不太可能表示有生育限制的未满足需求。
结论
我们建议加强避孕服务，以满足不同年龄段以及不同社会人口群体中女性的各种特定需求，从而减少未满足的需求。满足亲生子女数不断增加的女性的需求同样至关重要。
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