Konkor Irenius, Sano Yujiro, Antabe Roger, Kansanga Moses, Luginaah Isaac
a Department of Geography , Western University , London , ON , Canada.
b Department of Sociology , Western University , London , ON , Canada.
Eur J Contracept Reprod Health Care. 2019 Feb;24(1):18-23. doi: 10.1080/13625187.2018.1563679. Epub 2019 Feb 12.
While media campaigns are documented to be useful for increasing the uptake of family planning, very little is known about the population prevalence and correlates of exposure to mass media family planning messages among post-delivery women in Nigeria. We aimed to address this void by exploring the underlying factors that explain disparities in exposure to mass media family planning messages among post-delivery women in Nigeria.
Our study was a secondary analysis of the Nigeria Demographic and Health Survey, a nationally representative dataset of men and women. Using logistic regression techniques and drawing on the structural influence model of health communication, we explored post-delivery women's (N = 13,889) exposure to mass media family planning messages in Nigeria.
We found that 32% of post-delivery women were exposed to family planning messages on mass media in Nigeria. At the bivariate level, Muslim women were less likely to be exposed to mass media family planning messages compared with Christian women (odds ratio [OR] 0.39; 95% confidence interval [CI] 0.36, 0.41); however, the OR became positive once we controlled for structural determinants such as household wealth and education (OR 1.22; 95% CI 1.07, 1.40). In the multivariate analysis, we found that traditionalist women (OR 0.29; 95% CI 0.14, 0.58) and women from rural areas (OR 0.69; 95% CI 0.62, 0.76) were less likely to be exposed to such messages. Moreover, richer, better educated, and employed women were more likely to be exposed to mass media family planning messages compared with their poorer, less educated and unemployed counterparts. Similarly, living in the South West region was positively associated with higher odds of being exposed to such messages.
Findings were largely consistent with the structural influence model of health communication, as highlighted by inequalities in exposure to mass media messages. Based on these findings, we provide several policy recommendations.
虽然有文献记载媒体宣传活动有助于提高计划生育的普及率，但对于尼日利亚产后妇女接触大众媒体计划生育信息的人口患病率及相关因素，我们却知之甚少。我们旨在通过探究解释尼日利亚产后妇女接触大众媒体计划生育信息存在差异的潜在因素来填补这一空白。
我们的研究是对尼日利亚人口与健康调查进行的二次分析，该调查是一个具有全国代表性的关于男性和女性的数据集。利用逻辑回归技术并借鉴健康传播的结构影响模型，我们探究了尼日利亚产后妇女（N = 13889）接触大众媒体计划生育信息的情况。
我们发现，32%的尼日利亚产后妇女接触过大众媒体上的计划生育信息。在双变量层面，与基督教女性相比，穆斯林女性接触大众媒体计划生育信息的可能性较小（优势比[OR]为0.39；95%置信区间[CI]为0.36，0.41）；然而，一旦我们控制了家庭财富和教育等结构决定因素，优势比就变为正数（OR为1.22；95%置信区间为1.07，1.40）。在多变量分析中，我们发现传统主义女性（OR为0.29；95%置信区间为0.14，0.58）和农村地区女性（OR为0.69；95%置信区间为0.62，0.76）接触此类信息的可能性较小。此外，与较贫穷、受教育程度较低和未就业的女性相比，更富有、受教育程度更高和就业的女性接触大众媒体计划生育信息的可能性更大。同样，居住在西南地区与接触此类信息的较高几率呈正相关。
研究结果在很大程度上与健康传播的结构影响模型一致，大众媒体信息接触方面的不平等现象突出了这一点。基于这些发现，我们提出了若干政策建议。
