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巴基斯坦已婚妇女计划生育未满足需求的社会人口决定因素。

Socio-demographic determinants of unmet need for family planning among married women in Pakistan.

机构信息

Department of Economics National College of Business Administration and Economics 40-E/1 Gulberg III, Lahore, Pakistan.

出版信息

BMC Public Health. 2019 Sep 5;19(1):1226. doi: 10.1186/s12889-019-7487-5.

Abstract

BACKGROUND

Family planning is considered as an effective tool to control population and to bring improvement in maternal and child health. The Government of Pakistan has been continuously struggling to improve the availability of family planning services. However, like many other developing countries of the world, unmet need for family planning still exists in the country. According to Pakistan Demographic and Health Survey 2012-13, the prevalence of unmet need for family planning is 21% in the country. The objective of this study is to investigate the determinants of unmet need for family planning among married women in Pakistan.

METHODS

Secondary data of Pakistan Demographic and Health Survey 2012-13 has been used to analyze the determinants of unmet need for family planning through Binary and Multinomial Logistic regressions.

RESULTS

Outcomes of the study show that the likelihood of unmet need for family planning among married women in Pakistan goes on to decrease with an increase in their age and education. The likelihood of unmet need for family planning decreases with the increase in wealth status of women's household, number of living children and husband's education. Similarly, the women residing in rural areas are more likely to have unmet need for family planning as compared with women living in urban areas. The women who lack mass media exposure, who are not employed and who have fear of side effects for using contraceptives are more likely to have unmet need for family planning.

CONCLUSIONS

Fear of side effects for using contraceptives has been identified as the major cause of unmet need for family planning in Pakistan. The Government of Pakistan has been putting a lot of efforts to convince people about the usefulness of population control programs. A huge media campaign has been launched to persuade people about the benefits of birth control. But the efforts of the government do not seem to be very much effective to clear the perception of people about side effects of contraceptive use. Hence, fear of side effects still remains one of the most important reason behind unmet need for family planning.

摘要

背景

计划生育被认为是控制人口和改善母婴健康的有效工具。巴基斯坦政府一直在努力改善计划生育服务的可及性。然而,与世界上许多其他发展中国家一样,该国仍然存在计划生育未满足的需求。根据 2012-13 年巴基斯坦人口与健康调查,该国计划生育未满足需求的流行率为 21%。本研究旨在探讨巴基斯坦已婚妇女计划生育未满足需求的决定因素。

方法

使用 2012-13 年巴基斯坦人口与健康调查的二级数据,通过二元和多项逻辑回归分析来分析计划生育未满足需求的决定因素。

结果

研究结果表明,巴基斯坦已婚妇女计划生育未满足需求的可能性随着年龄和教育程度的增加而降低。妇女家庭的财富状况、活产子女数量和丈夫教育程度的提高,计划生育未满足需求的可能性降低。同样,与居住在城市地区的妇女相比,居住在农村地区的妇女更有可能计划生育未满足需求。缺乏大众媒体接触、未就业以及担心使用避孕药具的副作用的妇女更有可能计划生育未满足需求。

结论

使用避孕药具的副作用恐惧已被确定为巴基斯坦计划生育未满足需求的主要原因。巴基斯坦政府一直在努力说服人们关注人口控制计划的好处。已经发起了一场大规模的媒体运动,以说服人们控制生育的好处。但是,政府的努力似乎并没有非常有效地消除人们对避孕副作用的看法。因此,副作用恐惧仍然是计划生育未满足需求的最重要原因之一。

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