Syum Hailay, Kahsay Gizienesh, Huluf Teklehaymanot, Beyene Berhe, Gerensea Hadgu, Gidey Gebreamlak, Desta Haftom, Abay Mebrahtu, Nuguse Haben, Haile Kebede
School of Public Health, College of Health Science and Comprehensive Specialized Hospital, Aksum University, Aksum, Ethiopia.
School of Nursing, College of Health Science and Comprehensive Specialized Hospital, Aksum University, Aksum, Ethiopia.
BMC Res Notes. 2019 Nov 9;12(1):739. doi: 10.1186/s13104-019-4769-z.
In Ethiopia, the majority of married women practice predominantly short-acting contraceptive methods. Therefore this study aims to assess intention to use LAPMs and its determinants among short-acting users in Health Institutions of Aksum Town, North Ethiopia.
Prevalence of intention to use LAPMs was 52.1% (95% CI 47.4-57.0). Good knowledge on LAPMs [AOR = 2.15; 95% CI (1.29, 3.56)], positive attitude towards LAPMs [AOR = 3.41; 95% CI (1.99, 5.85)], 18-24 years of age [AOR = 3.18; 95% CI (1.30, 7.79)], being primary school in educational level [AOR = 0.34; 95% CI (0.14, 0.78)], decision on the number of children jointly with partner [AOR = 2.05; 95% CI (1.01, 4.18)], having more than two children [AOR = 10.67; 95% CI (1.29, 88.31)], and no [AOR = 10.21; 95% CI (3.10, 33.58)] and one [AOR = 4.70; 95% CI (1.68, 13.13)] extra number of children desired were factors significantly associated with having intention to use LAPMs compared to their counterparts. The intention to use LAPMs was low. Therefore, appropriate information, education and communication strategies must be designed to raise awareness and change the negative attitude of the community on LAPMs.
在埃塞俄比亚，大多数已婚妇女主要采用短效避孕方法。因此，本研究旨在评估埃塞俄比亚北部阿克苏姆镇医疗机构中短效避孕药具使用者使用长效可逆避孕方法（LAPMs）的意愿及其决定因素。
使用长效可逆避孕方法的意愿患病率为52.1%（95%置信区间47.4 - 57.0）。对长效可逆避孕方法有良好认知[AOR = 2.15；95%置信区间(1.29, 3.56)]、对长效可逆避孕方法持积极态度[AOR = 3.41；95%置信区间(1.99, 5.85)]、年龄在18 - 24岁[AOR = 3.18；95%置信区间(1.30, 7.79)]、教育程度为小学[AOR = 0.34；95%置信区间(0.14, 0.78)]、与伴侣共同决定子女数量[AOR = 2.05；95%置信区间(1.01, 4.18)]、育有两个以上子女[AOR = 10.67；95%置信区间(1.29, 88.31)]以及希望额外生育的子女数为零[AOR = 10.21；95%置信区间(3.10, 33.58)]和一个[AOR = 4.70；95%置信区间(1.68, 13.13)]与未育有上述情况的人群相比，是与使用长效可逆避孕方法意愿显著相关的因素。使用长效可逆避孕方法的意愿较低。因此，必须设计适当的信息、教育和沟通策略，以提高认识并改变社区对长效可逆避孕方法的消极态度。
