Dingeta Tariku, Oljira Lemessa, Worku Alemayehu, Berhane Yemane
School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Department of Epidemiology and Biostatistics, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Open Access J Contracept. 2019 Dec 17;10:89-101. doi: 10.2147/OAJC.S227260. eCollection 2019.
Addressing the contraceptive needs of young married women is critical to improve their health and well-being. In patriarchal societies, young married women are under intense pressure to demonstrate their fecundity. Therefore, research that specifically address the needs for contraception of young married women have been generally given less emphasis in Ethiopia. This study assessed the extent of unmet needs for contraception and its associated factors among young married women in Eastern Ethiopia.
A community-based cross-sectional study was conducted among young married women (14-24 years of age) in Eastern Ethiopia. Data were collected using a structured questionnaire. The prevalence ratio (PR) with 95% confidence intervals (CIs) was calculated, and factors associated with unmet needs for contraception were identified using log-binomial regression statistical model.
Among 2933 young women interviewed, the unmet need for contraception was 1014 (34.6%; 95% CI, 32.9%-36.4%). The prevalence of unmet needs for contraception decreased with increased young women's household decision-making autonomy score (APR= 0. 76; CI=0.62-0.94). Exposure to family planning (FP) information during the last 12 months (APR= 1.24; CI=1.1-1.42), age 18 or more years (APR=1.25; CI=1.04-1.5), multiparty (APR= 1. 9; CI=1.7-2.1) and desire to have 5 children or lesser than 5 children (APR= 1. 2; CI=1.06-1.32) were associated with higher prevalence of unmet needs for contraception.
One-third of married young women had unmet needs for contraception. More efforts to empower women to make decisions that affect their own life and providing appropriate family planning information are necessary to reduce the burden of unmet needs among young married women in rural settings in Ethiopia.
满足年轻已婚妇女的避孕需求对于改善她们的健康和福祉至关重要。在父权制社会中，年轻已婚妇女面临着展示生育能力的巨大压力。因此，在埃塞俄比亚，专门针对年轻已婚妇女避孕需求的研究通常较少受到重视。本研究评估了埃塞俄比亚东部年轻已婚妇女未满足的避孕需求程度及其相关因素。
在埃塞俄比亚东部对年轻已婚妇女（14 - 24岁）进行了一项基于社区的横断面研究。使用结构化问卷收集数据。计算了95%置信区间（CI）的患病率比（PR），并使用对数二项回归统计模型确定与未满足的避孕需求相关的因素。
在接受访谈的2933名年轻女性中，未满足的避孕需求为1014人（34.6%；95% CI，32.9% - 36.4%）。未满足的避孕需求患病率随着年轻女性家庭决策自主权得分的增加而降低（调整患病率比[APR]=0.76；CI = 0.62 - 0.94）。在过去12个月内接触过计划生育（FP）信息（APR = 1.24；CI = 1.1 - 1.42）、年龄18岁及以上（APR = 1.25；CI = 1.04 - 1.5）、多子女（APR = 1.9；CI = 1.7 - 2.1）以及期望生育5个或少于5个孩子（APR = 1.2；CI = 1.06 - 1.32）与未满足的避孕需求较高患病率相关。
三分之一的年轻已婚妇女有未满足的避孕需求。为减轻埃塞俄比亚农村地区年轻已婚妇女未满足需求的负担，需要做出更多努力来增强妇女做出影响自身生活决策的能力，并提供适当的计划生育信息。
