Lai Siow-Li, Tey Nai-Peng
Faculty of Economics and Administration, University of Malaya, Kuala Lumpur, Malaysia.
Cult Health Sex. 2020 Jul;22(7):778-793. doi: 10.1080/13691058.2019.1685683. Epub 2020 Feb 10.
In Cambodia, the growth of family planning services and socio-economic development have resulted in a spectacular rise in contraceptive prevalence rate and an equally remarkable reduction in contraceptive use differentials. With rising educational levels and increased participation in the modern labour market, Cambodian women are playing an increasingly pivotal role in household decision-making. This study used data from three rounds of Cambodia Demographic and Health Surveys to elucidate trends and patterns of contraceptive use. It then examined the determinants of contraceptive use through the use of logistic regression. The central hypothesis to be tested was whether or not women's involvement in household decision-making affected contraceptive use. Multivariate analysis showed that apart from the number of living children, women's work status and education of both men and women had a more significant impact on contraceptive use, as compared to women's power in household decision-making. More effort is needed to empower women in all aspects in order to reduce the socio-economic differentials in contraceptive use and improve their reproductive health, in line with the goal of the global agenda of the sustainable development goals (SDGs) to leave no one behind.
在柬埔寨，计划生育服务的发展和社会经济的进步使得避孕普及率大幅上升，避孕措施使用差异也显著缩小。随着教育水平的提高以及对现代劳动力市场参与度的增加，柬埔寨女性在家庭决策中发挥着越来越关键的作用。本研究利用三轮柬埔寨人口与健康调查的数据来阐明避孕措施使用的趋势和模式。随后，通过逻辑回归分析来探究避孕措施使用的决定因素。要检验的核心假设是女性参与家庭决策是否会影响避孕措施的使用。多变量分析表明，与女性在家庭决策中的权力相比，除了存活子女数量外，女性的工作状况以及男性和女性的教育程度对避孕措施使用的影响更为显著。为了减少避孕措施使用方面的社会经济差异并改善她们的生殖健康，需要在各个方面做出更多努力来增强女性权能，这符合可持续发展目标（SDGs）全球议程“不让任何一个人掉队”的目标。
