居住在坎帕拉的索马里已婚妇女现代避孕方法使用的决定因素：一项横断面调查。
Determinants of modern contraceptive use among married Somali women living in Kampala; a cross sectional survey.
机构信息
Department of Obstetrics and Gynaecology, School of Medicine, Makerere University , 7062, Kampala, Uganda.
出版信息
Reprod Health. 2020 May 24;17(1):72. doi: 10.1186/s12978-020-00922-x.
BACKGROUND
Low contraceptive uptake exposes women to unintended pregnancies and often the resultant obstetric complications. The immigrant communities especially from countries with low contraceptive use present a unique challenge. The main objective of the study was to describe modern contraceptive use and associated factors among married Somali women living in Kampala.
METHODS
A community based cross sectional survey was conducted among Somali women living in Kampala from August to November 2016. Using consecutive sampling, 341 respondents were recruited after informed consent. Data was collected using interviewer administered questionnaires on contraceptives use and factors associated. Data was entered in Epidata 3.1 and analyzed using STATA 11.0. Logistic regression analysis was used to determine the factors associated with use of modern contraceptives.
RESULTS
Majority of the participants were refugees 317/341(94%), with a mean age of 30.4 (±6.7) years and 136/341 (40%) had no formal education. More than 325/341 (95%) of respondents desired to have five or more children (Average 9 + 3) and 164/341 (45%) had five or more living children. Only 29% of women were using modern contraceptives, of which 51% used oral pills, 15% condoms and 15% injectables. Having tertiary education, one who had ever used modern contraceptives and desire for spacing of more than two years were independently associated with current of use modern contraceptives.
CONCLUSIONS
The Contraceptive prevalence rate among married Somali women in Kampala was (29%). A majority of the respondents were using short acting contraceptive methods. Attaining tertiary education, ever use of modern contraceptives, those whose source of contraceptive information was health worker and desire to space for more than two years were associated with current use of modern contraceptives. There is a need for improvement of girl child education, contraceptive awareness and male involvement to increase contraceptive uptake in this community. Research looking at attitude of this community towards use of long term contraception is recommended.
背景
低避孕率使妇女面临意外怀孕的风险，并且常常导致产科并发症。来自避孕使用率较低的国家的移民群体尤其构成了一个独特的挑战。本研究的主要目的是描述居住在坎帕拉的索马里已婚妇女现代避孕方法的使用情况及其相关因素。
方法
2016 年 8 月至 11 月，我们对居住在坎帕拉的索马里妇女进行了一项基于社区的横断面调查。采用连续抽样方法，在获得知情同意后，共招募了 341 名受访者。使用访谈员管理的问卷收集有关避孕方法使用情况和相关因素的数据。数据录入 Epidata 3.1，并使用 STATA 11.0 进行分析。采用逻辑回归分析来确定与现代避孕方法使用相关的因素。
结果
大多数参与者为难民（317/341，94%），平均年龄为 30.4（±6.7）岁，136/341（40%）没有接受过正规教育。超过 325/341（95%）的受访者希望生育 5 个或更多孩子（平均 9+3），164/341（45%）有 5 个或更多存活子女。仅有 29%的妇女使用现代避孕药具，其中 51%使用口服避孕药，15%使用避孕套，15%使用注射避孕药。接受过高等教育、曾使用过现代避孕药具且希望间隔 2 年以上生育的妇女，与当前使用现代避孕药具具有独立相关性。
结论
坎帕拉已婚索马里妇女的避孕率为（29%）。大多数受访者使用的是短效避孕方法。获得高等教育、曾使用现代避孕药具、其避孕信息来源是卫生工作者、希望间隔 2 年以上生育的妇女，与当前使用现代避孕药具相关。需要提高女孩的教育水平，增强避孕意识，促进男性参与，以提高该社区的避孕率。建议开展研究，了解该社区对使用长期避孕药具的态度。
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