加纳北部年轻女性的避孕措施使用情况：一项基于社区的研究。

Contraceptive use among young women in northern Ghana: a community-based study.

机构信息

Bolgatanga Nursing Training College, Bolgatanga, Ghana.

Department of Obstetrics and Gynaecology, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

出版信息

Eur J Contracept Reprod Health Care. 2020 Oct;25(5):339-344. doi: 10.1080/13625187.2020.1783651. Epub 2020 Jul 2.

DOI:10.1080/13625187.2020.1783651

PMID:32615045

Abstract

OBJECTIVE

The aim of the study was to assess factors influencing contraceptive uptake among young women aged 15-24 years in Bolgatanga Municipal District, northern Ghana.

METHODS

An analytical cross-sectional community-based study was conducted between December 2015 and April 2016. Participants ( = 580) were selected through multistage sampling and interviewed using a pretested structured questionnaire.

RESULTS

The mean age of the participants was 20.5 years (standard deviation 2.8 years). About a third were less than 20 years old. Contraceptive knowledge was nearly universal (99.7%). About 67% of sexually experienced young women had used contraceptives, but less than a quarter had used long-acting reversible contraception (LARC). Age was the only independent predictor of contraceptive use: women in their 20s were more than twice as likely as adolescents to use contraceptives (adjusted relative risk 2.75; 95% confidence interval 2.04, 3.71; < 0.001).

CONCLUSION

Strategies to improve contraceptive uptake among young people in the municipality should encourage the use of LARC.

摘要

目的

本研究旨在评估加纳北部博尔加坦加市 15-24 岁年轻女性采用避孕措施的影响因素。

方法

2015 年 12 月至 2016 年 4 月期间进行了一项基于社区的分析性横断面研究。采用多阶段抽样选择参与者（n=580），并使用经过预测试的结构化问卷进行访谈。

结果

参与者的平均年龄为 20.5 岁（标准差 2.8 岁）。约三分之一的参与者年龄小于 20 岁。避孕知识几乎普及（99.7%）。约 67%有性经验的年轻女性曾使用过避孕药具，但使用长效可逆避孕措施（LARC）的不到四分之一。年龄是唯一的独立预测因素：20 多岁的女性使用避孕药具的可能性是青少年的两倍多（调整后的相对风险 2.75；95%置信区间 2.04，3.71； < 0.001）。