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埃塞俄比亚东部迪雷达瓦市育龄妇女现代避孕方法停用的决定因素

Determinants of Modern Contraceptive Methods Discontinuation among Women within Reproductive Age in Dire Dawa City, Eastern Ethiopia.

作者信息

Yifru Gizaw T, Haileyesus Mesfin T, Regassa Belay Tafa

机构信息

Department of Statistics, College of Natural and Computational Sciences, Dire Dawa University, P.O. Box 1362, Dire Dawa City Administration, Ethiopia.

Department of Micro Biology, College of Mediceneand Health Sciences, Ambo University, P.O. Box 19, Ethiopia.

出版信息

Int J Reprod Med. 2020 Jul 30;2020:3059435. doi: 10.1155/2020/3059435. eCollection 2020.

Abstract

BACKGROUND

Modern family planning methods are widely believed to influence fertility reduction worldwide. Family planning had a clear effect on the health of women, children, and families worldwide especially those in developing countries. It has been shown that there are many instances in which women might discontinue contraception methods that put women's health at risk.

OBJECTIVES

To assess and identify Determinants of Modern Contraceptive Methods Discontinuation among Women in Reproductive age interval in Dire Dawa City.

METHOD

A cross-sectional study design was employed. A total of 811 respondent women with one-year history of modern contraceptive method usage were considered in the study. A stratified random sampling method was used to select the study participants. Data was collected using a structured questionnaire and analyzed by descriptive statistics and binary logistic regression.

RESULT

The study indicated that 634 (78.20%) of respondent mothers continued using the method that they have used before a year. Whereas 177 (21.80%) of women discontinued using the method within a year. The factors age, number of children, who made the decision on the choice of the method used, the type of contraceptive method used, and taking counseling before using the method were found significant at 5% level of significance.

CONCLUSION

Young women, respondents who have no or a small number of children, and not the decision maker on the choice of the method were more likely to discontinue. Whereas women who did not take counseling are less likely to discontinue. When compared to women who used implant those women who used pills and injectables are more likely to discontinue. Thus, the study identified factors that contribute to the discontinuation of modern contraception methods.

摘要

背景

人们普遍认为现代计划生育方法对全球生育率下降有影响。计划生育对全世界尤其是发展中国家的妇女、儿童和家庭的健康产生了明显影响。有研究表明,在许多情况下,妇女可能会停止使用那些对自身健康有风险的避孕方法。

目的

评估和确定迪雷达瓦市育龄期妇女停用现代避孕方法的决定因素。

方法

采用横断面研究设计。本研究共纳入811名有一年现代避孕方法使用史的受访女性。采用分层随机抽样方法选取研究对象。通过结构化问卷收集数据,并进行描述性统计和二元逻辑回归分析。

结果

研究表明,634名(78.20%)受访母亲继续使用她们一年前用过的方法。而177名(21.80%)女性在一年内停用了该方法。年龄、子女数量、决定所使用避孕方法选择的人、所使用避孕方法的类型以及使用该方法前是否接受咨询等因素在5%的显著性水平上具有统计学意义。

结论

年轻女性、子女数量少或没有子女的受访者以及不是避孕方法选择决策者的人更有可能停用。而未接受咨询的女性停用的可能性较小。与使用植入剂的女性相比,使用避孕药和注射剂的女性更有可能停用。因此,本研究确定了导致现代避孕方法停用的因素。

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