Demeke Chilot Abiyu, Kasahun Asmamaw Emagn, Belay Wudneh Simegn, Chekol Abay Nega, Getaneh Rahel Alemu, Yimenu Dawit Kumilachew
Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Amhara Regional State, Ethiopia.
School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Amhara Regional State, Ethiopia.
Open Access J Contracept. 2020 Aug 25;11:103-112. doi: 10.2147/OAJC.S262146. eCollection 2020.
Long-acting and permanent family planning methods (LAPMs) are modern contraceptive methods that can prevent pregnancy for greater than one year and include long-acting reversible contraceptive methods (LARCs) (Intrauterine device and subdermal implants), and permanent contraceptive methods (Tubal ligation and Vasectomy). The current study aimed to assess the utilization pattern of long-acting and permanent contraceptive methods and factors associated with their utilization in Lay-Armachiho district, Amhara regional state, Ethiopia.
A community-based cross-sectional study was conducted. Data were collected by using an interview method and the collected data were entered and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Both binary logistics and multivariable logistic regression analyses were used to analyze predictive variables with the utilization of contraceptives. A 95% confidence interval (CI) and a P-value of <0.05 were used to declare statistical significance.
A total of 460 women have participated in the study. The proportion of women that utilize long-acting and permanent contraceptives was found to be 65.4%. Educational statuses, residence, attitude towards long-acting contraceptives, discussion, and joint decision-making with their spouse were factors significantly associated with the utilization of long-acting contraceptive methods.
The current study showed that there is high utilization of LAPMs. Women's attitude, educational status, residency, frequent discussions, and a joint decision with their partners about LAPMs were significantly associated with the utilization of long-acting and permanent contraceptives. There is a significant impact of husbands (sexual partners) on the utilization and choice of contraceptive methods by women.
长效和永久性计划生育方法（LAPMs）是能够预防妊娠超过一年的现代避孕方法，包括长效可逆避孕方法（LARCs）（宫内节育器和皮下植入剂）以及永久性避孕方法（输卵管结扎和输精管切除术）。本研究旨在评估埃塞俄比亚阿姆哈拉州莱阿马奇霍区长效和永久性避孕方法的使用模式及其使用相关因素。
开展了一项基于社区的横断面研究。通过访谈方法收集数据，并使用社会科学统计软件包（SPSS）20版对收集的数据进行录入和分析。二元逻辑回归和多变量逻辑回归分析均用于分析避孕措施使用情况的预测变量。采用95%置信区间（CI）和P值<0.05来判定统计学显著性。
共有460名女性参与了本研究。发现使用长效和永久性避孕方法的女性比例为65.4%。教育程度、居住情况、对长效避孕方法的态度、与配偶的讨论以及共同决策是与长效避孕方法使用显著相关的因素。
本研究表明长效和永久性计划生育方法的使用率较高。女性的态度、教育程度、居住情况、频繁讨论以及与伴侣就长效和永久性计划生育方法进行共同决策与长效和永久性避孕方法的使用显著相关。丈夫（性伴侣）对女性避孕方法的使用和选择有重大影响。
