2019 年，埃塞俄比亚南部索多镇公立医疗机构产后妇女现代避孕方法使用意向及其影响因素：一项基于机构的横断面研究。
The Intention on Modern Contraceptive Use and Associated Factors among Postpartum Women in Public Health Institutions of Sodo Town, Southern Ethiopia 2019: An Institutional-Based Cross-Sectional Study.
机构信息
Department of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Department of Nursing, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
出版信息
Biomed Res Int. 2020 Oct 8;2020:9815465. doi: 10.1155/2020/9815465. eCollection 2020.
BACKGROUND
The postpartum period is an important transitional time for couples to put the decision on family planning utilization. However, women in Ethiopia are usually uncertain about the use of family planning during this period. This cross-sectional study was, therefore, aimed at determining the intention of modern contraceptive use and associated factors among postpartum women attending the immunization clinic in Sodo town, Ethiopia.
METHOD
This institution-based cross-sectional study was conducted among 416 study participants from May 25 to June 20, 2019. The data were collected by using a systematic random sampling technique of interviewer-administered questionnaires. Descriptive analysis was done, and results were presented in texts and tables. Variables at bivariate analysis with a value < 0.2 were moved to the multivariate logistic regression model to control potential confounding variables. Statistical tests at value < 0.05 during multivariate analysis were considered as a cutoff point to determine statistical significance.
RESULTS
A total of 416 postpartum women participated in the study yielding a response rate of 98.1%. The prevalence of intention on modern contraceptive use among study participants was 70%. The odds of intention on modern contraceptive use was higher among study participants who had secondary school education (AOR = 2.052, 95% CI: 1.064-3.958), antenatal care visit (AOR = 1.74; 95% CI: 1.02-2.95), knowledge on modern contraceptive use (AOR = 2.54; 95% CI: 1.50-4.28), menses resumption (AOR = 2.05; 95% CI: 1.14-3.68), and husband approval to use contraceptives (AOR = 2.395, 95% CI: 1.501-5.458).
CONCLUSION
The intention of modern contraceptive use among postpartum women was low. Family planning providers should emphasize reducing barriers of intention like lack of education, knowledge, male partner approval, antenatal care visit, and advise the impact of menses on fertility.
背景
产后时期是夫妻决定计划生育利用的重要过渡时期。然而，埃塞俄比亚的女性通常对这一时期计划生育的使用感到不确定。因此，这项横断面研究旨在确定在 Sodo 镇接受免疫接种诊所的产后妇女使用现代避孕药具的意图及其相关因素。
方法
这项基于机构的横断面研究于 2019 年 5 月 25 日至 6 月 20 日期间在 416 名研究参与者中进行。使用访谈者管理的问卷系统随机抽样技术收集数据。进行描述性分析，并以文字和表格形式呈现结果。在单变量分析中， 值 < 0.2 的变量被转移到多变量逻辑回归模型中，以控制潜在的混杂变量。在多变量分析中， 值 < 0.05 的统计检验被认为是确定统计学意义的截止点。
结果
共有 416 名产后妇女参加了研究，应答率为 98.1%。研究参与者中现代避孕药具使用意图的流行率为 70%。在接受过中学教育（AOR = 2.052，95%CI：1.064-3.958）、产前护理（AOR = 1.74；95%CI：1.02-2.95）、现代避孕药具使用知识（AOR = 2.54；95%CI：1.50-4.28）、月经恢复（AOR = 2.05；95%CI：1.14-3.68）和丈夫批准使用避孕药具（AOR = 2.395，95%CI：1.501-5.458）的研究参与者中，现代避孕药具使用意图的可能性更高。
结论
产后妇女使用现代避孕药具的意图较低。计划生育提供者应强调减少教育程度、知识、丈夫批准、产前护理就诊和月经对生育能力的影响等意图障碍。
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