埃塞俄比亚流产后避孕方法的采用。
Post-abortion contraceptive adoption in Ethiopia.
机构信息
Center of Excellence in Reproductive Health, Department of Obstetrics and Gynecology, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA.
出版信息
Int J Gynaecol Obstet. 2021 Jul;154(1):157-161. doi: 10.1002/ijgo.13555. Epub 2021 Jan 18.
OBJECTIVE
To assess the effect of couple counseling on modern contraception adoption among women receiving abortions.
METHODS
A cross-sectional study was conducted between October 2019 and May 2020 at the abortion clinic of Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia. Women receiving abortion care were interviewed using Open Data Kit. Logistic regression was used to assess predictors of modern contraception adoption.
RESULTS
During the study period, a total of 326 women receiving abortion care were interviewed and 112 (34.4%) received couple counseling. Of the 112, 89 (79.5%) adopted modern contraception. The odds of using a modern contraceptive method were 2.34 times higher among women whose partner approved (adjusted odds ratio [aOR] 2.34; 95% confidence interval [CI] 1.05-5.22) compared with those without partner approval. The odds of using a modern contraceptive method was 1.78 times higher among women who believed they had partner support (aOR 1.78; 95% CI 1.03-3.10) compared with women without support.
CONCLUSION
Few women received couple counseling for contraception. Partner approval and a woman's belief that her partner supports her contraception decision were associated with contraception adoption.
目的
评估对接受人工流产的女性进行伴侣咨询对现代避孕方法采用的影响。
方法
本横断面研究于 2019 年 10 月至 2020 年 5 月在埃塞俄比亚亚的斯亚贝巴圣保罗医院千年医科大学的流产诊所进行。通过开放式数据工具对接受流产护理的女性进行访谈。采用逻辑回归评估现代避孕方法采用的预测因素。
结果
在研究期间，共对 326 名接受流产护理的女性进行了访谈，其中 112 名（34.4%）接受了伴侣咨询。在这 112 名女性中，有 89 名（79.5%）采用了现代避孕方法。与伴侣不认可相比，伴侣认可的女性采用现代避孕方法的可能性高 2.34 倍（调整后的优势比[aOR]2.34；95%置信区间[CI]1.05-5.22）。与没有伴侣支持的女性相比，认为自己有伴侣支持的女性采用现代避孕方法的可能性高 1.78 倍（aOR 1.78；95% CI 1.03-3.10）。
结论
很少有女性接受过伴侣咨询以获取避孕信息。伴侣认可和女性认为伴侣支持其避孕决策与避孕方法的采用有关。
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