Kettema Wondimnew Gashaw, Aynalem Getie Lake, Yismaw Ayenew Engida, Degu Ayenew Worku
Department of Midwifery, Wollo University, Dessie City, Ethiopia.
School of Midwifery, University of Gondar, Gondar City, Ethiopia.
Int J Reprod Med. 2020 Nov 28;2020:7345820. doi: 10.1155/2020/7345820. eCollection 2020.
Reproductive-aged women living on the street, with no doubt, are with lesser benefits of exercising their reproductive rights. Pregnancies from this marginalized population are likely to be unplanned, unwanted, and unsupported. The aim of this study, therefore, was to assess modern contraception utilization and associated factors among street reproductive-aged women in Amhara regional state zonal towns.
A community-based cross-sectional study was conducted among street reproductive-aged women in Amhara regional state zonal towns. A single population proportion formula was used to calculate the sample size, a similar literature-based tool adaptation was done, and a semistructured, pretested sectioned questionnaire was used. Cluster sampling technique was used to reach the study participants. Data was entered into Epi Info version 7 and exported to SPSS version 23 for analysis. A multivariable logistic regression model was fitted to control the possible effect of confounders, and finally, the independent variables were identified on the basis of OR, with 95% CI and values less than 0.05.
604 street reproductive-aged women were interviewed in the study which make the response rate 94.2%. The study revealed that current modern contraceptive utilization among the study participants was found to be 38.9%. Having history of pregnancy in street life (AOR = 1.70, 1.1-2.7), having three or more live children (AOR = 6.4, 2.0-20.4), undesiring to have additional children in the future (AOR = 2.7, 1.4-5.1), mentioning three to four (AOR = 2.2, 1.5-3.3) and five or more modern contraceptive types (AOR = 5.5, 1.4-21.0), and discussion with sexual partners for contraceptive use (AOR = 6.6, 4.3-10.1) were variables significantly associated with modern contraceptive utilization. Modern contraceptive utilization among the street reproductive-aged women was low. Authors suggest that awareness creation and male partner involvement in the maternal services may be important to increase contraceptive utilization.
毫无疑问，生活在街头的育龄妇女在行使其生殖权利方面获益较少。这一边缘化人群的怀孕往往是意外、非意愿且缺乏支持的。因此，本研究的目的是评估阿姆哈拉州各分区城镇街头育龄妇女现代避孕方法的使用情况及相关因素。
在阿姆哈拉州各分区城镇的街头育龄妇女中开展了一项基于社区的横断面研究。使用单总体比例公式计算样本量，对基于类似文献的工具进行改编，并使用经过预测试的半结构化分段问卷。采用整群抽样技术选取研究参与者。数据录入Epi Info 7版本，并导出至SPSS 23版本进行分析。拟合多变量逻辑回归模型以控制混杂因素的可能影响，最后根据比值比（OR）、95%置信区间（CI）和P值小于0.05确定自变量。
本研究共访谈了604名街头育龄妇女，应答率为94.2%。研究显示，研究参与者中当前现代避孕方法的使用率为38.9%。有街头生活怀孕史（调整后比值比[AOR]=1.70，1.1 - 2.7）、生育三个或更多存活子女（AOR = 6.4，2.0 - 20.4）、未来不希望再生育（AOR = 2.7，1.4 - 5.1）、提及三到四种（AOR = 2.2，1.5 - 3.3）以及五种或更多现代避孕方法类型（AOR = 5.5，1.4 - 21.0），以及与性伴侣讨论避孕措施的使用（AOR = 6.6，4.3 - 10.1）是与现代避孕方法使用显著相关的变量。街头育龄妇女的现代避孕方法使用率较低。作者建议，开展宣传以及让男性伴侣参与孕产妇服务可能对提高避孕方法使用率很重要。
