乌干达青春期女性现代避孕药具使用的流行情况及相关因素。
Prevalence and factors associated with modern contraceptives utilization among female adolescents in Uganda.
机构信息
Monitoring and Evaluation Department, Doctors With Africa, CUAMM, TM Lion Hotel, Juba, South Sudan.
Department of Obstetrics and Gynaecology, Busitema University, Tororo, Uganda.
出版信息
BMC Womens Health. 2021 Feb 10;21(1):61. doi: 10.1186/s12905-021-01206-7.
BACKGROUND
The sexual and reproductive health (SRH) needs of adolescents remain largely unmet. For instance, over 20 million female adolescents in need of, a modern contraceptive method are not using any. This study determined the factors associated with utilization of modern contraceptives among female adolescents in Uganda.
METHODS
A cross sectional study was conducted using the Uganda Demographic and Health Survey (UDHS) 2016 data of 4, 264 adolescents aged 15 to 19 years. Multistage stratified sampling was used to select study participants. Multivariable logistic regression was used to determine the factors associated with modern contraceptive utilization. All our analyses were done using SPSS version 25.
RESULTS
The prevalence of modern contraceptive utilization among female adolescents was 9.4% (401/4264: (95% CI: 8.6-10.3). The odds of contraceptive utilisation were 1.6 times (AOR = 1.60; 95% CI: 1.09-2.34) higher among married adolescents compared to unmarried adolescents. Adolescents whose age at first birth was less than 15 years (AOR = 2.01; 95% CI: 1.01-3.99) were twice more likely to utilize a modern contraceptive compared to those whose age at first birth was above 15 years. Women belonging to the Central region (AOR = 1.93; 95% CI: 1.01-3.69) and those in the middle wealth quintile (AOR = 1.91; 95% CI: 1.06-3.46) were 93% and 91% more likely to utilize a modern contraceptive compared to those in the Northern region and those in the poorest wealth index respectively.
CONCLUSION
The prevalence of modern contraceptive utilization was 9.4%. The findings show the need for designing targeted interventions due to differences in adolescents according to their wealth index, regions and marital status.
背景
青少年的性与生殖健康（SRH）需求在很大程度上仍未得到满足。例如，有 2000 多万名需要现代避孕方法的青春期少女并未使用任何避孕方法。本研究旨在确定乌干达青春期少女使用现代避孕药具的相关因素。
方法
本研究采用 2016 年乌干达人口与健康调查（UDHS）的数据，对 4264 名年龄在 15 至 19 岁的青少年进行了一项横断面研究。采用多阶段分层抽样法选择研究对象。采用多变量逻辑回归法确定与现代避孕药具使用相关的因素。所有分析均使用 SPSS 版本 25 进行。
结果
青春期少女中现代避孕药具使用率为 9.4%（401/4264：（95%CI：8.6-10.3）。与未婚少女相比，已婚少女使用避孕药具的可能性高出 1.6 倍（AOR=1.60；95%CI：1.09-2.34）。首次生育年龄小于 15 岁的少女（AOR=2.01；95%CI：1.01-3.99）比首次生育年龄大于 15 岁的少女更有可能使用现代避孕药具。属于中部地区（AOR=1.93；95%CI：1.01-3.69）和中等财富五分位数（AOR=1.91；95%CI：1.06-3.46）的少女与属于北部地区和最贫穷财富指数五分位数的少女相比，使用现代避孕药具的可能性分别增加了 93%和 91%。
结论
现代避孕药具使用率为 9.4%。研究结果表明，需要根据青少年的财富指数、地区和婚姻状况的差异设计有针对性的干预措施。
Zotero 插件