Department of Population Sciences, Jatiya Kabi Kazi Nazrul Islam University, Trishal, Mymensingh-2220, Bangladesh.
Department of Public Health, La Trobe University, Melbourne, Australia.
Bull World Health Organ. 2021 Mar 1;99(3):201-208. doi: 10.2471/BLT.20.269779. Epub 2021 Jan 7.
To determine the prevalence of the use of contraceptives among female Rohingya refugees in Bangladesh and its associated factors.
We conducted our cross-sectional survey at the Kutupalong refugee facility located in Cox's Bazar in November 2019. We used univariable and multivariable logistic regression models to determine the association between the use of contraceptives and our various predictor variables, including women's age, age at first marriage, education level and employment status. We also considered factors such as whether previous pregnancies were planned or unplanned, and the occurrence of non-consensual sex with husbands.
We found that 50.91% (251/493) of the survey participants used contraceptives, and that injection (169/251; 67.33%) and oral contraceptives (75/251; 29.88%) were the predominant modes. Of the women who did not use contraceptives, the main reasons were reported as disapproval by husbands (118/242; 48.76%), actively seeking a pregnancy (42/242; 17.36%) and religious beliefs (37/242; 15.29%). An increased likelihood of using contraceptives was found to be positively associated with women's employment outside their households (odds ratio, OR: 3.11; 95% confidence interval, CI: 1.69-6.11) and the presence of a health-care centre in the camp (OR: 3.92; 95% CI: 2.01-7.67). Women who reported an unplanned pregnancy during the previous 2 years were less likely to use contraceptives (OR: 0.02; 95% CI: 0.01-0.05).
To increase the acceptance and use of contraceptives, we recommend programmes targeted at women of reproductive age and their husbands, religious and community leaders, and providers of family planning and child and maternal health-care services.
确定孟加拉国罗兴亚难民女性使用避孕药具的流行情况及其相关因素。
我们于 2019 年 11 月在 Cox's Bazar 的 Kutupalong 难民营进行了这项横断面调查。我们使用单变量和多变量逻辑回归模型来确定避孕药具使用与我们的各种预测变量之间的关联，包括女性的年龄、初婚年龄、教育水平和就业状况。我们还考虑了先前怀孕是否有计划或无计划、与丈夫发生非自愿性行为等因素。
我们发现，在接受调查的 493 名参与者中，有 50.91%（251/493）使用了避孕药具，其中注射（169/251；67.33%）和口服避孕药（75/251；29.88%）是主要的避孕方式。在未使用避孕药具的女性中，主要原因是丈夫反对（118/242；48.76%）、积极寻求怀孕（42/242；17.36%）和宗教信仰（37/242；15.29%）。我们发现，女性在家庭以外就业（比值比，OR：3.11；95%置信区间，CI：1.69-6.11）和难民营中有医疗中心（OR：3.92；95% CI：2.01-7.67）与使用避孕药具的可能性增加呈正相关。在过去 2 年内报告意外怀孕的女性使用避孕药具的可能性较低（OR：0.02；95% CI：0.01-0.05）。
为了提高避孕药具的接受度和使用率，我们建议针对育龄妇女及其丈夫、宗教和社区领袖以及计划生育、儿童和孕产妇保健服务提供者开展相关方案。
