Idowu Ajibola, Ukandu Grace Chinyere, Mattu Jeremiah, Olawuyi Damilola, Abiodun Adeola, Adegboye Phillip, Chibu-Jonah Chiamaka, Siakpere Anita Eseogene, Ishola Anita Eseogene, Adeyeye Titilola, Alabi Samuel
Department of Community Medicine, Bowen University, Iwo, Nigeria.
Ethiop J Health Sci. 2020 Jul 1;30(4):531-540. doi: 10.4314/ejhs.v30i4.8.
Universal contraceptive access is one of the key strategies for achieving sustainable developments in any country. Yet, uptake has remained low in most developing nations like Nigeria. The reasons for low use must be contextually understood to aid effective contraceptive programming. This study assessed contraceptive use and its determinants among reproductive aged women in Ejigbo, Osun State, Nigeria.
A quantitative study involving 405 participants which were recruited using multi-stage sampling method was carried out. Data were collected using pretested semi-structured, interviewer-administered questionnaire. Chi-Square test and binary logistic regression analysis were used for inferential statistics.
The mean age of the respondents was 28±6. The majority (92.8%) of the respondents were aware of family planning, 68.9% of them possessed good knowledge but only 53% of them demonstrated favorable contraceptive attitude. Less than half (33.0%) of those who had heard about contraception were current users of modern methods. Injectables (45.0%) and male condoms (30.0%) were the most prevalent contraceptive methods among the respondents. The main determinants of contraceptive uptake were respondents' educational status (AOR=0.525, 95%CI=0.284-0.972), contraceptive knowledge (OR=0.512, 95%CI=1.242-1.968) and attitude (OR=0.512, 95%CI=1.2421.968). Fear of perceived side effects (45.2%), low pregnancy risk perception (35.7%) and spousal refusal (12.5%) were the main reasons for non-contraceptive use among non-users.
Contraceptive demand in the study population was low in spite of high awareness level. There is a need to increase contraceptive literacy in the study population and make the services more acceptable to rural dwellers so as to meet the SDG-3 target in Nigeria.
普及避孕措施是任何国家实现可持续发展的关键战略之一。然而，在尼日利亚等大多数发展中国家，避孕措施的采用率仍然很低。必须结合具体情况理解使用率低的原因，以帮助制定有效的避孕计划。本研究评估了尼日利亚奥孙州埃吉博地区育龄妇女的避孕措施使用情况及其决定因素。
采用多阶段抽样方法招募了405名参与者进行定量研究。使用预先测试的半结构化、由访谈员管理的问卷收集数据。采用卡方检验和二元逻辑回归分析进行推断统计。
受访者的平均年龄为28±6岁。大多数（92.8%）受访者了解计划生育，其中68.9%具备良好的知识，但只有53%表现出积极的避孕态度。听说过避孕措施的人中不到一半（33.0%）是现代避孕方法的当前使用者。注射剂（45.0%）和男用避孕套（30.0%）是受访者中最普遍使用的避孕方法。避孕措施采用的主要决定因素是受访者的教育程度（调整后比值比[AOR]=0.525，95%置信区间[CI]=0.284-0.972）、避孕知识（比值比[OR]=0.512，95%CI=1.242-1.968）和态度（OR=0.512，95%CI=1.242-1.968）。担心感知到的副作用（45.2%）、低怀孕风险感知（35.7%）和配偶拒绝（12.5%）是非使用者不采用避孕措施的主要原因。
尽管知晓率较高，但研究人群中的避孕需求较低。有必要提高研究人群的避孕知识水平，使农村居民更能接受这些服务，以实现尼日利亚的可持续发展目标3。
