大众媒体接触度与印度已婚女性现代可逆避孕措施使用率:对 2015-16 年 NFHS 数据的分析。

Mass media exposure and use of reversible modern contraceptives among married women in India: An analysis of the NFHS 2015-16 data.

机构信息

Department of Development Studies, International Institute for Population Sciences, Mumbai, India.

Reproductive Health Division, Population Council, New Delhi, India.

出版信息

PLoS One. 2021 Jul 13;16(7):e0254400. doi: 10.1371/journal.pone.0254400. eCollection 2021.

Abstract

Since the inception of the National Programme for Family Planning, messages on family planning (FP) have been promoted across India using different mass media platforms. Mass media plays an important role in disseminating important information among the masses, such as how reversible modern methods give women more reproductive choices than opting for permanent methods that limit their child-bearing capacity. Mass media can provide a continuous flow of information and motivation to deter women from discontinuing the methods they have opted for. However, very few studies have been conducted on this issue, especially using recently available data. This study particularly focuses on exposure to mass media and the use of reversible modern methods of family planning among married women in India. The data for this study was obtained from the National Family Health Survey (2015-16) on currently married women aged 15-49 years. The association of reversible modern method use with media exposure variables was examined, controlling for a set of independent variables from multiple levels-individual, district, state, and region. The findings from this study showed that television was the most important medium for disseminating information on FP among married women in India. Spatial analysis revealed that some districts in the north, parts of the northeast, and Kerala in South India lacked any television exposure. The results from the decomposition analysis showed that mass media exposure was associated with a 14% increase in the use of reversible modern methods. Results from the multilevel analyses showed that exposure to TV along with other media (AOR 1.57 95% CI 1.49-1.65) and exposure to FP messages through different media (AOR 1.22 95% CI 1.12-1.32) had a significant positive effect on the use of reversible modern methods even when various individual, district, state, and regional-level factors were controlled. The findings of this paper provide evidence supporting the use of mass media to promote and increase awareness of voluntary contraceptive use in India. An increase in mass media exposure coupled with improvement in coverage and services of the FP program can significantly increase the use of reversible modern methods in a cost-effective yet efficient manner among women in need of FP services.

摘要

自国家计划生育计划启动以来,印度一直在利用各种大众媒体平台传播计划生育(FP)信息。大众媒体在向大众传播重要信息方面发挥着重要作用,例如,现代可逆方法如何为女性提供比选择限制生育能力的永久性方法更多的生殖选择。大众媒体可以提供源源不断的信息和动力,阻止女性停止选择的方法。然而,很少有研究关注这个问题,尤其是使用最近可用的数据。本研究特别关注印度已婚妇女接触大众媒体和使用现代可逆计划生育方法的情况。本研究的数据来自于 2015-16 年全国家庭健康调查,调查对象为年龄在 15-49 岁的目前已婚妇女。在控制了来自多个层面(个人、地区、邦和地区)的一组独立变量后,研究人员检查了可逆现代方法的使用与媒体曝光变量之间的关联。本研究的结果表明,电视是向印度已婚妇女传播 FP 信息的最重要媒体。空间分析显示,印度北部、东北部部分地区和南部喀拉拉邦缺乏任何电视曝光。分解分析的结果表明,大众媒体的接触与可逆现代方法使用的增加有关,增加了 14%。多水平分析的结果表明,接触电视以及其他媒体(AOR 1.57 95%CI 1.49-1.65)和通过不同媒体接触 FP 信息(AOR 1.22 95%CI 1.12-1.32)对可逆现代方法的使用有显著的积极影响,即使在控制了各种个人、地区、邦和地区层面的因素之后也是如此。本文的研究结果提供了证据,证明了使用大众媒体来促进和提高印度自愿避孕意识的有效性。大众媒体的接触率增加,加上 FP 项目的覆盖率和服务质量的提高,可以以具有成本效益和高效的方式,显著增加有需要的妇女对可逆现代方法的使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fda2/8277022/a73e02f1797b/pone.0254400.g001.jpg

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