Department of Adult Education and Human Resource Studies, School of Continuing and Distance Education, University of Ghana, Legon, Ghana.
Regional Institute for Population Studies, University of Ghana, Legon, Ghana.
PLoS One. 2021 Dec 21;16(12):e0261005. doi: 10.1371/journal.pone.0261005. eCollection 2021.
This study seeks to identify the socio-demographic, reproductive, partner-related, and facility-level characteristics associated with women's immediate and subsequent use of post-abortion contraception in Ghana. Secondary data from the 2017 Ghana Maternal Health Survey were utilized in this study. The weighted data comprised 1,880 women who had ever had an abortion within the five years preceding the survey. Binary logistic regression analyses were performed to examine the associations between the predictor and outcome variables. Health provider and women's socio-demographic characteristics were significantly associated with women's use of post-abortion contraception. Health provider's counselling on family planning prior to or after abortion and place of residence were associated with both immediate and subsequent post-abortion uptake of contraception. Among subsequent post-abortion contraceptive users, older women (35-49), women in a union, and women who had used contraception prior to becoming pregnant were strong predictors. Partner-related and reproductive variables did not predict immediate and subsequent use of contraception following abortion. Individual and structural/institutional level characteristics are important in increasing women's acceptance and use of contraception post abortion. Improving and intensifying family planning counselling services at the health facility is critical in increasing contraceptive prevalence among abortion seekers.
本研究旨在确定与加纳妇女在堕胎后立即和随后使用堕胎后避孕措施相关的社会人口学、生殖、伴侣相关和医疗机构特征。本研究利用了 2017 年加纳母婴健康调查的二次数据。加权数据包括在调查前五年内曾有过堕胎经历的 1880 名妇女。采用二元逻辑回归分析来检验预测变量和结果变量之间的关联。卫生服务提供者和妇女的社会人口学特征与妇女使用堕胎后避孕措施显著相关。卫生服务提供者在堕胎前后关于计划生育的咨询以及居住地与堕胎后立即和随后使用避孕措施均相关。在随后使用堕胎后避孕的妇女中,年龄较大的妇女(35-49 岁)、处于婚姻关系中的妇女以及在怀孕前曾使用过避孕措施的妇女是强有力的预测因素。伴侣相关和生殖变量并不能预测堕胎后立即和随后使用避孕措施。个人和结构/机构层面的特征对于增加妇女在堕胎后的避孕接受度和使用率非常重要。改善和加强医疗机构的计划生育咨询服务对于提高堕胎寻求者的避孕普及率至关重要。