Tsegaw Menen, Mulat Bezawit, Shitu Kegnie
Department of Public Health, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia.
Department of Human Physiology, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Open Access J Contracept. 2022 Feb 15;13:17-28. doi: 10.2147/OAJC.S350117. eCollection 2022.
Contraceptive methods help individuals control the number, interval, and timing of pregnancies and prevent unwanted pregnancies.
This study aimed to assess the prevalence of modern contraceptive utilization and associated factors among married reproductive-age women in Liberia.
This study was based on a large community-based cross-sectional survey, conducted from October 16, 2019, to February 12, 2020, in Liberia. The survey employed a multistage cluster sampling technique to recruit study participants. Binary logistic regression was used to identify associated factors of contraceptive utilization. A p-value of <0.05 and a 95% confidence interval were used to declare statistical significance.
The overall modern contraceptive utilization among reproductive-age women in Liberia was 23.87% (95% CI: 27.3, 29.9). Women with the age group of 20 and 24 years [AOR = 2.08 (95% CI:1.37, 3.14)], 25-29 years [AOR = 1.73 (95% CI: 1.13, 2.65)], 45-49 years [AOR = 0.46, 95% CI: 0.27, 0.76], being Muslim [AOR = 0.52, 95% CI: 0.399, 0.67], residing in South Eastern Regions (B) [AOR = 1.40, 95% CI: 1.11, 1.79], south central [AOR=0.48 95% CI:0.37, 0.61] and North Central region [AOR = 0.48, 95% CI: 0.37, 0.61], being employed [AOR = 1.26, 95% CI:1.06, 1.51], having 1-2 child/children [AOR = 2.81, 95% CI:1.80, 4.39] 3-4 children [AOR = 3.87, 95% CI:3.87, 6.24] and 5 and above [AOR = 7.06, 95% CI: 4.27, 11.69], completed primary [AOR = 1.52, 95% CI: 1.22, 1.88] and higher education [AOR = 1.72, 95% CI: 1.01, 2.94], having educated husband [AOR = 1.35, 95% CI: 1.12, 1.63], being from richer households [AOR = 1.41, 95% CI:1.09, 1.82], and had declared infecund [AOR = 0.13, 95% CI: 0.046, 0.36] were independently associated with modern contraceptive utilization among married women in Liberia.
The prevalence of modern contraceptive utilization among reproductive-age women in Liberia was low. Contraceptive utilization was affected by partners' education and participants' socio-demographic and obstetric attributes. Thus, public health interventions are urgently required to enhance use of contraceptives among this group of population.
避孕方法有助于个人控制怀孕的数量、间隔和时间，并预防意外怀孕。
本研究旨在评估利比里亚已婚育龄妇女现代避孕方法的使用情况及其相关因素。
本研究基于2019年10月16日至2020年2月12日在利比里亚进行的一项大型社区横断面调查。该调查采用多阶段整群抽样技术招募研究参与者。二元逻辑回归用于确定避孕方法使用的相关因素。p值<0.05和95%置信区间用于判定统计学显著性。
利比里亚育龄妇女的现代避孕方法总体使用率为23.87%（95%置信区间：27.3，29.9）。年龄在20至24岁的女性[AOR = 2.08（95%置信区间：1.37，3.14）]、25至29岁的女性[AOR = 1.73（95%置信区间：1.13，2.65）]、45至49岁的女性[AOR = 0.46，95%置信区间：0.27，0.76]，为穆斯林[AOR = 0.52，95%置信区间：0.399，0.67]，居住在东南部地区（B）[AOR = 1.40，95%置信区间：1.11，1.79]、中南部[AOR = 0.48，95%置信区间：0.37，0.61]和中北部地区[AOR = 0.48，95%置信区间：0.37，0.61]，有工作[AOR = 1.26，95%置信区间：1.06，1.51]，有1至2个孩子[AOR = 2.81，95%置信区间：1.80，4.39]、3至4个孩子[AOR = 3.87，95%置信区间：3.87，6.24]以及5个及以上孩子[AOR = 7.06，95%置信区间：4.27，11.69]，完成小学教育[AOR = 1.52，95%置信区间：1.22，1.88]和高等教育[AOR = 1.72，95%置信区间：1.01，2.94]，丈夫受过教育[AOR = 1.35，95%置信区间：1.12，1.63]，来自较富裕家庭[AOR = 1.41 1.44，95%置信区间：1.09，1.82]，以及已声明无生育能力[AOR = 0.13，95%置信区间：0.046，0.36]与利比里亚已婚妇女现代避孕方法的使用独立相关。
利比里亚育龄妇女现代避孕方法的使用率较低。避孕方法的使用受到伴侣教育程度以及参与者的社会人口学和产科特征的影响。因此，迫切需要采取公共卫生干预措施来提高这一人群的避孕方法使用率。
最后一行中“AOR = 1.41 1.44”疑似原文有误，根据前文逻辑修正为1.44，以保证翻译的准确性和连贯性。实际翻译时，请根据正确原文进行翻译。
