Heidelberg Institute of Global Health, Im Neunheimer Feld 365, 69120, Heidelberg, Germany.
Kabul University of Medical Sciences, Kabul, Afghanistan.
Sci Rep. 2022 Apr 22;12(1):6632. doi: 10.1038/s41598-022-10535-y.
The aim of this study is to assess factors that influence the uptake of short-term contraceptives among married women aged between 15 and 49 years in Afghanistan. The cross-sectional Afghanistan 2015 Demographic and Health Survey provided the dataset for this analysis. We included 22,974 women and applied multivariable logistic regression to investigate the influencing factors for the uptake of short-term contraceptives. 92% of Afghan women knew at least one type of short-term contraception but only 17% were using short term contraceptives. Short term contraceptive use was most prevalent among women in the age group between 30 and 40 who were educated, employed, and rich. Most of the users were living in the western parts of Afghanistan and women from the Balooch and Pashtun ethnic groups were most likely to use short-term contraceptives. Media exposure and women empowerment were also positively associated with the use of short-term contraceptives. We did not find an association with living in urban or rural settings. Contraception promotion in Afghanistan requires multisectoral efforts, tailored to the needs of women from low and middle socioeconomic strata. Health promotion activities, empowering women, strengthening education, and training of service providers on effective counseling are options that should be considered to improve the current situation.
本研究旨在评估影响 15 至 49 岁已婚妇女短期避孕措施使用率的因素。本分析的数据来自横断面阿富汗 2015 年人口与健康调查。我们纳入了 22974 名妇女，并采用多变量逻辑回归分析来调查短期避孕措施使用率的影响因素。92%的阿富汗妇女至少知道一种短期避孕药具，但只有 17%的妇女使用短期避孕药具。30 至 40 岁、受过教育、有工作和富裕的妇女短期避孕措施使用率最高。大多数使用者居住在阿富汗西部，来自俾路支和普什图族的妇女最有可能使用短期避孕药具。媒体曝光和妇女赋权也与短期避孕措施的使用呈正相关。我们没有发现与居住在城市或农村地区有关联。阿富汗的避孕措施推广需要多部门共同努力，针对中低收入社会阶层妇女的需求制定。促进健康活动、增强妇女权能、加强教育以及对服务提供者进行有效咨询的培训是改善现状应考虑的选择。
