Asres Abiyot Wolie, Tiruneh Ayele Almaw, Ferede Addisu Gasheneit, Hunegnaw Woldeamilak Adamu
Department of Epidemiology & Biostatistics, College of Health Science & Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Zonal Health Department, Injibara, Ethiopia.
SAGE Open Med. 2022 Apr 25;10:20503121221094658. doi: 10.1177/20503121221094658. eCollection 2022.
The utilization of long-acting reversible contraceptive methods is one of the key factors in protecting women and couples against unwanted pregnancies. The study aimed to assess the determinants of long-acting reversible contraceptive use among women in Northwest Ethiopia.
A community-based unmatched case-control study was conducted from 1 February to 8 March 2017 in Northwest Ethiopia. The cases were women who used long-acting reversible contraceptive methods, and the controls were women who used short-acting contraceptives. Both of them were selected using a systematic sampling method. An interviewer-administered questionnaire was used to collect the data. Epi info and SPSS version 23 were used for data entry and analysis, respectively. Descriptive statistics and association measures were done and presented in texts, tables, and figures.
A total of 882 women were interviewed, with a response rate of 99.3%. Women who were between 15 and 24 years old were two times more likely to use long-acting reversible contraceptive methods than those whose age was ⩾35 (adjusted odds ratio = 2, 95% confidence interval: (1.20, 3.50)). A good level of knowledge about long-acting reversible contraceptive methods (adjusted odds ratio = 11.6, 95% confidence interval: (5.42, 24.80)), a negative attitude toward long-acting reversible contraceptive methods (adjusted odds ratio = 0.31, 95% confidence interval: (0.21, 0.46)), membership in the health development army (adjusted odds ratio = 2.8, 95% confidence interval: (2.12, 3.78)), no discussion with a partner about long-acting reversible contraceptive methods (adjusted odds ratio = 2.3, 95% confidence interval: (1.54, 3.49)), and more than 2 years of desire to wait before another pregnancy (adjusted odds ratio = 23.7, 95% confidence interval: (11.63, 48.55)) were determinants of long-acting reversible contraceptive methods use.
This study revealed that attitude toward long-acting reversible contraceptive method use, being a member of the women's health development army, and the desire to space children were determinants of long-acting reversible contraceptive method use. More actions should be taken to increase the utilization of long-acting reversible contraceptive methods by promoting discussion between partners about modern contraceptives and increasing women's participation in being a member of the health development army.
使用长效可逆避孕方法是保护女性及伴侣避免意外怀孕的关键因素之一。本研究旨在评估埃塞俄比亚西北部女性使用长效可逆避孕方法的决定因素。
2017年2月1日至3月8日在埃塞俄比亚西北部开展了一项基于社区的非匹配病例对照研究。病例为使用长效可逆避孕方法的女性，对照为使用短效避孕方法的女性。二者均采用系统抽样方法选取。通过访谈员实施的问卷收集数据。分别使用Epi info和SPSS 23版软件进行数据录入和分析。进行描述性统计和关联测量，并以文字、表格和图表形式呈现。
共访谈了882名女性，应答率为99.3%。15至24岁的女性使用长效可逆避孕方法的可能性是年龄≥35岁女性的两倍（调整优势比=2，95%置信区间：(1.20, 3.50)）。对长效可逆避孕方法有良好的认知水平（调整优势比=11.6，95%置信区间：(5.42, 24.80)）、对长效可逆避孕方法持消极态度（调整优势比=0.31，95%置信区间：(0.21, 0.46)）、是健康发展军成员（调整优势比=2.8，95%置信区间：(2.12, 3.78)）、未与伴侣讨论长效可逆避孕方法（调整优势比=2.3，95%置信区间：(1.54, 3.49)）以及希望在下次怀孕前等待两年以上（调整优势比=23.7，95%置信区间：(11.63, 48.55)）是使用长效可逆避孕方法的决定因素。
本研究表明，对使用长效可逆避孕方法的态度、成为女性健康发展军成员以及生育间隔的意愿是使用长效可逆避孕方法的决定因素。应采取更多行动，通过促进伴侣间关于现代避孕方法的讨论以及增加女性作为健康发展军成员的参与度来提高长效可逆避孕方法的使用率。
