Department of Statistics, University of Dhaka, Dhaka, Bangladesh.
Department of Mathematics and Statistics, Bangladesh University of Textiles, Dhaka, Bangladesh.
BMC Womens Health. 2022 May 14;22(1):176. doi: 10.1186/s12905-022-01752-8.
Unmet need for family planning (FP) is a core concept in designing FP programmes and reduction of unmet need for FP can improve reproductive and maternal health services. Bangladesh is still away from achieving the target regarding unmet need for FP. This study aimed to explore the composite effect of economic status and place of residence on unmet need for FP among currently married women of reproductive age in Bangladesh after controlling the effect of other selected covariates.
The study used the data extracted from the Bangladesh Demographic and Health Survey (BDHS) 2017-2018, which is a nationally representative survey implemented using a stratified two-stage cluster sample design. A total of 13,031 currently married women of reproductive age were included in the final analysis. Binary logistic regression model has been employed to identify the factors influencing the unmet need for FP. Model-I investigated the effect of composite variable place-wealth on unmet need for FP and Model-II examined the effect of place-wealth on unmet need for FP after adjusting for the effect of other selected covariates. The Odds Ratios with p-values were reported to identify significant covariates.
The rate of unmet need for FP was 15.48%. The composite factor of economic status and place of residence had significant influence on unmet need for FP in both models. Generally, rural women were significantly more likely to have unmet need for FP than their urban counterparts. In particular, women from rural areas and belong to rich families had the highest likelihoods of unmet need for FP. The other selected covariates also had significant influence on unmet need for FP.
This study shows that rural women had higher odds of unmet need for FP than urban women. The healthcare providers and stakeholders should take necessary actions to motivate women to use contraceptive specially the women who are residing in the rural areas.
计划生育需求未得到满足是设计计划生育方案的核心概念，减少计划生育需求未得到满足的情况可以改善生殖和孕产妇健康服务。孟加拉国仍未实现计划生育需求未得到满足的目标。本研究旨在探讨经济状况和居住地对孟加拉国已婚育龄妇女计划生育需求未得到满足的综合影响，同时控制其他选定协变量的影响。
本研究使用了 2017-2018 年孟加拉国人口与健康调查（BDHS）的数据，该调查采用分层两阶段聚类抽样设计，具有全国代表性。最终分析纳入了 13031 名已婚育龄妇女。采用二元逻辑回归模型确定影响计划生育需求未得到满足的因素。模型 I 调查了复合变量地点-财富对计划生育需求未得到满足的影响，模型 II 则在调整其他选定协变量影响后，调查了地点-财富对计划生育需求未得到满足的影响。报告了比值比及其 p 值，以确定有显著影响的协变量。
计划生育需求未得到满足的比例为 15.48%。经济状况和居住地的综合因素对两个模型中的计划生育需求未得到满足都有显著影响。一般来说，农村妇女比城市妇女更有可能有计划生育需求未得到满足的情况。特别是来自农村地区且家庭富裕的妇女，其计划生育需求未得到满足的可能性最高。其他选定的协变量也对计划生育需求未得到满足有显著影响。
本研究表明，农村妇女比城市妇女更有可能有计划生育需求未得到满足的情况。医疗保健提供者和利益相关者应采取必要措施，鼓励妇女使用避孕药具，特别是那些居住在农村地区的妇女。
