Mitiku Habtamu Dessie, Lemma Muluken Wondemnew, Chekole Yenework Belayneh, Chekole Yonatal Tarkegn
Department of Statistics, College of Natural and Computational Science, Injibara University, Injibara, Ethiopia.
Department of Computer Science, College of Natural and Computational Science, Injibara University, Injibara, Ethiopia.
Patient Prefer Adherence. 2022 May 24;16:1279-1293. doi: 10.2147/PPA.S366097. eCollection 2022.
Contraceptive compliance has become a major health concern around the globe, particularly in rural parts of Ethiopia. Therefore, this study aimed to assess contraceptive compliance among rural women of the reproductive age group in the Awi zone, Northwest Ethiopia.
A community-based cross-sectional study was conducted on 2341sampled rural women's reproductive age group from Jan to April 30; 2021G.C. Multistage random sampling was employed. A multilevel logistic regression model was used to identify the predictors of contraceptive compliance, which allows us to account for the random component. Intra-cluster correlation coefficient (ICC) statistics were also computed to measure the variation between clusters.
Results showed that prevalence of contraceptive compliance in the selected districts of Awi zone was 17.1%. At individual level, women's aged 35-49 (AOR = 0.50, 95% CI 0.28, 0.90), married women's (AOR = 8.81, 95% CI 4.62, 16.66), had 1 to 2 living children (AOR = 1.15, 95% CI 1.06, 1.40), women's work status hard (AOR = 5.80, 95% CI 2.85, 11.82) and moderate (AOR = 4.71, 95% CI 2.39, 9.28), long-acting (AOR = 1.84, 95% CI1.28, 2.64) and positive attitude (AOR = 2.71, 95% CI1.16, 6.33) and at hierarchical level (group level), mass media exposure (AOR = 1.78, 95% CI 1.32, 2.41) and enforcement exposure (AOR = 1.77, 95% CI 1.19, 2.65) were significant factors of contraceptive compliance. Moreover, results for the intra-class correlation coefficient show that variation exists between clusters.
Individual-level (women's age, married women's, number of living children, women's work status, type of contraceptive method and attitude) and community-level (mass media exposure and enforcement exposure) were found to be significant factors associated with compliance in Awi zone.
避孕依从性已成为全球主要的健康问题，尤其是在埃塞俄比亚农村地区。因此，本研究旨在评估埃塞俄比亚西北部阿维地区育龄农村妇女的避孕依从性。
于2021年公历1月至4月30日对2341名抽样的农村育龄妇女进行了一项基于社区的横断面研究。采用多阶段随机抽样。使用多水平逻辑回归模型来确定避孕依从性的预测因素，这使我们能够考虑随机因素。还计算了组内相关系数（ICC）统计量以测量组间差异。
结果显示，阿维地区选定地区的避孕依从性患病率为17.1%。在个体层面，年龄在35 - 49岁的女性（调整后比值比[AOR]=0.50，95%置信区间[CI]0.28，0.90）、已婚女性（AOR = 8.81，95% CI 4.62，16.66）、有1至2个存活子女（AOR = 1.15，95% CI 1.06，1.40）、工作强度大（AOR = 5.80，95% CI 2.85，11.82）和中等（AOR = 4.71，95% CI 2.39，9.28）、长效避孕方法（AOR = 1.84，95% CI1.28，2.64）以及积极态度（AOR = 2.71，95% CI1.16，6.33）；在分层层面（群体层面），大众媒体曝光（AOR = 1.78，95% CI 1.32，2.41）和执法曝光（AOR = 1.77，95% CI 1.19，2.65）是避孕依从性的重要因素。此外，组内相关系数结果表明组间存在差异。
个体层面（女性年龄、婚姻状况、存活子女数量、女性工作状态、避孕方法类型和态度）和社区层面（大众媒体曝光和执法曝光）被发现是与阿维地区避孕依从性相关的重要因素。
