Mulugeta Solomon Sisay, Fenta Setegn Muche, Fentaw Kenaw Derebe, Biresaw Hailegebrael Birhan
Department of Statistics, College of Natural and Computational Sciences, Debre Tabor University, Debra Tabor, Ethiopia.
Arch Public Health. 2022 Jul 6;80(1):163. doi: 10.1186/s13690-022-00922-2.
Appropriate contraceptive use prevents unintended pregnancy, protects the health of mother and child, and promotes women's well-being. Use of modern Family planning in Ethiopia was still very low. The purpose of this study was to assess the factors that are associated with non-use of modern family planning services among women of reproductive age.
A nationally representative 2016 EDHS women data were used for analysis. A total of 15,683 women in the reproductive age group were included in this study. Descriptive and multilevel multivariable binary logistic regression models were used to summarize descriptive data and measure statistical association between the dependent and the individual and community level variable, respectively. Adjusted Odds Ratio (AOR) and confidence interval were respectively used to measure association and its statistical significance.
Among women in the reproductive age group 79.49% (95% CI: 78.85%, 80.12%) did not use a modern contraceptive method. Women age between 25-34 years (AOR = 0.54, 95% CI: 0.47-0.61) and age between 34-49 year (AOR = 0.62, 95% CI: 0.55-0.71), having primary educated women (AOR = 0.0.77, 95% CI: 0.68-0.87),secondary and above educational (AOR = 0.88, CI: 0.75-1.03), Secondary and above-educated husband (AOR = 0.84, 95% CI: 0.72-0.96), rich women (AOR = 0.74,95%CI:0.65-0.85), health facility delivery (AOR = 0.84, 95%CI: 0.73-0.0.98), being watching TV (AOR = 0.74, 95% CI: 0.65-0.85), having 1-2 living children (AOR = 0.21, 95% CI: 0.19-0.23) are less likely to not use contraception were identified. Furthermore, Muslim women (AOR = 1.43, 95% CI: 1.23-1.62), women living in rural area (AOR = 3.43; 95% CI: 2.72-4.32), and ANC visit 1.25(1.07-1.47) were more likely to not use contraception. Further, Women in Afar, Somali, Gambela, Harari, and Dire Dawa were less likely to use modern contraception methods than women in Tigray, but Amhara region had a lower rate of non-use.
Family planning interventions should target younger women, women living in rural areas, the poor, and Muslim women. Moreover, initiatives to empower women associated to family planning programs would be beneficial in increasing contraceptive uptake among sexually active women in Ethiopia.
合理使用避孕措施可预防意外怀孕，保护母婴健康，并促进女性福祉。埃塞俄比亚现代计划生育的使用率仍然很低。本研究的目的是评估育龄妇女中未使用现代计划生育服务的相关因素。
使用具有全国代表性的2016年埃塞俄比亚人口与健康调查（EDHS）女性数据进行分析。本研究共纳入了15683名育龄妇女。描述性和多层次多变量二元逻辑回归模型分别用于汇总描述性数据以及测量因变量与个体和社区层面变量之间的统计关联。调整后的比值比（AOR）和置信区间分别用于测量关联及其统计显著性。
在育龄妇女中，79.49%（95%置信区间：78.85%，80.12%）未使用现代避孕方法。年龄在25 - 34岁之间的女性（AOR = 0.54，95%置信区间：0.47 - 0.61）和34 - 49岁之间的女性（AOR = 0.62，95%置信区间：0.55 - 0.71）、受过小学教育的女性（AOR = 0.77，95%置信区间：0.68 - 0.87）、受过中等及以上教育的女性（AOR = 0.88，置信区间：0.75 - 1.03）、受过中等及以上教育的丈夫（AOR = 0.84，95%置信区间：0.72 - 0.96）、富裕女性（AOR = 0.74，95%置信区间：0.65 - 0.85）、在医疗机构分娩的女性（AOR = 0.84，95%置信区间：0.73 - 0.98）、经常看电视的女性（AOR = 0.74，95%置信区间：0.65 - 0.85）、育有1 - 2个存活子女的女性（AOR = 0.21，95%置信区间：0.19 - 0.23）使用避孕措施的可能性较低。此外，穆斯林女性（AOR = 1.43，95%置信区间：1.23 - 1.62）、居住在农村地区的女性（AOR = 3.43；95%置信区间：2.72 - 4.32）以及产前检查次数为1.25（1.07 - 1.47）的女性不使用避孕措施的可能性更高。此外，阿法尔州、索马里州、甘贝拉州、哈拉里州和迪雷达瓦市的女性比提格雷州的女性使用现代避孕方法的可能性更低，但阿姆哈拉地区的未使用率较低。
计划生育干预措施应针对年轻女性、农村地区女性、贫困女性和穆斯林女性。此外，与计划生育项目相关的增强妇女权能举措将有助于提高埃塞俄比亚性活跃女性的避孕措施使用率。
