Maternal and Child Health, University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina, USA
Carolina Population Center, University of North Carolina, Chapel Hill, North Carolina, USA.
BMJ Open. 2022 Jul 21;12(7):e064487. doi: 10.1136/bmjopen-2022-064487.
This study examines which fertility and family planning (FP) intentions are related to subsequent FP use in a sample of young, married women in India.
We use 3-year longitudinal data from married women ages 15-19 in 2015-2016 (wave 1) who are not using contraception to examine factors associated with any use of FP in 2018-2019 (wave 2).
Data were collected in the states of Bihar and Uttar Pradesh, India.
A representative sample of 4893 young married women ages 15-19 was surveyed in 2015-2016 and 4000 of them were found and interviewed 3 years later. This analysis focused on the 3614 young women who were not using FP at wave 1.
This study examines FP use at wave 2 as the main outcome variable.
Multivariate analyses demonstrated that young women who wanted to delay childbearing three or more years or who did not want any(more) children at wave 1 were more likely to use contraception at wave 2. Additionally, intention to use FP in the next 12 months at wave 1 was significantly associated with FP use at wave 2 whereas unmet need at wave 1 was not significantly related to subsequent use. A combined measure of fertility desires and intention to use FP demonstrated the importance of both measures on subsequent use. Having any children and being pregnant at wave 1 were both related to FP use at wave 2.
It is important to reach young, married women prior to a first pregnancy with nuanced messages addressing their fertility and FP intentions. Programmes targeting women at antenatal and postpartum visits are important for young women to help support them to use FP to address their desires to delay or limit future childbearing for the health and well-being of themselves and their children.
本研究考察了在印度年轻已婚女性样本中，哪些生育和计划生育（FP）意愿与随后的 FP 使用相关。
我们使用了 2015-2016 年（第 1 波）年龄在 15-19 岁之间、不使用避孕措施的已婚女性的 3 年纵向数据，以调查 2018-2019 年（第 2 波）任何 FP 使用的相关因素。
数据收集于印度比哈尔邦和北方邦。
在 2015-2016 年对 4893 名年龄在 15-19 岁的年轻已婚女性进行了代表性调查，其中 4000 人在 3 年后被找到并接受了访谈。本分析重点关注第 1 波未使用 FP 的 3614 名年轻女性。
本研究将第 2 波的 FP 使用作为主要结局变量进行考察。
多变量分析表明，第 1 波希望晚育 3 年或以上或不希望再有孩子的年轻女性，更有可能在第 2 波使用避孕措施。此外，第 1 波未来 12 个月使用 FP 的意愿与第 2 波的 FP 使用显著相关，而第 1 波未满足的需求与随后的使用没有显著相关。生育愿望和使用 FP 的意愿的综合衡量表明了这两个措施对随后使用的重要性。第 1 波有任何孩子和怀孕的情况均与第 2 波的 FP 使用相关。
在首次怀孕前，向年轻已婚女性传递关于其生育和 FP 意愿的微妙信息非常重要。针对产前和产后就诊女性的方案对于支持年轻女性使用 FP 以满足她们延迟或限制未来生育的愿望，以促进她们自己和孩子的健康和福祉，非常重要。
