埃塞俄比亚西北部现代计划生育使用中妇女决策权及其相关因素
Women's Decision-Making Power on Modern Family Planning Use and Its Associated Factors in Northwest Ethiopia.
机构信息
Bahir Dar University, College of Medicine and Health Science, Department of Psychiatry, Bahir Dar, Ethiopia.
School of Computing and Information Technology, University of Wollongong, Wollongong, Australia.
出版信息
Biomed Res Int. 2022 Jul 12;2022:9060809. doi: 10.1155/2022/9060809. eCollection 2022.
INTRODUCTION
Poor decision-making power on family planning among married women is a public health concern. Despite this, there is a scarcity of research done on decision-making power of family planning use as one of their basic human rights. The study is aimed at determining the magnitude of married women's decision-making power on family planning use and its associated factors.
METHODS
This was a community-based cross-sectional study that was conducted on married women from May, 01-30/2021. A multistage systematic random sampling technique was applied to select 620 eligible study participants. The study used semi-interviewer questionnaires to collect data, and the collected data were entered into EpiInfo version 3.7.2 and then exported to SPSS version 20 for analysis. Bivariate and multivariable logistic regression analyses were used. The strength of associations of variables was described by using odds ratio, 95% confidence level, and values less than 0.05.
RESULTS
A total of 620 women were interviewed with 98% of the response rate. Overall, married women's decision-making power on family planning was 440 (71.0%). Odds of decision-making power on family planning use were higher among women who have primary education (AOR = 11.31, CI: 4.90-26.09) and secondary and above (AOR = 6.99, CI: 3.89-12.56) as compared with those who have no education. Husbands with secondary and above educational level (AOR = 3.27, CI: 1.58-6.78), having good knowledge about family planning use (AOR = 2.41, CI: 1.48-3.95) and having a good attitude towards family planning (AOR = 6.59, CI: 4.01-10.75), had higher odds of decision-making power on family planning.
CONCLUSION
Women's educational status, knowledge, and attitude increased the odds of decision-making power on family planning. Therefore, the authors recommend awareness creation on family planning considering lower educational level as a priority to improve women's decision-making power.
引言
已婚女性在计划生育方面决策能力差是一个公共卫生问题。尽管如此，关于计划生育决策作为基本人权之一的研究仍然很少。本研究旨在确定已婚女性在计划生育方面的决策能力及其相关因素的程度。
方法
这是一项基于社区的横断面研究，于 2021 年 5 月 1 日至 30 日对已婚妇女进行。采用多阶段系统随机抽样技术选取 620 名合格的研究参与者。研究使用半访谈问卷收集数据，并将收集到的数据输入 EpiInfo 版本 3.7.2，然后导出到 SPSS 版本 20 进行分析。采用双变量和多变量逻辑回归分析。使用比值比、95%置信区间和 值描述变量关联的强度， 值小于 0.05。
结果
共对 620 名妇女进行了访谈，应答率为 98%。总体而言，已婚妇女在计划生育方面的决策能力为 440 人（71.0%）。与没有受过教育的妇女相比，受过小学教育（AOR=11.31，CI：4.90-26.09）和中学及以上教育（AOR=6.99，CI：3.89-12.56）的妇女在计划生育方面的决策能力更高。丈夫具有中学及以上教育水平（AOR=3.27，CI：1.58-6.78）、对计划生育有较好的了解（AOR=2.41，CI：1.48-3.95）和对计划生育有较好的态度（AOR=6.59，CI：4.01-10.75）的妇女，计划生育决策能力的可能性更高。
结论
妇女的教育程度、知识和态度提高了计划生育决策的可能性。因此，作者建议在考虑到较低教育水平的情况下，开展计划生育意识创造活动，以提高妇女的决策能力。
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