School of Nursing and Midwifery, Asrat Woldeyes, Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.
School of Public Health, College of Health Sciences, Arsi University, Asela, Ethiopia.
Biomed Res Int. 2022 Aug 16;2022:6104467. doi: 10.1155/2022/6104467. eCollection 2022.
Ethiopia has made significant efforts to enhance family planning services despite variations in the community's use of modern contraception in different parts of the country. Various studies have reported the proportion and determinant factors of adolescents' contraceptive uptake in Ethiopia. These studies are not consistent in terms of size, scope, and geographic coverage, and the results need to be systematically collated to inform policies. Therefore, this review was aimed at analyzing the findings of those primary studies to obtain more representative evidence of adolescents' contraceptive uptake in Ethiopia.
Five databases (MEDLINE via PubMed, Google Scholar, Scopus, ScienceDirect, and CINAHL) were searched for papers published from January 2000 up to June 2022 in English. Of thirty eligible studies, eight papers were included in this meta-analysis. Between-study heterogeneity was evaluated by the forest plot and inconsistency index ( ). A random-effects model was used to calculate the pooled estimates of adolescents' contraceptive uptake.
The overall pooled proportion of adolescents' contraceptive uptake was 40% ( = 99.70, ≤ 0.001; 95%CI = 19, 61). Adolescents' usage of contraception was influenced by a number of factors: individual-, sociocultural-, knowledge- (about contraceptive methods), and healthcare service-related factors. Individual-related factors include the educational status of adolescents, being of young age, and the income status of adolescents' families. Sociocultural-related factors comprise discussion with the family/relatives, parent disapproval and pressure from partners, and being married or having a partner. Healthcare service-related factors include the availability of youth clubs and inconvenient service hours for SRH services. Knowing contraceptive methods and SRH services was also positively associated with adolescents' contraceptive utilization.
The proportion of adolescents who used contraception in Ethiopia was 40%. Adolescents' use of contraceptives was influenced by a variety of factors: individual-, sociocultural-, healthcare-, and knowledge-related factors. Hence, integrated interventions targeted at tackling barriers to contraceptive uptake may be helpful to improve adolescents' contraceptive utilization in Ethiopia.
尽管该国不同地区社区对现代避孕方法的使用情况存在差异，但埃塞俄比亚仍在努力加强计划生育服务。多项研究报告了埃塞俄比亚青少年使用避孕措施的比例和决定因素。这些研究在规模、范围和地理覆盖面上并不一致，需要对结果进行系统整理，为政策提供依据。因此，本综述旨在分析这些原始研究的结果，以获得更具代表性的埃塞俄比亚青少年使用避孕措施的证据。
检索了从 2000 年 1 月到 2022 年 6 月在英文发表的 5 个数据库（PubMed 中的 MEDLINE、Google Scholar、Scopus、ScienceDirect 和 CINAHL）的论文。在 30 篇符合条件的研究中，有 8 篇论文被纳入本荟萃分析。通过森林图和不一致指数（ ）评估研究间的异质性。采用随机效应模型计算青少年避孕措施使用率的汇总估计值。
青少年避孕措施使用率的总体汇总比例为 40%（ = 99.70， ≤ 0.001；95%CI = 19， 61）。青少年使用避孕措施受到多种因素的影响：个人因素、社会文化因素、知识因素（关于避孕方法）和医疗保健服务相关因素。个人相关因素包括青少年的教育程度、年龄较小以及青少年家庭的收入状况。社会文化相关因素包括与家人/亲属讨论、父母反对和来自伴侣的压力以及已婚或有伴侣。医疗保健服务相关因素包括青年俱乐部的可用性和提供生殖健康服务的时间不方便。了解避孕方法和生殖健康服务也与青少年使用避孕措施呈正相关。
埃塞俄比亚青少年使用避孕措施的比例为 40%。青少年使用避孕措施受到多种因素的影响：个人因素、社会文化因素、医疗保健因素和知识因素。因此，针对解决避孕措施使用率障碍的综合干预措施可能有助于提高埃塞俄比亚青少年的避孕措施使用率。
