尼日利亚西南部伊莱沙育龄妇女未满足的计划生育需求及其决定因素：一项横断面研究。
Unmet needs for family planning and its determinants among women of reproductive age in Ilesha Southwest Nigeria: A cross-sectional study.
作者信息
Uthman Murithada Kadiri, Bello Ibrahim Sebutu, Fadugbagbe Akinyemi Olaleye, Olajubu Temitope Oluwafemi, Ismail Waheed Olalekan, Ibrahim Azeez Oyemomi
机构信息
Department of Family Medicine, Federal Medical Center, Nguru, Nigeria.
Department of Family Medicine, Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria.
出版信息
J Med Access. 2022 Aug 19;6:27550834221115979. doi: 10.1177/27550834221115979. eCollection 2022 Jan-Dec.
BACKGROUND
A high rate of unintended pregnancy is said to be driving population growth, particularly in Sub-Saharan Africa, where approximately half of all pregnancies are unintended, coming too soon or even unwanted. Most of these unintended pregnancies could have been prevented with effective family planning services. There, however, remains an unmet gap
OBJECTIVES
This study determined the prevalence of unmet needs for family planning and examined its determinants among women of reproductive age group at a tertiary health facility in Southwest Nigeria.
DESIGN
This was a hospital-based cross-sectional study.
METHODS
Two hundred eighty-five sexually active women were recruited using a pre-tested, semi-structured, validated, interviewer-administered questionnaire. The questionnaire assessed the respondent's socio-demographic characteristics, obstetrics and gynaecological history, and contraceptive history. Relevant clinical parameters were measured and recorded. Data were analysed using SPSS version 21. Multivariable logistic regression analysis was done using a 5% significance level to identify the determinants of unmet needs for family planning.
RESULTS
The prevalence of unmet family planning needs for prevention, spacing and limiting were 28.8%, 33.1% and 38.1%, respectively, with 58.2% overall prevalence of unmet needs. The commonest reason for the non-uptake of contraceptives among those with unmet need was the fear of side effects (66.3%). The odds of having unmet needs for family planning were higher for respondents with four or fewer children (adjusted odds ratio (AOR): 7.731; 95% confidence interval (CI): 28.504-2.907, = 0.002) and those with one partner (AOR: 2.008; 95% CI: 3.669-1.090, = 0.025).
CONCLUSION
A high rate of unmet family planning needs was found in the study. This requires specific interventions and policies towards increasing contraceptive uptake, such as intensified health education aimed at allaying fears related to the side effects.
背景
意外怀孕率高被认为是推动人口增长的原因，特别是在撒哈拉以南非洲地区，那里约有一半的怀孕是意外怀孕，要么来得太早，甚至是 unwanted。这些意外怀孕大多可以通过有效的计划生育服务来预防。然而，仍然存在未满足的差距。
目的
本研究确定了尼日利亚西南部一家三级医疗机构中育龄妇女计划生育未满足需求的患病率，并检查了其决定因素。
设计
这是一项基于医院的横断面研究。
方法
使用预先测试、半结构化、经过验证的、由访谈员管理的问卷招募了 285 名性活跃女性。该问卷评估了受访者的社会人口特征、妇产科病史和避孕史。测量并记录了相关临床参数。使用 SPSS 21 版进行数据分析。采用 5% 的显著性水平进行多变量逻辑回归分析，以确定计划生育未满足需求的决定因素。
结果
预防、间隔和限制计划生育未满足需求的患病率分别为 28.8%、33.1% 和 38.1%，未满足需求的总体患病率为 58.2%。在有未满足需求的人群中，未采取避孕措施的最常见原因是担心副作用（66.3%）。子女数为四个或更少的受访者（调整后的优势比（AOR）：7.731；95% 置信区间（CI）：28.504 - 2.907，P = 0.002）和只有一个伴侣的受访者（AOR：2.008；95% CI：3.669 - 1.090，P = 0.025）计划生育未满足需求的几率更高。
结论
本研究发现计划生育未满足需求率很高。这需要采取具体干预措施和政策来提高避孕药具的使用率，例如加强健康教育以消除对副作用的恐惧。
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