Transport and Road Safety (TARS) Research Centre, School of Aviation, University of New South Wales, Sydney, 2052, Australia.
Charles Perkin Centre, School of Health Sciences, The University of Sydney, Camperdown, New South Wales 2006, Australia.
J Public Health (Oxf). 2023 Jun 14;45(2):450-461. doi: 10.1093/pubmed/fdac105.
Sustainable Development Goal (SDG) 3.7 concerns modern contraception use among women of reproductive ages. This study evaluated the progress of indicator 3.7.1 in 11 selected countries in South and South-East Asia and assessed the contribution of women's education to modern contraceptive use.
Generalized linear models for complex surveys were fitted to Demographic and Health Survey (DHS) data from 40 surveys conducted in Afghanistan, Bangladesh, Cambodia, India, Indonesia, Maldives, Myanmar, Nepal, Pakistan, Philippines and Timor Leste between 1990 and 2017, followed by a meta-analysis through forest plots.
Modern contraceptive coverage in most of the selected countries climbed or remained stationary over the past decades. In four countries, <50% of women used contraception. In no country was contraception used by ≥80% women. Higher education was associated with 13% higher odds of modern contraceptive use (95% confidence interval: 1.07, 1.18) among women compared to primary level or no education.
Completion of primary education is insufficient to broaden the coverage of modern contraceptive use. Greater national level effort from the selected countries is needed to lift the education levels of women to meet SDG 3.7 by 2030.
可持续发展目标 3.7 关注生育年龄妇女现代避孕方法的使用情况。本研究评估了南亚和东南亚 11 个选定国家指标 3.7.1 的进展情况，并评估了妇女教育对现代避孕方法使用的贡献。
利用阿富汗、孟加拉国、柬埔寨、印度、印度尼西亚、马尔代夫、缅甸、尼泊尔、巴基斯坦、菲律宾和东帝汶在 1990 年至 2017 年期间开展的 40 次人口与健康调查（DHS）数据，拟合广义线性模型进行复杂调查，然后通过森林图进行荟萃分析。
在过去几十年中，大多数选定国家的现代避孕覆盖率有所上升或保持稳定。在四个国家中，<50%的妇女使用避孕药具。没有一个国家有≥80%的妇女使用避孕药具。与仅接受小学或未接受教育的妇女相比，接受高等教育的妇女使用现代避孕药具的几率高 13%（95%置信区间：1.07，1.18）。
完成小学教育不足以扩大现代避孕方法的覆盖范围。选定国家需要加大国家层面的努力，提高妇女的教育水平，以实现到 2030 年可持续发展目标 3.7 的目标。
