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长效可逆避孕措施的利用及其在不再生育的也门育龄已婚妇女中的决定因素。

Long-acting reversible contraceptives utilization and its determinants among married Yemeni women of childbearing age who no longer want children.

机构信息

Department of Epidemiology, Biostatistics, and Disease Control, School of Public Health, University for Development Studies, Tamale, Ghana.

Department of Health Services, Policy, Planning, Management and Economics, School of Public Health, University for Development Studies, Tamale, Ghana.

出版信息

Medicine (Baltimore). 2022 Oct 7;101(40):e30717. doi: 10.1097/MD.0000000000030717.

Abstract

Some contraceptive methods, such as long-acting and permanent methods, are more effective than others in preventing conception and are key predictors of fertility in a community. This study aimed to determine which factors were linked to married women of childbearing age who no longer desired children using long-acting reversible contraceptives (LARCs) in Yemen. We used a population-based secondary dataset from Yemen's National Health and Demographic Survey (YNHDS), conducted in 2013. The study analyzed a weighted sample of 5149 currently married women aged 15 to 49 years who had no plans to have children. Logistic regression analyses were used to investigate the parameters linked to the present use of LARCs. The final model's specifications were evaluated using a goodness-of-fit test. An alpha threshold of 5% was used to determine statistical significance. Of the total sample, 45.3% (95% CI: 43.3-47.4) were using contraception. LARCs were used by 21.8% (95% CI: 19.6-24.1) of current contraceptive users, with the majority (63.8%) opting for short-acting reversible contraceptives (SARCs). In the adjusted analysis, maternal education, husbands' fertility intention, place of residence, governorate, and wealth groups were all linked to the usage of LARCs. According to the findings, women whose spouses sought more children, for example, were more likely to use LARCs than those who shared their partners' fertility intentions (AOR = 1.44; 95% CI: 1.07-1.94; P = .015). In this study, married women of reproductive age who had no intention of having children infrequently used contraception and long-acting methods. Improving women's education and socioeconomic status could contribute to increasing their use of LARCs.

摘要

一些避孕方法,如长效和永久方法,比其他方法更能有效地防止怀孕,是社区生育能力的关键预测因素。本研究旨在确定哪些因素与也门不再希望生育孩子的育龄已婚妇女使用长效可逆避孕药(LARCs)有关。我们使用了也门国家卫生和人口调查(YNHDS)的基于人群的二级数据集,该调查于 2013 年进行。研究分析了一个加权样本,其中包括 5149 名目前年龄在 15 至 49 岁之间、没有生育计划的已婚妇女。使用逻辑回归分析调查与目前使用 LARCs 相关的参数。使用拟合优度检验评估最终模型的规格。使用 5%的 alpha 阈值来确定统计显著性。在总样本中,45.3%(95%CI:43.3-47.4)正在使用避孕方法。当前使用避孕方法的人中,有 21.8%(95%CI:19.6-24.1)使用了 LARCs,其中大多数(63.8%)选择了短效可逆避孕药(SARCs)。在调整后的分析中,产妇教育、丈夫的生育意愿、居住地、省份和财富群体都与 LARCs 的使用有关。根据研究结果,例如,与那些与伴侣的生育意愿一致的妇女相比,那些丈夫希望有更多孩子的妇女更有可能使用 LARCs(AOR=1.44;95%CI:1.07-1.94;P=0.015)。在这项研究中,没有生育意愿的育龄已婚妇女很少使用避孕和长效方法。提高妇女的教育和社会经济地位有助于增加她们对 LARCs 的使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf52/9542764/500e815443ac/medi-101-e30717-g001.jpg

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