Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
BMC Womens Health. 2022 Dec 22;22(1):541. doi: 10.1186/s12905-022-02051-y.
Evidence suggests that couples frequently dispute regarding the desirability of pregnancy, as well as whether or not to employ family planning measures. There are numerous unmet needs owing to partner or family objections, according to a scares study that illustrates women's independent decision-making capacity on whether or not to use a contraceptive. As a result, the purpose of this study was to analyze women's independent decision-making power and determinants of not using contraceptives.
Reproductive age group women aged (15-49 years) currently married who are not pregnant and are currently not using family planning preceding five years the survey was included from the individual record (IR file) file using standard demographic and health survey datasets of Ethiopia. Using multilevel logistic regression models, we investigated the relationship between several independent factors and women's independent decision-making not to use contraception. The adjusted odds ratios were evaluated using 95% confidence intervals.
A total of 5,598 currently married women were included in this study. Individual level factors significantly associated with women independent decision making on not to use contraceptive were female-led households (AOR = 2.11; 95% CI = 1.60-2.78), being orthodox ( AOR = 1.84; 95% CI = 1.39-2.44 ) and protestant ( AOR = 1.62; 95% CI = 1.17-2.23), and belonging to more than one union (AOR = 1.48; 95% CI = 1.12-1.95). Whereas, low community education (AOR = 1.19; 95%= 1.00-1.49) and regions: in Tigray (AOR = 2.19; 95%CI = 1.51-3.16), Afar (AOR = 1.74; 95% CI = 1.14-2.64), Amhara (AOR = 2.45; 95% CI = 1.71-3.500), South Nations Nationality (AOR = 1.87; 95% CI = 1.32-2.65), Gambela (AOR = 2.58; 95% CI = 1.73-3.84), Hareri (AOR = 3.93; 95% CI = 2.62-5.88), and Dre DDewa (AOR = 1.66; 95% CI = 1.12-2.45) were community-level factors.
Women's independent decision-making power not to use contraceptives was low and greatly affected by both individual and community-level factors. Therefore, it is necessary to develop policies and create programs that promote women's empowerment by incorporating their partners in each region of the nation to encourage women's independent decision-making authority to use or not to use a contraceptive.
有证据表明，夫妻双方经常就怀孕的可取性以及是否采取计划生育措施进行争论。根据一项令人震惊的研究，由于伴侣或家庭反对，存在着许多未满足的需求，该研究说明了女性在是否使用避孕药具方面的独立决策能力。因此，本研究旨在分析女性独立决策的能力和不使用避孕药具的决定因素。
从埃塞俄比亚的个人记录（IR 文件）文件中纳入了当前已婚、处于生育年龄（15-49 岁）、目前未怀孕且在过去五年内未使用计划生育的妇女。我们使用多水平逻辑回归模型，研究了几个独立因素与妇女不使用避孕药具的独立决策之间的关系。使用 95%置信区间评估调整后的优势比。
本研究共纳入了 5598 名目前已婚的妇女。与妇女不使用避孕药具的独立决策显著相关的个体层面因素包括女性主导的家庭（AOR=2.11；95%CI=1.60-2.78）、东正教（AOR=1.84；95%CI=1.39-2.44）和新教（AOR=1.62；95%CI=1.17-2.23），以及属于多个联盟（AOR=1.48；95%CI=1.12-1.95）。而社区教育程度较低（AOR=1.19；95%CI=1.00-1.49）和地区：提格雷（AOR=2.19；95%CI=1.51-3.16）、阿法尔（AOR=1.74；95%CI=1.14-2.64）、阿姆哈拉（AOR=2.45；95%CI=1.71-3.50）、南苏丹民族（AOR=1.87；95%CI=1.32-2.65）、甘贝拉（AOR=2.58；95%CI=1.73-3.84）、哈拉里（AOR=3.93；95%CI=2.62-5.88）和德雷德瓦（AOR=1.66；95%CI=1.12-2.45）是社区层面的因素。
妇女不使用避孕药具的独立决策能力较低，且受到个人和社区层面因素的极大影响。因此，有必要制定政策和制定方案，通过让其伴侣参与到国家的各个地区来促进妇女赋权，鼓励妇女在使用或不使用避孕药具方面拥有独立决策的权力。
