Mulugeta Solomon Sisay, Muluneh Mitiku Wale, Belay Alebachew Taye, Yalew Mequanint Melkam, Agegn Setegn Bayabile
Department of Statistics, College of Natural and Computational Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
SAGE Open Nurs. 2023 Jan 10;9:23779608221150599. doi: 10.1177/23779608221150599. eCollection 2023 Jan-Dec.
Contraception has a clear impact on the health of women and families in developing countries. This study aims to identify multilevel determinants of nonuse of modern contraceptives among Ethiopian rural married women in their productive age group.
The study relied on data from the 2016 Ethiopian Demographic and Health Surveys. A multilevel logistic regression model was used for analysis.
In rural areas, nonuse of modern contraceptives is surprising high (81.7%), primarily due to fear of side effects (12.89%) and breastfeeding (8.2%). Among women aged 35 to 49 years (adjusted odds ratio [AOR] = 0.66; 95% confidence interval [CI]: 0.540.81), husbands with secondary and above education levels (AOR = 0.83; 95% CI: 0.7-1), those in the high wealth index (AOR = 0.61; 95% CI: 0.51-0.72), and those who have had 1 to 2 children in the past 5 years (AOR = 0.28; 95% CI: 0.24-0.33), there was a lower chance of not using contraception. Muslims are less likely to want to use modern contraceptives (AOR = 1.2; 95% CI: 0.96-1.4). Women living in Afar (AOR = 20.9; 95% CI: 9.6-44.7), Oromia (AOR = 1.5; 95% CI: 1.01-2.3), Somali (AOR = 71.1; 95% CI: 24.1-209.2), Gambela (AOR = 2.3; 95% CI: 1.4-3.9), Harari (AOR = 4.4; 95% CI: 2.24-8.72), and Dire Dawa (AOR = 3.2; 95% CI: 1.5-6.9), regional states, were less likely to want to use modern contraceptives as compared to those in Tigray.
Family planning interventions should target younger women, women living in rural areas, the poor, and Muslim women. In order to maximize the effectiveness of family planning promotion policies, it's important to address the reasons for nonuse of contraceptives identified in each region and contextual differences regarding women of reproductive age.
避孕对发展中国家妇女和家庭的健康有着显著影响。本研究旨在确定埃塞俄比亚农村育龄已婚妇女未使用现代避孕方法的多层次决定因素。
本研究依据2016年埃塞俄比亚人口与健康调查的数据。采用多层次逻辑回归模型进行分析。
在农村地区，未使用现代避孕方法的比例高得出奇（81.7%），主要原因是担心副作用（12.89%）和母乳喂养（8.2%）。在35至49岁的女性中（调整后的优势比[AOR]=0.66；95%置信区间[CI]：0.54 - 0.81），丈夫具有高中及以上教育水平的女性（AOR = 0.83；95% CI：0.7 - 1）、高财富指数组的女性（AOR = 0.61；95% CI：0.51 - 0.72）以及在过去5年生育1至2个孩子的女性（AOR = 0.28；95% CI：0.24 - 0.33），不使用避孕措施的可能性较低。穆斯林女性使用现代避孕方法的意愿较低（AOR = 1.2；95% CI：0.96 - 1.4）。与提格雷地区的女性相比，居住在阿法尔（AOR = 20.9；95% CI：9.6 - 44.7）、奥罗米亚（AOR = 1.5；95% CI：1.01 - 2.3）、索马里（AOR = 71.1；95% CI：24.1 - 209.2）、甘贝拉（AOR = 2.3；95% CI：1.4 - 3.9）、哈拉里（AOR = 4.4；95% CI：2.24 - 8.72）和迪雷达瓦（AOR = 3.2；95% CI：1.5 - 6.9）等地区的女性使用现代避孕方法的意愿较低。
计划生育干预措施应针对年轻女性、农村地区女性、贫困女性和穆斯林女性。为了使计划生育推广政策的效果最大化，重要的是解决每个地区确定的未使用避孕措施的原因以及育龄女性的背景差异。
