2021年埃塞俄比亚南部阿尔巴明奇镇已婚男性对输精管结扎术的认知、态度及相关因素；一项横断面研究

Knowledge, Attitude and Associated Factors Towards Vasectomy Among Married Men in Arba Minch Town, Southern Ethiopia, 2021; A Cross-Sectional Study.

作者信息

Dejene Wolde Yesuneh, Ali Momina, Gebremeskel Feleke, Ukke Gebresilasea Gendisha, Gebreselassie Rediet, Demelash Minychil, Kebede Abebaw, Hailu Mickiale

机构信息

Department of Midwifery, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia.

Department of Midwifery, College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia.

出版信息

Open Access J Contracept. 2023 Jan 12;14:1-13. doi: 10.2147/OAJC.S387836. eCollection 2023.

DOI:10.2147/OAJC.S387836

PMID:36686645

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9848891/

Abstract

BACKGROUND

Vasectomy is a safe and effective permanent contraceptive method. In Ethiopia, this method underutilized since the focus has been on contraceptive methods available for women rather than men. Few studies have examined this method in Ethiopia so far, so it is important to note that there is a lack of data about the method in the study area regarding married men's knowledge and attitudes toward vasectomy.

METHODS

A community-based cross-sectional study conducted from May 2 to June 2, 2021, at Arba Minch town. A simple random sampling technique used to select 624 study participants. Data collected via the face-to-face interview technique using a semi-structured and pretested questionnaire. Data entered in EpiData 3.1, cleaned, and analyzed using SPSS for Windows version 25.0. Descriptive statistics and bivariable and multivariable logistic regression analyses were performed. An adjusted odds ratio (AOR) with 95% CI and a p-value < 0.05 estimated to identify statistically significant variables associated with knowledge and attitude towards vasectomy.

RESULTS

From the total of 624 study subjects, 600 had completed the questionnaire, giving a response rate of 96.2%. From those who heard about vasectomy (36.8%), only 60.6% of men had good knowledge, and 48.4% had a positive attitude towards vasectomy. Men's knowledge of vasectomy was significantly associated with college or university attendance (AOR = 4.05, 95% CI: 1.720-9.521), age 31-40 years (AOR = 2.308, 95% CI: 1.081-4.929), and age ≥41 years (AOR = 2.671, 95% CI: 1.159-6.156). Age ≥41 years (AOR=4.735 95% CI 2.015-11.129), age of last child (AOR=3.868 CI 1.554-9.632) and discussing family planning with wife (AOR=2.821 95% CI 1.559-5.105) were significantly associated with attitude of men towards vasectomy.

CONCLUSION

In this study area, six out of ten and half of the married men had good knowledge and a positive attitude towards vasectomy, respectively.

摘要

背景

输精管切除术是一种安全有效的永久性避孕方法。在埃塞俄比亚，由于重点一直放在女性可用的避孕方法而非男性的，这种方法未得到充分利用。到目前为止，埃塞俄比亚很少有研究考察这种方法，因此需要注意的是，在研究区域缺乏关于已婚男性对输精管切除术的知识和态度的该方法的数据。

方法

2021年5月2日至6月2日在阿尔巴米尼奇镇进行了一项基于社区的横断面研究。采用简单随机抽样技术选取624名研究参与者。通过面对面访谈技术使用半结构化且经过预测试的问卷收集数据。数据录入EpiData 3.1，清理后使用Windows版SPSS 25.0进行分析。进行了描述性统计以及双变量和多变量逻辑回归分析。估计调整后的优势比（AOR）及95%置信区间和p值<0.05，以确定与输精管切除术知识和态度相关的具有统计学意义的变量。

结果

在总共624名研究对象中，600人完成了问卷，回复率为96.2%。在听说过输精管切除术的人（36.8%）中，只有60.6%的男性有良好的知识，48.4%的男性对输精管切除术持积极态度。男性对输精管切除术的知识与上过学院或大学（AOR = 4.05，95%置信区间：1.720 - 9.521）、年龄31 - 40岁（AOR = 2.308，95%置信区间：1.081 - 4.929）以及年龄≥41岁（AOR = 2.671，95%置信区间：1.159 - 6.156）显著相关。年龄≥41岁（AOR = 4.735，95%置信区间：2.015 - 11.129）、最后一个孩子的年龄（AOR = 3.868，置信区间：1.554 - 9.632）以及与妻子讨论计划生育（AOR = 2.821，95%置信区间：1.559 - 5.105）与男性对输精管切除术的态度显著相关。