在埃塞俄比亚，15-49 岁所有女性中现代避孕方法的利用及其相关因素：来自 2019 年埃塞俄比亚迷你人口与健康调查的证据。
Modern contraception utilization and associated factors among all women aged 15-49 in Ethiopia: evidence from the 2019 Ethiopian Mini Demographic and Health Survey.
机构信息
Health System and Reproductive Health Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
出版信息
BMC Womens Health. 2023 Feb 9;23(1):51. doi: 10.1186/s12905-023-02203-8.
BACKGROUND
The use of contraceptive is key in reducing unsafe abortion from unintended pregnancies, infant mortality, adolescent pregnancies, slowing population growth and helps to prevent HIV/AIDS. However, less than one-third of women within reproductive age in Ethiopia uses modern contraceptive methods. Hence, this study aimed to determine the prevalence of modern contraceptive utilization and to identify potential factors on use of modern contraceptive method.
METHODS
Data from 2019 Ethiopian Mini Demographic and Health Survey were used in this analysis. A total of 8885 women within the ages of 15-49 years across 305 enumeration areas in nine regions and two city administrations were included in the analysis. Multivariable logistic regression model were applied to examine the association between women's background characteristics and modern contraceptives utilization.
RESULTS
Only 28.1% of all women used modern contraceptives. About 40% of the modern contraceptive users were between age of 25-29 and 30-34 years. There was significant association between women's age, level of education, region, religion, parity, wealth quintile and marital status on use of modern contraceptives. Women who were married and living with partners were about 20 (AOR = 19.91, 95% CI: 14.27, 27.78) and 24 (AOR = 23.51, 95% CI: 14.66, 37.72) times more likely to use modern contraceptives compared to sexually active unmarried women.
CONCLUSION
The study showed that the use of modern contraceptive method is not adequate and it is also influenced by socio-demographic and economic characteristics of women in Ethiopia. Therefore, increasing the awareness of women to use modern contraceptive methods is vital. We suggest that there is a need to improve the service in women age above 39 years, women in Afar, Somali, Harari and Diredawa regions; and protestant, Muslim and traditional religion followers.
背景
使用避孕药具是减少因意外怀孕、婴儿死亡率、青少年怀孕、减缓人口增长而导致的不安全堕胎以及预防艾滋病毒/艾滋病的关键。然而，在埃塞俄比亚，育龄期女性中只有不到三分之一使用现代避孕药具。因此，本研究旨在确定现代避孕药具的使用情况，并确定使用现代避孕药具的潜在因素。
方法
本分析使用了 2019 年埃塞俄比亚微型人口与健康调查的数据。在分析中包括了来自 9 个地区和两个城市行政区的 305 个普查区的 8885 名年龄在 15-49 岁之间的女性。应用多变量逻辑回归模型来研究妇女的背景特征与现代避孕药具使用之间的关联。
结果
只有 28.1%的女性使用现代避孕药具。约 40%的现代避孕药具使用者年龄在 25-29 岁和 30-34 岁之间。妇女的年龄、教育程度、地区、宗教、生育次数、财富五分位数和婚姻状况与现代避孕药具的使用显著相关。已婚并与伴侣生活的妇女使用现代避孕药具的可能性是性活跃的未婚妇女的 20 倍（AOR=19.91，95%CI：14.27，27.78）和 24 倍（AOR=23.51，95%CI：14.66，37.72）。
结论
研究表明，埃塞俄比亚现代避孕药具的使用不足，且受到妇女社会人口和经济特征的影响。因此，提高妇女对使用现代避孕药具方法的认识至关重要。我们建议需要改善 39 岁以上妇女、阿法尔、索马里、哈拉里和德雷达瓦地区妇女、以及新教、穆斯林和传统宗教信徒的服务。
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