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埃塞俄比亚东北部南沃洛地区医院女性医疗服务提供者长效避孕方法的使用情况及相关因素。一项横断面多中心研究。

Utilization of long-acting contraceptive methods and associated factors among female healthcare providers in South Wollo Zone hospitals, Northeast, Ethiopia. A cross-sectional multicenter study.

作者信息

Yimer Aragaw Hamza, Seid Mehdi Shumiye, Walelign Fasil, Damtie Yitayish, Seid Ahmed Muhye

机构信息

Department of Anesthesia, College of Medicine and Health Science, Dire Dawa University, Dire Dawa, Ethiopia.

Department of Reproductive and Family Health, School of Public Health, College of Health Science, Wollo University, Dessie, Ethiopia.

出版信息

PLOS Glob Public Health. 2023 Mar 27;3(3):e0001692. doi: 10.1371/journal.pgph.0001692. eCollection 2023.

Abstract

In Ethiopia Long-acting contraception method utilization was found low (22.7%) among female healthcare providers. However, there is no study has been conducted on the utilization long-acting contraception methods among female healthcare providers in the study area. These studies addressed important variables such as socio-demography and individual factors that might affect the use of long-acting contraceptive methods among female healthcare providers. We assessed the utilization of long-acting contraceptive methods and associated factors among healthcare providers in South Wollo Zone public hospitals, Amhara Region, Ethiopia, in 2021.An institutional-based cross-sectional study was conducted among 354 female healthcare workers in the South Wollo Zone hospitals from March to April, 2021. The participants were selected using a systematic random sampling technique. The data were collected using self-administered questionnaires entered into Epi-data version 4.1 and exported to SPSS version 25 for analysis. Bi-variable and multi-variable logistic regression analyses were performed. The adjusted odds ratio (AOR), along with a 95% confidence interval (CI), was estimated to measure the association. The significance level was set at a P- value under 0.05. The current utilization of long-acting contraceptive methods among female healthcare providers was found to be 33.6% [95%, CI 29-39)]. Discussion with a partner [AOR = 2.277,95% CI, (1.026-5.055)], method shift/switched [AOR = 4.302,95% CI, (2.285-8.102)], knowledge of the respondent [AOR = 1.887,95% CI, (1.020-3.491)], and ever birth [AOR = 15.670,95% CI, (5.065-48.49)] were significant factors toward the utilization of long-acting contraceptive methods. The current utilization of long-acting contraceptive methods was found to be low. Therefore, encouraging partner discussions through a targeted information education communication intervention strategy should be intensified to improve long-acting contraceptive methods utilization.

摘要

在埃塞俄比亚,长效避孕方法在女性医疗服务提供者中的使用率较低(22.7%)。然而,在研究区域内尚未对女性医疗服务提供者中长效避孕方法的使用情况进行研究。这些研究涉及了一些重要变量,如社会人口统计学和个体因素,这些因素可能会影响女性医疗服务提供者对长效避孕方法的使用。2021年,我们评估了埃塞俄比亚阿姆哈拉州南沃洛地区公立医院医疗服务提供者中长效避孕方法的使用情况及相关因素。2021年3月至4月,在南沃洛地区医院的354名女性医护人员中开展了一项基于机构的横断面研究。参与者采用系统随机抽样技术选取。数据通过自行填写的问卷收集,录入Epi - data 4.1版本,并导出到SPSS 25版本进行分析。进行了双变量和多变量逻辑回归分析。估计了调整后的比值比(AOR)以及95%置信区间(CI)来衡量关联。显著性水平设定为P值小于0.05。女性医疗服务提供者中长效避孕方法的当前使用率为33.6% [95%,CI 29 - 39]。与伴侣讨论[AOR = 2.277,95% CI,(1.026 - 5.055)]、方法转换/更换[AOR = 4.302,95% CI,(2.285 - 8.102)]、受访者的知识[AOR = 1.887,95% CI,(1.020 - 3.491)]以及曾生育[AOR = 15.670,95% CI,(5.065 - 48.49)]是长效避孕方法使用的显著因素。长效避孕方法的当前使用率较低。因此,应加强通过有针对性的信息教育传播干预策略来鼓励伴侣间的讨论,以提高长效避孕方法的使用率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4904/10042362/9dbb1f15a7ce/pgph.0001692.g001.jpg

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