埃塞俄比亚妇女在计划生育使用方面的决策权及相关因素：一项系统评价与荟萃分析

Women's decision-making power regarding family planning use and associated factors in Ethiopia: A systematic review and meta-analysis.

作者信息

Anbesu Etsay Woldu, Alemayehu Mussie, Asgedom Dejen Kahsay, Jeleta Fikru Yigezu

机构信息

Department of Public Health, College of Medical and Health Sciences, Samara University, Samara, Ethiopia.

School of Public Health, College of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia.

出版信息

SAGE Open Med. 2023 Mar 28;11:20503121231162722. doi: 10.1177/20503121231162722. eCollection 2023.

OBJECTIVE

Although emphasis is placed on women's decision-making power regarding family planning use in Ethiopia, the utilization of contraceptives is low. There are studies conducted in different parts of the country on women's decision-making power regarding family planning use; however, there are inconsistent findings. Thus, this study aimed to determine the pooled prevalence of women's decision-making power regarding family planning use and associated factors in Ethiopia.

METHODS

The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed to develop the systematic review and meta-analysis. All observational studies were retrieved from online databases, including PubMed, CINAHL, Google Scholar, and gray literature. The data search was performed from 1 December to 16 May 2022. The quality of the studies was critically assessed using the Joanna Briggs Institute checklist. Heterogeneity among studies was examined using the statistic. RevMan version 5.3 and STATA version 14 software were used for analysis.

RESULTS

A total of 852 studies were retrieved, and 8 studies were included in the final meta-analysis. The pooled prevalence of women's decision-making power regarding family planning use was 57 (95% confidence interval: 37, 77). Good knowledge of family planning methods (odds ratio: 2.46, 95% confidence interval: 1.65, 3.67), a positive attitude toward family planning methods (odds ratio: 2.04, 95% confidence interval: 1.3, 3.2), and having primary or higher education (odds ratio: 9.76, 95% confidence interval: 4.36, 21.99) were associated with increased odds of women's decision-making power regarding family planning use.

CONCLUSION

Nearly three in five married women made decisions regarding family planning use in Ethiopia. Women with good knowledge of family planning methods, a positive attitude toward family planning methods, and women having primary or higher education were associated with increased odds of women's decision-making power regarding family planning use.

目的

尽管埃塞俄比亚强调女性在计划生育使用方面的决策权，但避孕药具的使用率较低。该国不同地区开展了关于女性计划生育使用决策权的研究；然而，研究结果并不一致。因此，本研究旨在确定埃塞俄比亚女性计划生育使用决策权的合并患病率及相关因素。

方法

遵循系统评价和荟萃分析的首选报告项目指南开展系统评价和荟萃分析。所有观察性研究均从在线数据库中检索，包括PubMed、CINAHL、谷歌学术和灰色文献。数据检索于2022年12月1日至5月16日进行。使用乔安娜·布里格斯研究所清单对研究质量进行严格评估。使用统计量检验研究之间的异质性。使用RevMan 5.3版和STATA 14版软件进行分析。

结果

共检索到852项研究，最终纳入荟萃分析的有8项研究。女性计划生育使用决策权的合并患病率为57（95%置信区间：37，77）。对计划生育方法有良好了解（优势比：2.46，95%置信区间：1.65，3.67）、对计划生育方法持积极态度（优势比：2.04，95%置信区间：1.3，3.2）以及接受过小学或以上教育（优势比：9.76，95%置信区间：4.36，21.99）与女性计划生育使用决策权增加的几率相关。