Department of Survey Research and Data Analytics, International Institute for Population Sciences, Mumbai, India.
Am J Health Promot. 2023 Nov;37(8):1049-1059. doi: 10.1177/08901171231189543. Epub 2023 Aug 3.
Owing to the reproductive health needs of the budding adolescent and young population, the present study aims to determine the factors associated with and decomposing the gap in contraceptive use among adolescents and young women in India.
Cross sectional design.SettingThe present study is based in India using the appended datasets (IV and V rounds) of the Indian Demographic Health Survey (DHS), also known as National Family Health Survey (NFHS) conducted in 2015-16 and 2019-21.
The adequate sample size was 475,294 adolescents and young women in NFHS-4 and 229,705 in NFHS-5, totaling 704,999 adolescents (appended for NFHS-4 and 5) for the present study.
Sociodemographic, sexual and reproductive history and contraceptive measures.
Descriptive statistics, chi-square tests, and a binary logistic regression model were executed. Additionally, a decomposition technique called Fairlie decomposition was employed to identify the primary causes of the difference in the prevalence of contraceptive use between the two survey periods.
Almost 96% of young women aged 15-24 knew about contraception, but only 12% used it. Regression analysis revealed that contraceptive use was associated with higher age (AOR 1.09), higher education (AOR 1.28), married adolescents (AOR 4.08), richest wealth quantile (AOR 2.95), joint decision making (AOR 4.40), knowledge of ovulatory cycle (AOR 1.47), interaction with a health worker about any methods of family planning (AOR 3.29) and three and above children ever born (AOR 18.54). Decomposition analysis showed that factors like decision-making of contraception, age, interaction with family planning worker, the intention of last pregnancy, place of residence and age at first sex contributed to increasing the probability of contraceptive use from NFHS-4 to 5.
A target-based approach dedicated to understanding the mindset of adolescents and keeping up with their unique needs is the need of the hour.
鉴于青少年和年轻人群体不断增长的生殖健康需求，本研究旨在确定影响印度青少年和年轻女性使用避孕措施的因素，并对避孕措施使用情况的差距进行分解。
横断面设计。
本研究基于印度，使用印度人口与健康调查（DHS）的附加数据集（第四轮和第五轮），也称为国家家庭健康调查（NFHS），该调查于 2015-16 年和 2019-21 年进行。
NFHS-4 中有足够样本量的 475294 名青少年和年轻女性，NFHS-5 中有 229705 名，本研究共纳入 704999 名青少年（NFHS-4 和 5 的附加样本）。
社会人口学、性和生殖史以及避孕措施。
执行描述性统计、卡方检验和二元逻辑回归模型。此外，还采用了一种称为费尔利分解的分解技术，以确定两个调查期间避孕措施使用差异的主要原因。
近 96%的 15-24 岁年轻女性了解避孕措施，但只有 12%的人使用。回归分析表明，避孕措施的使用与较高的年龄（AOR 1.09）、较高的教育程度（AOR 1.28）、已婚青少年（AOR 4.08）、最富裕的财富阶层（AOR 2.95）、共同决策（AOR 4.40）、对排卵周期的了解（AOR 1.47）、与卫生工作者就任何计划生育方法进行互动（AOR 3.29）以及以往生育的三个或更多孩子（AOR 18.54）有关。分解分析表明，避孕措施决策、年龄、与计划生育工作者的互动、最后一次怀孕的意图、居住地和初次性行为的年龄等因素有助于增加从 NFHS-4 到 5 的避孕措施使用概率。
目前需要采取一种基于目标的方法，专门用于了解青少年的思维模式，并跟上他们的独特需求。
