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加纳已婚妇女和与伴侣同居者现代避孕方法使用的决定因素。

Determinants of modern contraceptive use among married women and those living with a partner in Ghana.

机构信息

Kumasi Metropolitan Health Directorate, Ghana Health Service, Kumasi, Ghana.

School of Public Health, KNUST, Kumasi, Ghan.

出版信息

Afr J Reprod Health. 2023 Mar;27(3):56-63. doi: 10.29063/ajrh2023/v27i3.7.

Abstract

The objective of the study was to ascertain the determinants of modern contraceptive use in Ghana among married women and those living with a partner. Secondary data from the Performance Monitoring and Accountability 2020 Ghana 2015 survey were used for the study. A multivariate logistic regression analysis was used. Modern contraceptive use was 25.5%. The significant predictors of modern contraceptive use were exposure to the media (AOR 2.07, 95% CI 1.20 - 3.55), residence in the Upper East region (AOR 0.26, 95% CI 0.10 - 0.71), final decision makers on contraceptive method either by themselves or jointly (AOR 0.26, 95% CI 0.14 -0.92), return to provider (AOR 6.96, 95% CI 3.59 - 13.49), refer relative or friend to provider (AOR 2.67, 95% CI 1.27 - 5.68), and parity of 5 or more (AOR 4.42, 95% CI 1.49 - 13.12). Media exposure on contraceptives and client satisfaction has the potential to improve modern contraceptive uptake in Ghana.

摘要

本研究旨在确定加纳已婚妇女和同居妇女使用现代避孕药具的决定因素。本研究使用了 2020 年加纳绩效监测和问责制 2015 年调查的二次数据。采用多变量逻辑回归分析。现代避孕药具使用率为 25.5%。现代避孕药具使用的显著预测因素包括接触媒体(AOR2.07,95%CI1.20-3.55)、居住在上东部地区(AOR0.26,95%CI0.10-0.71)、自己或共同决定避孕方法的最终决策者(AOR0.26,95%CI0.14-0.92)、返回提供者(AOR6.96,95%CI3.59-13.49)、转介亲戚或朋友给提供者(AOR2.67,95%CI1.27-5.68)和产次为 5 次或以上(AOR4.42,95%CI1.49-13.12)。关于避孕药具的媒体宣传和客户满意度有可能提高加纳现代避孕药具的使用率。

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