John Snow Research and Training Inc.
University of Lagos.
Afr J Reprod Health. 2022 Dec;26(12s):138-145. doi: 10.29063/ajrh2022/v26i12s.15.
In Northeastern Nigeria 600,000 internally displaced girls and women need sexual and reproductive health and rights (SRHR) services. We examined the relationships between contraceptive use, menstrual resumption, and pregnancy and birth experiences among girls (ages 15-19) and young women (ages 20-24) in an IDP camp. Data are from a cross-sectional survey collected using three-stage cluster sampling; the analytic sample is 480. Data were analyzed in Stata 14 using logistic regression models. Sixty-three percent of respondents had ever had sex and over half were currently sexually active. Current contraceptive use was 8% and 47% had ever been pregnant. Older respondents and those who had ever had sex were more likely to have heard of a contraceptive method and current use was higher for women with 5 or more births. These findings indicate a need for better contraceptive education for girls before sexual activity and promotion of contraception that accounts for fertility preferences in this setting.
在尼日利亚东北部，有 60 万名境内流离失所的女孩和妇女需要性健康和生殖健康及权利（SRHR）服务。我们研究了在一个境内流离失所者营地中，女孩（15-19 岁）和年轻妇女（20-24 岁）之间避孕措施使用、月经恢复和怀孕及生育经历之间的关系。数据来自使用三阶段聚类抽样收集的横断面调查；分析样本为 480 人。数据使用 Stata 14 进行分析，采用逻辑回归模型。63%的受访者曾有过性行为，超过一半的人目前有性行为。目前的避孕措施使用率为 8%，47%的人曾怀孕。年龄较大的受访者和曾有过性行为的受访者更有可能听说过避孕方法，而生育 5 个或更多孩子的女性避孕措施使用率更高。这些发现表明，需要在女孩开始性行为之前进行更好的避孕教育，并在这种情况下推广考虑到生育意愿的避孕措施。
