Demography and Population Studies Programme, Schools of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Department of Population Studies, School of Humanities and Social Sciences, University of Zambia, Lusaka, Zambia.
Glob Health Action. 2023 Dec 31;16(1):2255043. doi: 10.1080/16549716.2023.2255043.
Understanding a woman's future contraceptive needs and enhancing her chances of putting those needs into action depend heavily on her intentions to use contraceptive methods. However, there is little information about global perspectives of intention to utilise contraceptives among fecund sexually active women.
This study examines the patterns and determinants of contraception intention of fecund sexually active women.
The most recent Demographic and Health Surveys (DHS) from 59 countries were used for secondary data analysis. The DHSs applied a cross-sectional survey design to collect data from women between the ages of 15 and 49. The study comprises a sample of 697,590 fecund sexually active women in the reproductive ages. The desire to utilise contraceptive methods was examined using a multivariable binary logistic regression analysis. All analyses were weighted to allow for a complex survey design.
A pooled prevalence of intention to utilise contraception was 42.8% (95% CI: 42.5, 43.1) at the global level. Eastern and Southern Europe had the lowest prevalence, 17.3% (95% CI: 16.4, 18.2), and the highest prevalence was observed in countries from Latin America and the Caribbean, 68.0% (95% CI: 67.5, 69.9). Attaining secondary-level education (adjusted odds ratio (aOR) = 1.68; 95% CI: 1.62-1.72) or higher (aOR = 1.71; 95% CI: 1.63-1.80), working (aOR = 1.21; 95% CI: 1.18-1.24), experience of a pregnancy loss (aOR = 1.06; 95% CI: 1.03-1.09), or being exposed to media family planning messages (aOR = 1.51; 95% CI: 1.48-1.55) were factors associated with an increased likelihood of intent to use contraceptives.
The study has established that contraceptive use intention was low in many developing countries. Education, age, employment status, fertility preference, and exposure to family planning messages influenced contraceptive use intention. Health policy-makers ought to consider these factors when designing sexual and reproductive health strategies in developing countries.
了解女性未来的避孕需求并提高她将这些需求付诸实践的可能性，在很大程度上取决于她使用避孕方法的意愿。然而，关于生育活跃的女性使用避孕措施的全球意向的信息却很少。
本研究旨在探讨生育活跃的女性避孕意愿的模式和决定因素。
本研究使用了来自 59 个国家的最新人口与健康调查（DHS）进行二次数据分析。DHS 采用横断面调查设计，从 15 至 49 岁的女性中收集数据。该研究包含了 697590 名处于生育年龄的生育活跃的女性样本。使用多变量二项逻辑回归分析来检查使用避孕方法的意愿。所有分析均经过加权处理，以考虑复杂的调查设计。
全球范围内，避孕意愿的总体流行率为 42.8%（95%置信区间：42.5，43.1）。东欧和南欧的流行率最低，为 17.3%（95%置信区间：16.4，18.2），而拉丁美洲和加勒比地区的国家的流行率最高，为 68.0%（95%置信区间：67.5，69.9）。接受中等教育（调整后的优势比（aOR）=1.68；95%置信区间：1.62-1.72）或更高水平的教育（aOR=1.71；95%置信区间：1.63-1.80）、就业（aOR=1.21；95%置信区间：1.18-1.24）、经历过妊娠失败（aOR=1.06；95%置信区间：1.03-1.09）或接触过计划生育媒体信息（aOR=1.51；95%置信区间：1.48-1.55）与增加使用避孕措施的意愿相关。
本研究表明，许多发展中国家的避孕使用率较低。教育、年龄、就业状况、生育意愿和接触计划生育信息都影响了避孕意愿。卫生政策制定者在制定发展中国家的性健康和生殖健康策略时应考虑这些因素。
