加纳东部农村社区妇女使用避孕方法的情况：一项横断面研究。

Use of any contraceptive method among women in rural communities in the eastern region of Ghana: a cross-sectional study.

机构信息

Institute of Work, Employment and Society, University of Professional Studies, Accra, Ghana.

Institute for Educational Research and Innovation Studies (IERIS), University of Education, Winneba, Ghana.

出版信息

BMC Public Health. 2023 Oct 5;23(1):1925. doi: 10.1186/s12889-023-16795-1.

DOI:10.1186/s12889-023-16795-1

PMID:37798705

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10552324/

Abstract

BACKGROUND

In Ghana, there is an increase in contraceptive use for traditional and modern methods in rural areas. This study seeks to examine the prevalence and determinants of current use of any contraceptive method among women of reproductive age in the rural Eastern Region of Ghana.

METHODS

A community-based cross-sectional study was conducted among women of reproductive age in the rural Eastern region of Ghana. A structured questionnaire was used to interview women in rural Lower Manya and Upper Manya Krobo districts of Eastern region who were selected using a simple random sampling technique. The data were analysed using Stata version 16. A Binary logistic regression was used to examine the determinants of current use of any contraceptive use (traditional and modern methods).

RESULTS

The prevalence of contraceptive use was 27.8%. In the adjusted analysis of binary logistic regression, contraceptive use was significantly lower (aOR = 0.24; 95%CI = 0.10-0.56; p = 0.001) among respondents aged 41-49 years compared to those aged 18-35 years. Contraceptive use was significantly lower among migrants (aOR:0.53; 95%CI:0.28-0.99; p = 0.048) compared with non-migrant.

CONCLUSION

The prevalence of any contraceptive use among rural women was low. Government and other stakeholders need to create awareness about contraception in the rural areas of Eastern region of Ghana and that would help increase contraceptive methods utilization. In addition, family planning programs should target migrants to design an intervention to increase contraceptive use in rural areas.

摘要

背景

在加纳，农村地区传统和现代避孕方法的使用率都有所增加。本研究旨在考察加纳东部农村地区育龄妇女目前使用任何避孕方法的流行情况及其决定因素。

方法

在加纳东部农村地区进行了一项基于社区的横断面研究。使用结构化问卷对使用简单随机抽样技术在东部Lower Manya 和Upper Manya Krobo 区选择的育龄农村妇女进行访谈。使用 Stata 版本 16 对数据进行分析。使用二元逻辑回归检验当前使用任何避孕方法（传统和现代方法）的决定因素。

结果

避孕使用率为 27.8%。在二元逻辑回归的调整分析中，与 18-35 岁年龄组相比，41-49 岁年龄组的避孕使用率显著降低（调整后的比值比[aOR]为 0.24；95%可信区间[CI]为 0.10-0.56；p=0.001）。与非移民相比，移民的避孕使用率显著降低（aOR：0.53；95%CI：0.28-0.99；p=0.048）。