Tenaw Zelalem, Gari Taye, Bitew Zebenay Workneh, Gebretsadik Achamyelesh
Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
School of Public health, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
J Public Health Res. 2023 Oct 8;12(4):22799036231204330. doi: 10.1177/22799036231204330. eCollection 2023 Oct.
In sub-Saharan Africa, there are different studies on contraceptive use and associated factors among people with disabilities. However, the findings are inconsistent and inconclusive. This study aimed to estimate the pooled prevalence of contraceptive use and associated factors among women with disabilities in sub-Saharan Africa. Comprehensive search was performed from different databases. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis guideline was followed to report the results. The data were analyzed by using STATA software. Heterogeneity and publication bias was checked. The pooled odds ratio (POR) with a 95% confidence interval (CI) was used to report the measures of associations. The pooled prevalence of contraceptive use was 25.61% (95% CI: 20.68, 30.54). Being married (POR = 2.96; 95% CI: 1.31, 4.62), high income (POR = 2.20; 95% CI: 1.42, 2.97), having media access (POR = 1.74; 95% CI: 1.24, 2.23), being in the age group of 25-34 (POR = 2.52; 95% CI: 1.01, 3.94), vision impairment (POR = 3.82; 95% CI: 2.05, 5.59), good contraceptive knowledge (POR = 2.09; 95% CI: 1.27, 2.91), primary education (POR = 1.82; 95% CI: 1.25, 2.39), secondary education (POR = 2.31; 95% CI: 1.03, 3.59) and tertiary educational status (POR = 3.37; 95% CI: 1.28, 5.46) were factors associated with contraceptive use. Contraceptive use among women with disabilities is considerably low in sub-Saharan Africa. The use of contraceptives is primarily dependent on socio-demographic and economic status.
在撒哈拉以南非洲，有关于残疾人避孕措施使用情况及相关因素的不同研究。然而，研究结果并不一致且尚无定论。本研究旨在估算撒哈拉以南非洲残疾女性避孕措施使用情况的合并患病率及相关因素。我们从不同数据库进行了全面检索。研究遵循系统评价与Meta分析的首选报告项目指南来报告结果。数据使用STATA软件进行分析。我们检查了异质性和发表偏倚。合并比值比（POR）及95%置信区间（CI）用于报告关联度指标。避孕措施使用的合并患病率为25.61%（95%CI：20.68，30.54）。已婚（POR = 2.96；95%CI：1.31，4.62）、高收入（POR = 2.20；95%CI：1.42，2.97）、能接触媒体（POR = 1.74；95%CI：1.24，2.23）、年龄在25 - 34岁之间（POR = 2.52；95%CI：1.01，3.94）、视力障碍（POR = 3.82；95%CI：2.05，5.59）、具备良好的避孕知识（POR = 2.09；95%CI：1.27，2.91）、小学教育程度（POR = 1.82；95%CI：1.25，2.39）、中学教育程度（POR = 2.31；95%CI：1.03，3.59）和高等教育程度（POR = 3.37；95%CI：1.28，5.46）是与避孕措施使用相关的因素。在撒哈拉以南非洲，残疾女性的避孕措施使用率相当低。避孕措施的使用主要取决于社会人口统计学和经济状况。
