Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
Population Dynamics Sexual and Reproductive Health Unit, African Population and Health Research Center, Nairobi, Kenya.
BMC Pregnancy Childbirth. 2024 Jan 2;24(1):8. doi: 10.1186/s12884-023-06204-1.
Contraceptive use is a key indicator of improving the health and well-being of women, mothers and their families, preventing unwanted pregnancies, and reducing maternal and child mortalities. Despite a lot of investments from the Government of Guinea to improve contraceptive use, studies reveal that contraceptive use still remains low in Guinea. However, the intention to use contraceptives in Guinea has not been well examined. Therefore, this study seeks to examine the factors associated with the intention to use contraceptives among women of reproductive age in Guinea.
The study made use of data from the Guinea Demographic and Health Survey (GNDHS) conducted in 2018. For this study, we included a weighted sample of 6,948 women who were either married or cohabiting and responded to all the variables of interest. The data were analyzed using Stata version 14.2. Descriptive and multilevel logistic regression were carried out to examine the factors associated with the intention to use contraceptives. The results of multilevel logistic regression were presented using adjusted odds ratios at 95% confidence intervals and p-value < 0.05 to determine the significant associations.
The prevalence of intention-to-use contraceptives among women was 19.8% (95% CI18.3%-21.5%). Women with secondary/higher educational levels [aOR = 1.58, 95% CI = 1.26-1.99], women whose partners had secondary/higher educational level [aOR = 1.26, 95% CI = 1.04-1.52], women who were cohabiting [aOR = 1.74, 95% CI = 1.13-2.68] and were exposed to mass media [aOR = 1.60, 95% CI = 1.35-1.89] were likely to have higher intentions to use contraceptives. Additionally, women from the Kankan Region [aOR = 4.26, 95% CI = 2.77-6.54] and women who belong to the richer wealth quintile [aOR = 1.36, 95% CI = 0.91-1.89] were likely to have higher odds of intentions to use contraceptives. However, women aged 45-49 years, those from the Peulh ethnic group, and those who lack the competence to make healthcare decisions alone had lower odds of intention to use contraceptives.
The study revealed a low prevalence of intention to use contraceptives among women of reproductive age in Guinea. The study has highlighted that both individual-level and household/community-level factors were significantly associated with the intention to use contraceptives. Therefore, policymakers and stakeholders need to consider these factors discussed in this paper when developing policies and interventions to promote and enhance intention-to-use contraceptives among women of reproductive age in Guinea. The findings call on the Government of Guinea and all stakeholders in Guinea to ensure that female education is promoted to help improve their social status, decision-making on fertility, and reduce fertility rates and maternal mortality.
避孕措施的使用是改善妇女、母亲及其家庭健康和福祉、预防意外怀孕以及降低母婴死亡率的关键指标。尽管几内亚政府投入了大量资金来提高避孕措施的使用，但研究表明，几内亚的避孕措施使用率仍然很低。然而，几内亚人们使用避孕措施的意愿尚未得到充分研究。因此，本研究旨在探讨影响几内亚育龄妇女使用避孕措施意愿的因素。
本研究使用了 2018 年进行的几内亚人口与健康调查（GNDHS）的数据。在这项研究中，我们纳入了一个加权样本，其中包括 6948 名已婚或同居且回答了所有感兴趣变量的妇女。使用 Stata 版本 14.2 对数据进行分析。描述性和多水平逻辑回归用于检查与使用避孕措施意愿相关的因素。多水平逻辑回归的结果以 95%置信区间和 p 值<0.05 的调整后优势比呈现，以确定显著关联。
在育龄妇女中，有避孕措施使用意愿的比例为 19.8%（95%CI18.3%-21.5%）。具有中学/高等教育水平的妇女[aOR=1.58，95%CI=1.26-1.99]、其伴侣具有中学/高等教育水平的妇女[aOR=1.26，95%CI=1.04-1.52]、同居的妇女[aOR=1.74，95%CI=1.13-2.68]和接触大众媒体的妇女[aOR=1.60，95%CI=1.35-1.89]更有可能有更高的使用避孕措施的意愿。此外，来自卡坎地区的妇女[aOR=4.26，95%CI=2.77-6.54]和属于较富裕财富五分位数的妇女[aOR=1.36，95%CI=0.91-1.89]更有可能有更高的使用避孕措施意愿的可能性。然而，45-49 岁的妇女、属于颇尔族的妇女以及缺乏单独做出医疗保健决定能力的妇女使用避孕措施的意愿较低。
本研究显示，几内亚育龄妇女使用避孕措施的意愿率较低。研究表明，个人层面和家庭/社区层面的因素都与使用避孕措施的意愿显著相关。因此，政策制定者和利益相关者在制定政策和干预措施以促进和增强几内亚育龄妇女使用避孕措施的意愿时，需要考虑本文讨论的这些因素。研究结果呼吁几内亚政府和所有利益攸关方确保促进女性教育，以帮助提高她们的社会地位、生育决策能力，并降低生育率和母婴死亡率。
