撒哈拉以南非洲地区10至24岁少女和年轻女性生育期知识的个体及社区层面决定因素：基于近期人口与健康调查的多层次混合效应分析
Individual and community-level determinants of knowledge about fertile periods among adolescent girls and young women (10-24 years) in Sub-Saharan Africa: A multilevel mixed effect analysis of a recent demographic and health survey.
作者信息
Zegeye Alebachew Ferede, Tamir Tadesse Tarik, Mekonen Enyew Getaneh, Workneh Belayneh Shetie, Negash Wubshet Debebe, Mekonnen Chilot Kassa
机构信息
Department of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
出版信息
Heliyon. 2024 Feb 24;10(5):e26756. doi: 10.1016/j.heliyon.2024.e26756. eCollection 2024 Mar 15.
BACKGROUND
Identifying fertility periods accurately will protect teenage girls and young women from unintended pregnancies and related complications. However, in Sub-Saharan Africa, knowledge of the fertile period among adolescent girls and young women is not well studied. Thus, the purpose of this study was to assess adolescents' and young women's knowledge regarding fertility periods and its determinants in Sub-Saharan Africa.
METHODS
The most recent demographic and health surveys' data were used. The study had 140,064 participants in all. The data was analyzed using STATA/SE version 14. Using a multilevel logistic regression model, factors associated with knowledge of fertile periods have been determined. P-values <0.05 showed the significance of the factors associated with the outcome variable. The data were interpreted using the adjusted odds ratio and confidence interval. The best-fit model was determined to be the one with the highest logliklihood ratio and the lowest deviance.
RESULTS
One in five (20%) women between the ages of 10 and 24 had accurate knowledge about the fertile period. Age (AOR = 1.44, 95% CI: 1.40, 1.49), educational level (AOR = 1.68, 95% CI: 1.60, 1.77), knowledge of family planning (AOR = 1.33, 95% CI: 1.27, 1.39), distance (AOR = 2.31, 95% CI: 2.02, 2.98), residence (AOR = 1.06, 95% CI: 1.02, 1.10), and low community poverty (AOR = 3.06, 95% CI: 3.01, 3.12) had higher odds of knowledge about fertile period.
CONCLUSION
This research finds that adolescents and young women in sub-Saharan Africa have low knowledge of the reproductive period. It was discovered that factors at the individual and communal levels influence women's knowledge of the fertile period. While developing policies and strategies, the health ministries of Sub-Saharan African countries had to take into consideration input from women whose experiences indicated that obtaining reproductive health services was hindered by distance.
背景
准确识别生育期将保护少女和年轻女性免受意外怀孕及相关并发症的影响。然而，在撒哈拉以南非洲地区，对少女和年轻女性生育期知识的研究并不充分。因此，本研究旨在评估撒哈拉以南非洲地区青少年和年轻女性关于生育期及其决定因素的知识。
方法
使用了最新的人口与健康调查数据。该研究共有140,064名参与者。数据使用STATA/SE 14版本进行分析。通过多水平逻辑回归模型，确定了与生育期知识相关的因素。P值<0.05表明与结果变量相关的因素具有显著性。数据使用调整后的比值比和置信区间进行解释。最佳拟合模型被确定为对数似然比最高且偏差最低的模型。
结果
10至24岁的女性中，五分之一（20%）对生育期有准确的了解。年龄（调整后的比值比=1.44，95%置信区间：1.40，1.49）、教育水平（调整后的比值比=1.68，95%置信区间：1.60，1.77）、计划生育知识（调整后的比值比=1.33，95%置信区间：1.27，1.39）、距离（调整后的比值比=2.31，95%置信区间：2.02，2.98）、居住地（调整后的比值比=1.06，95%置信区间：1.02，1.10）以及社区贫困程度低（调整后的比值比=3.06，95%置信区间：3.01，3.12）与生育期知识的关联度更高。
结论
本研究发现，撒哈拉以南非洲地区的青少年和年轻女性对生育期的了解程度较低。研究发现，个人和社区层面的因素会影响女性对生育期的了解。在制定政策和策略时，撒哈拉以南非洲国家的卫生部必须考虑那些经验表明获得生殖健康服务因距离而受阻的女性的意见。
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