Fente Bezawit Melak, Asgedom Yordanos Sisay, Asmare Zufan Alamrie, Kebede Tirusew Nigussie, Damtew Beyene Sisay, Workneh Tadesu Wondu, Beyene Muluken Adamu, Seifu Beminate Lemma
Department of General Midwifery, School of Midwifery, College of Medicine & Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Epidemiology and Biostatics, College of Health Sciences and Medicine, Wolaita Sodo University, Soddo, Ethiopia.
Contracept Reprod Med. 2024 May 24;9(1):27. doi: 10.1186/s40834-024-00287-7.
Knowledge of the fertility period aids women in refraining and engaging in sexual intercourse to avoid and to get pregnant, respectively. The effect of community-level factors on knowledge of the fertility period was not yet known in Kenya. Therefore, we aimed to investigate the community- and individual-level determinants of knowledge of fertility period among women of childbearing age in Kenya.
The 2022 Kenyan Demography and Health Survey data was used for the current study. This study included 16,901 women of reproductive age. To account for the clustering effects of DHS data and the binary nature of the outcome variable, a multilevel binary logistic regression model was applied. An adjusted odds ratio with a 95% confidence interval was reported to declare the statistical significance. In addition, the model that had the lowest deviance was the one that best fit the data.
The overall prevalence of knowledge of the fertility period among Kenyan women was 38.1% (95%CI = 37.3, 38.9). Women's age, women's education status, heard FP, contraceptive use, media exposure, and distance from health facility significant individual factors while place of residence, and community-level education, were all of factors were found to be strongly associated with knowledge of fertility period.
As per the findings of our study, Knowledge of the fertility period among reproductive women was low in Kenya. In the era of increasing refusal of hormone-based family planning, fertility-awareness-based family planning methods may be an option. Promoting the correct fertility period through education and media outreach may be helpful strategies for enhancing fertility decision-making.
了解生育期有助于女性分别避免和进行性行为以防止怀孕和实现怀孕。在肯尼亚，社区层面因素对生育期知识的影响尚不清楚。因此，我们旨在调查肯尼亚育龄妇女中生育期知识的社区和个体层面决定因素。
本研究使用了2022年肯尼亚人口与健康调查数据。该研究纳入了16901名育龄妇女。为了考虑 DHS 数据的聚类效应和结果变量的二元性质，应用了多水平二元逻辑回归模型。报告了调整后的优势比及其95%置信区间以说明统计显著性。此外，偏差最低的模型是最适合数据的模型。
肯尼亚女性中生育期知识的总体患病率为38.1%（95%CI = 37.3, 38.9）。女性年龄、女性教育状况、听说过计划生育、使用避孕药具、接触媒体以及与医疗机构的距离是重要的个体因素，而居住地和社区层面的教育等所有因素都被发现与生育期知识密切相关。
根据我们的研究结果，肯尼亚生殖期妇女对生育期的了解程度较低。在越来越多的人拒绝基于激素的计划生育的时代，基于生育意识的计划生育方法可能是一种选择。通过教育和媒体宣传推广正确的生育期可能是增强生育决策的有益策略。
