阿索萨大学本科正规班学生生殖健康服务的利用情况：三种多层次二项逻辑回归模型的比较。
Utilization of reproductive health services among undergraduate regular class students in Assosa University, BGRS: a comparison among three varieties of multilevel binary logistic regression models.
机构信息
Assosa University, Assosa, Ethiopia.
Injibara University, Injibara, Ethiopia.
出版信息
BMC Health Serv Res. 2024 May 26;24(1):664. doi: 10.1186/s12913-024-11123-8.
INTRODUCTION
Reproductive health service (RHS) helps for people to have a delighted and safe sex through their life journey. It enables especially for women to go safely through pregnancy and childbirth and provide couples with the best chance of having a healthy infant. Therefore, this study aimed to identify the significant determinants of RHS utilization among undergraduate regular class students in Assosa University by using advanced methodology.
METHODS
We used cross-sectional study design to collect RHS data from 362 students in Assosa University from 5 to 16, may 2021. These students were selected using stratified random sampling technique. We also used cross-tabulation to summarize the extents of RHS utilization across all predictors in terms of percentage and three varieties of multilevel binary logistic regression model to model the determinants of RHS.
RESULTS
42.27% of undergraduate regular class students in Assosa University utilize at least one type of RHS during their time at Assosa University whereas, 57.73% of undergraduate regular class students in this University are not utilized it. Among three varieties of multilevel binary logistic regression models, the random slopes two-level model was selected as a best fitted model for the datasets. At 5% level of significance, awareness about RHS, gender, preference of service fees and student's monthly average income were significant predictor variables in this model. In addition, the covariates; age, gender and preference of service fees have a significant random effects on utilization of RHS across all colleges/school.
CONCLUSION
Students who; preferred service fee as usual rate, have awareness about RHS, are females and have high monthly average income were more likely to utilize RHS. RHS utilization among undergraduate regular students in Assosa University is likely to increase more effectively with interventions that address these factors.
简介
生殖健康服务（RHS）通过人们的整个生命历程帮助他们获得满意和安全的性生活。它使女性能够安全地度过怀孕和分娩期，并为夫妇提供生育健康婴儿的最佳机会。因此，本研究旨在通过使用先进的方法，确定阿索萨大学普通本科学生利用生殖健康服务的重要决定因素。
方法
我们采用横断面研究设计，于 2021 年 5 月 5 日至 16 日期间从阿索萨大学的 362 名学生中收集生殖健康服务数据。这些学生是通过分层随机抽样技术选择的。我们还使用交叉表汇总所有预测因素在百分比方面的生殖健康服务利用程度，并使用三种不同的多层次二项逻辑回归模型来模拟生殖健康服务的决定因素。
结果
阿索萨大学的 42.27%普通本科学生在阿索萨大学期间至少利用了一种类型的生殖健康服务，而该大学的 57.73%普通本科学生没有利用过。在三种不同的多层次二项逻辑回归模型中，随机斜率两水平模型被选为最适合数据集的模型。在 5%的显著水平上，对生殖健康服务的认识、性别、对服务费用的偏好和学生的月平均收入是该模型的显著预测变量。此外，协变量；年龄、性别和对服务费用的偏好对所有学院/学校的生殖健康服务利用具有显著的随机效应。
结论
更喜欢按常规费率支付服务费用、对生殖健康服务有认识、是女性且月平均收入较高的学生更有可能利用生殖健康服务。通过解决这些因素的干预措施，阿索萨大学普通本科学生对生殖健康服务的利用可能会更有效地增加。
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