Abate Hailemichael Kindie, Azagew Abere Woretaw, Kassahun Chanyalew Worku, Wassie Mulugeta, Mekonnen Chilot Kassa, Wassie Yilkal Abebaw, Zegeye Alebachew Ferede
Department of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Front Glob Womens Health. 2024 Aug 12;5:1420476. doi: 10.3389/fgwh.2024.1420476. eCollection 2024.
The use of long-acting contraceptives is a common health challenge in Ethiopia. Therefore, the current study aimed to assess the determinants of using long-acting contraceptive hot spots in Ethiopia using data from the Ethiopian Mini Demographic and Health Survey for 2019.
This study used data from the Ethiopia Mini Demographic and Health Survey 2019 and included a total weighted sample of 8,885 women in the analysis. The geographical variation of long-acting contraceptive usage was initially observed using hot spot analysis. Arc GIS version 10.7 was used for geographically weighted regression. Ordinarily, least squares regression was performed to identify predictors that explain the geographical variation in the use of long-acting contraceptives. Geographic weighted regression was used to predict the hot spot area of long-acting contraceptive methods.
The overall prevalence of long-acting contraceptive utilization use was 6.9% (95% confidence interval: 6.4-7.45). Most of the statistically significant hot spots for long-acting contraceptives were found in lactated areas of the Oromia part of Amhara and Dire Dawa. Primary education, followers of the Muslim religion, marital status, and women with >4 children were the determinants of spatial variation use of hot spot areas for long-acting contraceptive methods.
A detailed map of long-acting contraceptive use hot spots and their determinants will enable decisions to target their sociodemographic-related predictors of women.
长效避孕药具的使用是埃塞俄比亚面临的一项常见健康挑战。因此，本研究旨在利用2019年埃塞俄比亚小型人口与健康调查的数据，评估埃塞俄比亚长效避孕药具使用热点地区的影响因素。
本研究使用了2019年埃塞俄比亚小型人口与健康调查的数据，分析中纳入了总共8885名女性的加权样本。首先使用热点分析观察长效避孕药具使用的地理差异。使用Arc GIS 10.7版本进行地理加权回归。通常，采用普通最小二乘法回归来确定解释长效避孕药具使用地理差异的预测因素。使用地理加权回归来预测长效避孕方法的热点地区。
长效避孕药具的总体使用率为6.9%（95%置信区间：6.4 - 7.45）。长效避孕药具在统计学上具有显著意义的热点地区大多位于阿姆哈拉州奥罗米亚地区和德雷达瓦的哺乳期地区。小学教育程度、穆斯林宗教信徒、婚姻状况以及子女数超过4个的女性是长效避孕方法热点地区空间差异使用的决定因素。
长效避孕药具使用热点地区及其决定因素的详细地图将有助于针对与女性社会人口统计学相关的预测因素做出决策。
