文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

埃塞俄比亚年轻已婚女性避孕方法需求未满足的决定因素:基于 2016 年埃塞俄比亚人口与健康调查的多水平分析

Determinants of unmet need for contraceptive method among young married women in Ethiopia: Multilevel analysis of Ethiopia Demographic and Health Survey 2016.

机构信息

Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.

School of Public Health, College of Health and Medical Science, Haramaya University, Harar, Ethiopia.

出版信息

PLoS One. 2024 Sep 5;19(9):e0306068. doi: 10.1371/journal.pone.0306068. eCollection 2024.


DOI:10.1371/journal.pone.0306068
PMID:39236003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11376545/
Abstract

BACKGROUND: The notion of unmet need for family planning indicates the gap between women's contraceptive practice and their reproductive intention. Although universal access to sexual and reproductive health services including contraceptive methods is a bedrock for sustainable development goals, the unmet need for contraception is high among young women in low-income countries including Ethiopia. The unmet need for contraception is associated with unintended pregnancy which most of the time end in unsafe abortion. Hence, this study aimed to assess the determinants of unmet need for family planning among young married women in Ethiopia using nationally representative data. METHOD: This study utilized secondary data collected in the 2016 Ethiopia Demographic and Health Survey (EDHS). A two-stage cluster sampling method was used. The analysis included a total of 2444 sexually active married young women (15-24 years). Multilevel logistic regression analysis was conducted to identify individual and community level factors associated with unmet need for contraceptives and the results were presented as adjusted odds ratio (AOR) at 95% confidence interval (CI), declaring statistical significance at a p-value <0.05 in all analyses. RESULTS: In this study, the prevalence of unmet need for contraceptive method among married young women was 18.4% [95% CI: (16.9, 20.0)]. Female head of the household [AOR: 1.62, CI (1.25, 2.11)], primary level of education [AOR: 1.53, CI: (1.16, 2.03)], family size ≥5 [AOR: 1.53, 95%CI: (1.22, 1.93)], undecided to have child [AOR: 2.86, 95%CI: (1.58, 5.20)] and infecund [AOR: 1.54, 95%CI: (1.08, 2.20)] were factors positively associated with unmet need for family planning. Whereas the odds of unmet need for contraceptive method was lower among women-initiated sex between 15-17 years and >17 years [AOR:0.72, 95%CI (0.53, 0.98)] and [AOR: 0.58, 95%CI: (0.40, 0.85)] respectively and community with high proportion of poverty [AOR: 0.68, 95%CI: (0.46, 0.99)]. CONCLUSION: The prevalence of unmet need for contraceptive methods among young married women was relatively high. Being female household head, age at first sexual intercourse, educational status of the woman, family size, desire for more children, and community poverty were significantly associated with unmet need for family planning. Hence, interventions targeting these special populations at the individual and community level would play a paramount role in meeting the unmet need for contraception among young married women in Ethiopia.

摘要

背景:计划生育未满足需求的概念表明了妇女避孕实践与生育意愿之间的差距。尽管普及包括避孕方法在内的性健康和生殖健康服务是可持续发展目标的基石,但在包括埃塞俄比亚在内的低收入国家,年轻妇女对避孕的未满足需求仍然很高。避孕未满足需求与意外怀孕有关,而大多数意外怀孕最终都会导致不安全堕胎。因此,本研究旨在利用全国代表性数据评估埃塞俄比亚年轻已婚妇女避孕未满足需求的决定因素。

方法:本研究使用了 2016 年埃塞俄比亚人口与健康调查(EDHS)收集的二手数据。采用两阶段聚类抽样方法。分析共包括 2444 名有性行为的已婚年轻妇女(15-24 岁)。采用多水平逻辑回归分析确定与避孕未满足需求相关的个体和社区层面因素,结果以 95%置信区间(CI)的调整比值比(AOR)表示,所有分析均以 p 值<0.05 表示具有统计学意义。

结果:在这项研究中,已婚年轻妇女避孕未满足需求的流行率为 18.4%[95%CI:(16.9,20.0)]。家庭主妇[AOR:1.62,CI(1.25,2.11)]、小学教育水平[AOR:1.53,CI:(1.16,2.03)]、家庭规模≥5[AOR:1.53,95%CI:(1.22,1.93)]、未决定要孩子[AOR:2.86,95%CI:(1.58,5.20)]和不育[AOR:1.54,95%CI:(1.08,2.20)]是与避孕未满足需求呈正相关的因素。而在 15-17 岁和>17 岁之间的女性发起性行为[AOR:0.72,95%CI(0.53,0.98)]和[AOR:0.58,95%CI:(0.40,0.85)]以及社区中贫困比例较高[AOR:0.68,95%CI:(0.46,0.99)]的妇女,避孕方法的未满足需求的可能性较低。

结论:年轻已婚妇女避孕方法未满足需求的流行率相对较高。作为家庭主妇、初次性行为年龄、妇女教育程度、家庭规模、希望生育更多孩子以及社区贫困是与避孕未满足需求显著相关的因素。因此,针对这些特殊人群的个人和社区层面的干预措施将在满足埃塞俄比亚年轻已婚妇女对避孕的未满足需求方面发挥重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d620/11376545/3aa2f31d87dd/pone.0306068.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d620/11376545/c41d820bba10/pone.0306068.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d620/11376545/3aa2f31d87dd/pone.0306068.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d620/11376545/c41d820bba10/pone.0306068.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d620/11376545/3aa2f31d87dd/pone.0306068.g002.jpg

相似文献

[1]
Determinants of unmet need for contraceptive method among young married women in Ethiopia: Multilevel analysis of Ethiopia Demographic and Health Survey 2016.

PLoS One. 2024

[2]
Individual and community-level factors associated with unmet need for contraception among reproductive-age women in Ethiopia; a multi-level analysis of 2016 Ethiopia Demographic and Health Survey.

BMC Public Health. 2020-4-19

[3]
Predictors of unmet need for contraception among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa: A multilevel mixed effects analysis.

PLoS One. 2020-8-6

[4]
Individual and community level factors associated with modern contraceptive utilization among women in Ethiopia: Multilevel modeling analysis.

PLoS One. 2024

[5]
Joint decision on contraceptive use and determinant factors among married women of reproductive ages (15-49) in Ethiopia: a multilevel analysis using Ethiopian Demographic and Health Survey; 2016 data.

BMC Public Health. 2024-8-20

[6]
Trend and determinants of unmet need for family planning among married women in Ethiopia, evidence from Ethiopian demographic and health survey 2000-2016; multilevel analysis.

PLoS One. 2024

[7]
Unmet need for family planning and associated factors among married women attending anti-retroviral treatment clinics in Dire Dawa City, Eastern Ethiopia.

PLoS One. 2021

[8]
Unmet need for family planning and associated factors among currently married reproductive age women in Tiro Afeta District, South West Ethiopia, 2017: cross-sectional study.

BMC Womens Health. 2019-12-30

[9]
Sexual violence and unmet need for contraception among married and cohabiting women in sub-Saharan Africa: Evidence from demographic and health surveys.

PLoS One. 2020-11-3

[10]
Geographic variation and associated factors of long-acting contraceptive use among reproductive-age women in Ethiopia: a multi-level and spatial analysis of Ethiopian Demographic and Health Survey 2016 data.

Reprod Health. 2021-6-10

引用本文的文献

[1]
Prevalence and predictors of modern contraceptive method utilization among married couples in the pastoralist communities of Fentale district, Eastern Ethiopia.

Sci Rep. 2025-4-11

本文引用的文献

[1]
Unmet Need for Family Planning Service and Associated Factors Among Homeless Women of Reproductive Age Group in Jimma Zone Administrative Towns, Ethiopia.

Open Access J Contracept. 2022-6-8

[2]
Factors associated with unmet need for family planning in sub-Saharan Africa: A multilevel multinomial logistic regression analysis.

PLoS One. 2022-2-10

[3]
Unmet need for family planning and associated factors among currently married women of reproductive age in Bishoftu town, Eastern Ethiopia.

PLoS One. 2021

[4]
Magnitude and associated factors of unmet need for family planning among rural women in Ethiopia: a multilevel cross-sectional analysis.

BMJ Open. 2021-4-9

[5]
Determinants of unmet need for family planning among married women in Zambia.

J Public Health Afr. 2020-4-29

[6]
Socio-economic and demographic predictors of unmet need for contraception among young women in sub-Saharan Africa: evidence from cross-sectional surveys.

Reprod Health. 2020-10-23

[7]
Predictors of unmet need for family planning in Ethiopia 2019: a systematic review and meta analysis.

Arch Public Health. 2020-10-16

[8]
Individual and community-level factors associated with unmet need for contraception among reproductive-age women in Ethiopia; a multi-level analysis of 2016 Ethiopia Demographic and Health Survey.

BMC Public Health. 2020-4-19

[9]
Unmet Need for Contraception Among Young Married Women in Eastern Ethiopia.

Open Access J Contracept. 2019-12-17

[10]
Prevalence and determinants of unintended pregnancy in sub-Saharan Africa: A multi-country analysis of demographic and health surveys.

PLoS One. 2019-8-9

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索