Mishra Punit
PopulationCouncil Consulting, New Delhi, 110003, India.
Contracept Reprod Med. 2025 Jan 8;10(1):2. doi: 10.1186/s40834-024-00335-2.
The unmet need for contraception among adolescent women in India is a significant public health concern, contributing to unintended pregnancies and abortions. This paper seeks to examine the regional variations and factors driving rural-urban disparities in unmet family planning needs in Uttar Pradesh (UP), India's most populous state, where the total unmet need among adolescents is as high as 19%.
The study is based on 11,018 adolescent women from the recent round of India's DHS, NFHS-5 (2019-21). To fulfil the study's objective, Multilevel logit model and Oaxaca Blinder Decomposition was applied.
The Multilevel logit model results show statistically significant variations at community and district level, implying a strong presence of unobserved factors affecting the unmet demand. Oaxaca decomposition results show that difference in rural and urban adolescent unmet need is explained by factors like wealth, religion and intra-state regions.
The results call for the need to implement culturally appropriate reproductive and sexual health literacy programs to increase uniform access to modern contraception and to raise women's autonomy in the state of Uttar Pradesh.
印度青春期女性对避孕措施的需求未得到满足，这是一个重大的公共卫生问题，导致意外怀孕和堕胎情况频发。本文旨在研究印度人口最多的北方邦农村与城市在计划生育需求未得到满足方面的地区差异及驱动城乡差距的因素，该邦青少年总体需求未满足率高达19%。
本研究基于印度最近一轮的全国家庭健康调查（NFHS - 5，2019 - 2021年）中的11,018名青春期女性的数据。为实现研究目标，应用了多层逻辑模型和奥克萨卡 - 布林德分解法。
多层逻辑模型结果显示，社区和地区层面存在统计学上的显著差异，这意味着存在影响需求未满足情况的未观察到的因素。奥克萨卡分解结果表明，农村和城市青少年需求未满足情况的差异可由财富、宗教和邦内地区等因素来解释。
研究结果表明，有必要在北方邦实施符合文化背景的生殖与性健康知识普及项目，以增加现代避孕措施的平等可及性，并提高女性的自主权。
