塞内加尔育龄妇女现代避孕方法的使用情况：多层次混合效应分析
Utilization of modern contraceptive methods among women of reproductive age in Senegal: A multilevel mixed-effects analysis.
作者信息
Endale Hiwot Tezera, Negash Habtu Kifle, Tesfaye Winta, Hasen Fethiya Seid, Asefa Tseganesh, Gelaw Destaye Tirite, Ayenew Yihun Tefera, Baykemagn Nebebe Demis, Yehuala Tirualem Zeleke, Getnet Mihret
机构信息
Department of Medical Biochemistry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Human Anatomy, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
出版信息
PLoS One. 2025 May 20;20(5):e0323899. doi: 10.1371/journal.pone.0323899. eCollection 2025.
BACKGROUND
Despite high fertility rates in low- and middle-income countries, modern contraceptive use remains low. In Senegal, there is limited use of modern contraceptives, and few studies have explored the factors influencing their adoption. This study aims to identify the determinants of modern contraceptive use among women of reproductive age in Senegal.
METHOD
Data from the 2023 Senegal Demographic and Health Survey, covering 8,833 women, were analyzed using a multilevel logistic regression model to identify factors associated with modern contraceptive use. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were used, and statistical significance was set at p < 0.05. Analysis was conducted using STATA version 17.
RESULTS
The utilization of modern contraceptives among reproductive-aged women in Senegal was 32.16% (95% CI: 31.19, 33.15). Significant factors associated with its use included age (25-34: AOR = 1.46, 35-44: AOR = 1.59, > 44: AOR = 1.72), secondary education (AOR = 1.19), employment (AOR = 1.38), being undecided about having more children (AOR = 1.39), not wanting more children (AOR = 2.42), age at first sex (≥18: AOR = 1.16), and first birth (≥19: AOR = 0.65). Other factors include being visited by a field worker (AOR = 1.32), visiting a health facility (AOR = 2.04), media exposure (AOR = 1.42), higher household income (middle: AOR = 1.23, rich: AOR = 1.38), and having one or more births (one: AOR = 2.06, two or more: AOR = 1.72). Women living in rural areas (AOR = 0.75) or in regions such as Ziguinchor (AOR = 0.60), Diourbel (AOR = 0.50), Tambacounda (AOR = 0.27), Louga (AOR = 0.61), Matam (AOR = 0.37), Kédougou (AOR = 0.64), and Sédhiou (AOR = 0.67) were less likely to use contraceptives.
CONCLUSION
Factors such as age, education, employment, media exposure, and healthcare access are critical determinants of modern contraceptive use in Senegal. Women in rural areas and specific regions face barriers to contraceptive use. Targeted interventions in these areas could enhance family planning and reproductive health outcomes in Senegal.
背景
尽管低收入和中等收入国家生育率较高，但现代避孕方法的使用率仍然很低。在塞内加尔，现代避孕方法的使用有限，很少有研究探讨影响其采用的因素。本研究旨在确定塞内加尔育龄妇女使用现代避孕方法的决定因素。
方法
使用多水平逻辑回归模型分析了2023年塞内加尔人口与健康调查中涵盖8833名妇女的数据，以确定与现代避孕方法使用相关的因素。使用了调整后的优势比（AOR）及其95%置信区间（CI），统计学显著性设定为p < 0.05。分析使用STATA 17版本进行。
结果
塞内加尔育龄妇女中现代避孕方法的使用率为32.16%（95%CI：31.19，33.15）。与其使用相关的显著因素包括年龄（25 - 34岁：AOR = 1.46，35 - 44岁：AOR = 1.59，> 44岁：AOR = 1.72）、中等教育（AOR = 1.19）、就业（AOR = 1.38）、对生育更多孩子犹豫不决（AOR = 1.39）、不想要更多孩子（AOR = 2.42）、初次性行为年龄（≥18岁：AOR = 1.16）以及首次生育年龄（≥19岁：AOR = 0.65）。其他因素包括有实地工作者家访（AOR = 1.32）、前往医疗机构就诊（AOR = 2.04）、接触媒体（AOR = 1.42）、家庭收入较高（中等：AOR = 1.23，富裕：AOR = 1.38）以及生育过一个或多个孩子（一个：AOR = 2.06，两个或更多：AOR = 1.72）。生活在农村地区（AOR = 0.75）或齐金乔尔（AOR = 0.60）、迪乌尔贝勒（AOR = 0.50）、坦巴昆达（AOR = 0.27）、卢加（AOR = 0.61）、马塔姆（AOR = 0.37）、凯杜古（AOR = 0.64）和塞久（AOR = 0.67）等地区的妇女使用避孕药具的可能性较小。
结论
年龄、教育、就业、接触媒体和获得医疗保健等因素是塞内加尔现代避孕方法使用的关键决定因素。农村地区和特定地区的妇女在使用避孕药具方面面临障碍。在这些地区进行有针对性的干预可以改善塞内加尔的计划生育和生殖健康成果。
Zotero 插件