Ayodeji Idowu O, Oni Tosin O, Ogunoye Oladimeji
Department of Statistics, Obafemi Awolowo University, Ile-Ife, Nigeria.
Central Office of Research, Obafemi Awolowo University, Ile-Ife, Nigeria.
Contracept Reprod Med. 2025 Jul 22;10(1):42. doi: 10.1186/s40834-025-00367-2.
Nigeria's contraceptive prevalence rate remains among the lowest in Africa, despite the proven benefits of contraception in preventing unintended pregnancies and unsafe abortions. The rise in internet literacy and social media use offers opportunities to leverage digital platforms for improving reproductive health outcomes. While mobile health interventions have shown promise in enhancing contraceptive awareness and use, their potential to mediate abortion-related outcomes, particularly within resource-constrained and culturally diverse settings like Nigeria, remains underexplored.
This study examines the interplay between abortion experiences and contraceptive use among Nigerian women of reproductive age, with a particular focus on the role of family planning (FP) information disseminated through mobile phones and social media.
Drawing on data from the 2018 Nigerian Demographic and Health Survey, the analysis centers on a cohort of 8,687 women aged 15-49 who have expressed no desire for more children. The investigation employs descriptive, bivariate, and multivariate models including interaction terms to analyze the associations between contraceptive behavior, abortion experiences, and exposure to FP messages-operationalized through a composite FP score that integrates mobile phone ownership and receipt of FP messages.
Key findings reveal that while exposure to family planning (FP) messages does not significantly alter abortion experiences, demographic factors such as age and education emerge as substantial determinants, with women aged 30-39 (OR = 1.800) and 40-49 (OR = 1.767) and those with higher education (OR = 1.393), showing higher likelihoods of abortion. Women with fewer cildren (<=2) have significantly less likelihood of abortion (OR = 0.337). Contraceptive use does not significantly impact the likelihood of abortion in the presence of FP messages.
The study reveals that universal approaches to family planning and reproductive health may fall short in resource-constrained settings like Nigeria, where socio-cultural norms, economic barriers, and limited healthcare access hinder contraceptive use, unless they account for socio-cultural and demographic variations. Consequently, it calls for a more comprehensive approach-one that combines FP messaging with culturally informed, community-based outreach and policy frameworks that address the socio-demographic realities influencing reproductive decisions.
尽管避孕在预防意外怀孕和不安全堕胎方面已被证实具有诸多益处，但尼日利亚的避孕普及率仍处于非洲最低水平。互联网素养的提高和社交媒体的使用为利用数字平台改善生殖健康状况提供了机遇。虽然移动健康干预措施在提高避孕意识和使用率方面显示出了前景，但其在调解与堕胎相关的结果方面的潜力，尤其是在像尼日利亚这样资源有限且文化多元的环境中，仍未得到充分探索。
本研究考察了尼日利亚育龄妇女堕胎经历与避孕使用之间的相互作用，特别关注通过手机和社交媒体传播的计划生育（FP）信息所起的作用。
利用2018年尼日利亚人口与健康调查的数据，分析集中在8687名15 - 49岁表示不再想要更多孩子的女性群体上。该调查采用描述性、双变量和多变量模型，包括交互项，以分析避孕行为、堕胎经历以及接触FP信息（通过综合FP得分来衡量，该得分整合了手机拥有情况和接收FP信息情况）之间的关联。
主要研究结果显示，虽然接触计划生育（FP）信息并未显著改变堕胎经历，但年龄和教育程度等人口统计学因素成为重要的决定因素，30 - 39岁（OR = 1.800）和40 - 49岁（OR = 1.767）的女性以及受过高等教育的女性（OR = 1.393）堕胎的可能性更高。子女较少（<=2个）的女性堕胎的可能性显著更低（OR = 0.337）。在有FP信息的情况下，避孕使用对堕胎可能性没有显著影响。
该研究表明，在尼日利亚这样的资源有限环境中，通用的计划生育和生殖健康方法可能不足，在这些地方，社会文化规范、经济障碍和有限的医疗服务获取阻碍了避孕使用，除非它们考虑到社会文化和人口统计学差异。因此，需要一种更全面的方法——一种将FP信息传递与基于文化的、社区层面的宣传以及解决影响生殖决策的社会人口现实的政策框架相结合的方法。
