Casebolt Tara, Hardiman Molly, Guerrero Taylor Diaz-Leon
Department of Public Health Sciences, Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Chicago, IL, United States.
Morrissey College of Arts and Sciences, Boston College, Chestnut Hill, MA, United States.
Front Reprod Health. 2025 Aug 7;7:1611713. doi: 10.3389/frph.2025.1611713. eCollection 2025.
Women with disabilities have faced difficulties with accessing family planning services for decades and in many different settings. These women have both been denied access to contraception because of an inaccurate belief of the asexuality of people with disabilities and been forced or coerced into using contraceptives because of the belief they should not have children.
This study uses Demographic and Health Survey data to analyze the association between disability and modern contraceptive use in Uganda. A disability severity indicator was used based upon recommendations from the Washington Group on Disability Statistics.
Bivariate analysis was performed using chi-squares to determine if a significant association exists between modern contraceptive use and disability. Logistic regressions were run to generate odds ratios for crude adjusted models which took demographic data and covariates into consideration.
Disability was not found to be significantly associated with modern contraceptive use. Women with disabilities did not have significantly different odds of using a modern form of contraceptive when compared to women without disabilities in both the crude and adjusted models.
These findings are inconsistent with previous studies conducted in Uganda. Additional research should be conducted to determine if there are disparities in the type of contraceptive used, sustainability of the method, and whether there is an unmet need for contraceptives. Based on the findings of this study, it is clear that women with disabilities use contraceptives. Therefore, it is essential for family planning services to be accessible to women regardless of functional limitations.
几十年来，在许多不同环境中，残疾女性在获得计划生育服务方面都面临困难。这些女性既因对残疾人无性能力的错误认知而被拒绝获得避孕措施，又因被认为不应该生育而被迫或被强制使用避孕药具。
本研究利用人口与健康调查数据，分析乌干达残疾与现代避孕方法使用之间的关联。根据华盛顿残疾统计小组的建议，使用了残疾严重程度指标。
采用卡方检验进行双变量分析，以确定现代避孕方法使用与残疾之间是否存在显著关联。进行逻辑回归分析，以生成粗略调整模型的比值比，该模型考虑了人口数据和协变量。
未发现残疾与现代避孕方法使用之间存在显著关联。在粗略模型和调整模型中，残疾女性使用现代避孕方法的几率与非残疾女性相比均无显著差异。
这些发现与之前在乌干达进行的研究不一致。应开展更多研究，以确定在避孕方法类型、方法的可持续性以及是否存在未满足的避孕需求方面是否存在差异。基于本研究的结果，很明显残疾女性使用避孕药具。因此，无论功能限制如何，确保计划生育服务对女性可及至关重要。
