Um Samnang, Chamroen Pall, Sieng Chantrea, Heng Sovandara, Ku Grace Marie
The National Institute of Public Health, Phnom Penh, Cambodia.
KHANA Center for Population Health Research, Phnom Penh, Cambodia.
PLOS Glob Public Health. 2025 Sep 2;5(9):e0004346. doi: 10.1371/journal.pgph.0004346. eCollection 2025.
Using modern contraceptives is essential for promoting economics, limiting the space of pregnancies, and improving maternal and newborn health outcomes. Despite progress in Cambodia, disparities in contraceptive use persist, particularly across socio-demographic and geographic groups. This study examined the prevalence and determinants of modern contraceptive use among married and sexually active women of reproductive age (15-49 years) in Cambodia, focusing on geographic and socio-demographic factors. This cross-sectional analysis of individual women's data from the 2021-2022 Cambodia Demographic and Health Survey (CDHS), including those of 13,492 women. Modern contraceptive use was defined as the self-reported current use of methods such as sterilization, IUDs, implants, pills, injectables, condoms, and emergency contraception. Descriptive and logistic regression models were used to examine associations with factors such as geographic accessibility (distance to healthcare, transportation, residence, regions), socio-demographic characteristics, and healthcare access. The prevalence of modern contraceptive use was 45%, higher in rural areas (47%) than in urban areas (41.4%). Women living 20-40 minutes from healthcare facilities were less likely to use contraceptives (AOR = 0.87, 95% CI: 0.75-0.99) compared to those within 20 minutes. Motorcycle ownership was positively associated with contraceptive use (AOR = 1.29, 95% CI: 1.09-1.53). Higher odds of use were observed among women with two children (AOR = 29.33, 95% CI: 20.04-42.91) or three or more children (AOR = 30.76, 95% CI: 20.50-46.16). Contraceptive use was lower among wealthier women and those aged 35-49 compared to younger women (15-19). These findings highlight the need for targeted interventions, including expanded rural healthcare, transportation solutions, and tailored awareness campaigns, to improve equitable access to family planning services and support Cambodia's health goals.
使用现代避孕方法对于促进经济发展、限制怀孕间隔以及改善孕产妇和新生儿健康结局至关重要。尽管柬埔寨取得了进展，但避孕方法使用方面的差异依然存在，尤其是在社会人口和地理群体之间。本研究调查了柬埔寨15至49岁已婚及有性生活的育龄妇女中现代避孕方法的使用情况及决定因素，重点关注地理和社会人口因素。这项对2021 - 2022年柬埔寨人口与健康调查（CDHS）中13492名妇女个体数据的横断面分析。现代避孕方法的使用被定义为自我报告当前使用绝育、宫内节育器、植入剂、避孕药、注射剂、避孕套和紧急避孕等方法。描述性和逻辑回归模型用于研究与地理可及性（到医疗机构的距离、交通、居住地区）、社会人口特征和医疗服务可及性等因素的关联。现代避孕方法的使用率为45%，农村地区（47%）高于城市地区（41.4%）。与距离医疗机构20分钟以内的妇女相比，居住在距离医疗机构20 - 40分钟路程的妇女使用避孕药具的可能性较小（调整后比值比[AOR]=0.87，95%置信区间[CI]：0.75 - 0.99）。拥有摩托车与避孕方法的使用呈正相关（AOR = 1.29，95% CI：1.
