埃塞俄比亚现代避孕措施的使用情况：让丈夫参与其中会有不同吗？
Modern contraception use in Ethiopia: does involving husbands make a difference?
作者信息
Terefe A, Larson C P
机构信息
Department of Community Health, Addis Ababa University, Ethiopia.
出版信息
Am J Public Health. 1993 Nov;83(11):1567-71. doi: 10.2105/ajph.83.11.1567.
OBJECTIVES
This study was undertaken to determine the relative efficacy of home visitation with and without husband participation on the use of modern contraception in Ethiopia.
METHODS
A randomized field trial of a family planning education intervention using home visitation with and without husband participation was conducted in Addis Ababa, Ethiopia, from August 1990 to December 1991 and included a 12-month postintervention follow-up. A total of 266 experimental and 261 control subjects were entered, of whom 91.7% and 88.9%, respectively, were followed through 12 months.
RESULTS
A greater proportion of couples in the experimental group were practicing modern contraception at 2 months (25% vs 15%) and 12 months (33% vs 17%) following the home visit intervention. By 12 months following the home visits, experimental subjects were less likely to have defaulted and more likely to have started using modern contraception following an initial delay.
CONCLUSIONS
The inclusion of husbands in family planning programs will result in relevant increases in the use of modern contraception. However, there exists an important "sleeper" effect to the education intervention, reflected by a delay of greater than 2 months in the initiation of modern contraception for most couples.
目的
本研究旨在确定在埃塞俄比亚，有丈夫参与和没有丈夫参与的家庭访视对现代避孕方法使用的相对效果。
方法
1990年8月至1991年12月在埃塞俄比亚亚的斯亚贝巴进行了一项计划生育教育干预的随机现场试验，该干预采用有丈夫参与和没有丈夫参与的家庭访视，并包括干预后12个月的随访。总共纳入了266名实验组受试者和261名对照组受试者，其中分别有91.7%和88.9%的人完成了12个月的随访。
结果
在家庭访视干预后的2个月（25%对15%）和12个月（33%对17%），实验组中有更大比例的夫妇采用现代避孕方法。到家庭访视后的12个月时，实验组受试者较少出现违约情况，并且在最初延迟后更有可能开始使用现代避孕方法。
结论
让丈夫参与计划生育项目将使现代避孕方法的使用显著增加。然而，教育干预存在一个重要的“潜在”效应，表现为大多数夫妇开始使用现代避孕方法的时间延迟超过2个月。
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