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Abstract：
Evidence from various studies on modern contraceptive methods shows that the utilization varies greatly. The present study aimed to estimate the magnitude and determinants for temporary modern contraceptive utilization among reproductive-aged (15-49 years) women in India. We analysed National Family Health Survey-5 data using the \"svyset\" command in STATA software. Modern contraception utilization was estimated using the weighted prevalence, and its correlates were assessed by multivariable regression by reporting an adjusted prevalence ratio (aPR) with 95% confidence interval (CI). QGIS 3.2.1 software was used for spatial analysis of different temporary modern contraceptives. The mean (SD) age of 359,825 respondents was 31.6 (8.5) years with 75.1% (n = 270,311) and 49.2% (n = 177,165) of them being from rural area and having completed education up to secondary school, respectively. The overall utilization of modern temporary contraception was 66.1% [95%CI: 65.90-66.35, n = 237,953]. Multigravida (vs. nulligravida) [aPR = 2.13 (1.98-2.30)], higher education of husband (vs. not educated) [aPR = 1.20 (1.14-1.27)], urban (vs. rural) [aPR = 1.06 (1.03-1.10)], watching television less than once a week (vs. not at all) [aPR = 1.04 (1.01-1.08)], divorced (vs. married) [aPR = 0.65 (0.45-0.94)], and Scheduled Tribe (ST) (vs. unreserved) [aPR = 0.92 (0.88-0.96)] were significant independent determinants. The highest utilization of male condoms, IUCDs, pills and injections were in Himachal Pradesh (86%), Nagaland (64%), Tripura (85%), and Ladakh (20%), respectively. Out of every ten reproductive-aged (15-49 years) women in India, six are using temporary modern contraceptive methods. More intervention strategies should be planned, considering factors like gravida, education, residence, health promotion and caste to attain replacement fertility level.
摘要：
关于现代避孕方法的各种研究的证据表明，使用差异很大。本研究旨在估计印度育龄期（15-49岁）妇女使用临时现代避孕药具的程度和决定因素。我们使用STATA软件中的“svyset”命令分析了全国家庭健康调查5数据。现代避孕利用是使用加权流行率估计的，其相关性通过多变量回归分析,通过报告校正患病率比(aPR)和95%置信区间(CI)进行评估.采用QGIS3.2.1软件对不同临时现代避孕药具进行空间分析。359,825名受访者的平均年龄（SD）为31.6（8.5）岁，其中75.1％（n=270,311）和49.2％（n=177,165）来自农村地区，并已完成中学教育，分别。现代临时避孕的总体使用率为66.1%[95CI:65.90-66.35,n=237,953]。Multigravida（vs.nulligravida)[aPR=2.13(1.98-2.30)]，丈夫的高等教育(vs.未受过教育)[aPR=1.20(1.14-1.27)]，城市(vs.农村)[aPR=1.06(1.03-1.10)]，每周看电视少于一次(vs.一点也不)[aPR=1.04(1.01-1.08)]，离婚(vs.已婚)[APR=0.65(0.45-0.94)]，和预定部落(ST)(vs.未保留）[aPR=0.92（0.88-0.96）]是显着的独立决定因素。男性避孕套使用率最高，IUCD,药丸和注射剂在喜马al尔邦（86％），那加兰（64%），Tripura(85%),拉达克（20%）分别。印度每10名育龄（15-49岁）妇女中，六个是使用临时现代避孕方法。应该计划更多的干预策略，考虑到像Gravida这样的因素,教育,residence,促进健康和种姓，以达到更替生育水平。
