PDF(Pubmed)
Abstract：
UNASSIGNED: Postpartum contraception is vital for maternal and child health, and reduces the risk of infant mortality. The Health Belief Model (HBM) is a widely accepted framework for exploring health behaviors, such as contraceptive use. Therefore, this study aimed to investigate the factors influencing postpartum contraceptive use in Nigeria and to contextualize the findings within the framework of the HBM.
UNASSIGNED: This study was a secondary analysis of cross-sectional data collected from the Demographic Health Survey conducted in Nigeria (NDHS). In total, 28,041 women were included in this study. Self-reported contraceptive use was the outcome, while the explanatory variables included maternal age, place of residence, region of residence, religion, marital status, educational level, household wealth quintiles, knowledge of the ovulatory cycle, decision-maker for health care, and distance to health care facilities. Descriptive statistics and multivariate logistic regression were used to summarize and identify factors influencing postpartum contraceptive use. The HBM was used to discuss the main findings.
UNASSIGNED: The prevalence of postpartum contraceptive use in Nigeria is 27%. Our findings showed that the odds of using contraceptives during the postpartum period were higher among women who knew their ovulation cycles, lived in urban areas in the southern region, had no distance barriers to health care, and were 25-49 years old. Education, wealth, and marital status also increase the odds of contraceptive use. However, women who lived in the northeast and northwest regions or shared decision-making with their partners had lower odds.
UNASSIGNED: This study highlights the need for region-specific and age-focused interventions to increase contraceptive use in Nigeria. Additionally, increasing accessibility and affordability of contraceptives for younger and economically disadvantaged women, along with promoting women\'s autonomy in decision-making, can further enhance contraceptive use across Nigeria.
UNASSIGNED: This study was a secondary analysis of cross-sectional data collected from the Demographic Health Survey conducted in Nigeria (NDHS). In total, 28,041 women were included in this study. Self-reported contraceptive use was the outcome, while the explanatory variables included maternal age, place of residence, region of residence, religion, marital status, educational level, household wealth quintiles, knowledge of the ovulatory cycle, decision-maker for health care, and distance to health care facilities. Descriptive statistics and multivariate logistic regression were used to summarize and identify factors influencing postpartum contraceptive use. The HBM was used to discuss the main findings.
UNASSIGNED: The prevalence of postpartum contraceptive use in Nigeria is 27%. Our findings showed that the odds of using contraceptives during the postpartum period were higher among women who knew their ovulation cycles, lived in urban areas in the southern region, had no distance barriers to health care, and were 25-49 years old. Education, wealth, and marital status also increase the odds of contraceptive use. However, women who lived in the northeast and northwest regions or shared decision-making with their partners had lower odds.
UNASSIGNED: This study highlights the need for region-specific and age-focused interventions to increase contraceptive use in Nigeria. Additionally, increasing accessibility and affordability of contraceptives for younger and economically disadvantaged women, along with promoting women\'s autonomy in decision-making, can further enhance contraceptive use across Nigeria.
摘要：
■产后避孕对母婴健康至关重要，并降低婴儿死亡的风险。健康信念模型(HBM)是一个被广泛接受的探索健康行为的框架，如使用避孕药。因此,本研究旨在调查尼日利亚产后避孕药具使用的影响因素,并将研究结果纳入HBM框架.
■这项研究是对从尼日利亚进行的人口健康调查（NDHS）收集的横截面数据的二次分析。总的来说,28,041名妇女被纳入这项研究。自我报告的避孕药具使用是结果，而解释变量包括产妇年龄，居住地,居住地区,宗教,婚姻状况,教育水平,家庭财富五分之一，排卵周期的知识，卫生保健决策者，以及与医疗机构的距离。使用描述性统计和多变量逻辑回归来总结和确定影响产后避孕药具使用的因素。HBM用于讨论主要发现。
■尼日利亚产后避孕药具使用率为27%。我们的发现表明，在产后期间使用避孕药的几率在知道排卵周期的女性中更高，生活在南部地区的城市地区，在医疗保健方面没有距离障碍，25-49岁.教育,财富,和婚姻状况也增加了使用避孕药具的几率。然而,居住在东北和西北地区或与伴侣共同决策的女性的几率较低。
■这项研究强调了在尼日利亚需要针对特定地区和以年龄为重点的干预措施，以增加避孕药具的使用。此外,为年轻和经济上处于不利地位的妇女增加避孕药具的可及性和可负担性，在促进妇女自主决策的同时，可以进一步加强尼日利亚各地的避孕药具使用。
■这项研究是对从尼日利亚进行的人口健康调查（NDHS）收集的横截面数据的二次分析。总的来说,28,041名妇女被纳入这项研究。自我报告的避孕药具使用是结果，而解释变量包括产妇年龄，居住地,居住地区,宗教,婚姻状况,教育水平,家庭财富五分之一，排卵周期的知识，卫生保健决策者，以及与医疗机构的距离。使用描述性统计和多变量逻辑回归来总结和确定影响产后避孕药具使用的因素。HBM用于讨论主要发现。
■尼日利亚产后避孕药具使用率为27%。我们的发现表明，在产后期间使用避孕药的几率在知道排卵周期的女性中更高，生活在南部地区的城市地区，在医疗保健方面没有距离障碍，25-49岁.教育,财富,和婚姻状况也增加了使用避孕药具的几率。然而,居住在东北和西北地区或与伴侣共同决策的女性的几率较低。
■这项研究强调了在尼日利亚需要针对特定地区和以年龄为重点的干预措施，以增加避孕药具的使用。此外,为年轻和经济上处于不利地位的妇女增加避孕药具的可及性和可负担性，在促进妇女自主决策的同时，可以进一步加强尼日利亚各地的避孕药具使用。
