PDF(Pubmed)
Abstract：
BACKGROUND: Since the beginning of the family program in 1998, the proportion of married women who used contraception has fluctuated. An unmet need for contraception among women in Kyrgyzstan drastically increased from 2006 (1.1%) to 2014 (19.1%), and remained unchanged until 2018 (19.0%). This study aims to re-investigate the prevalence of an unmet need for contraception from 2006 to 2018 in a comprehensive manner, and examine the factors associated with an unmet need for contraception among married women over the course of 12 years in the Kyrgyz Republic.
METHODS: This is a cross-sectional study using secondary data that derived from the Multiple Indicator Cluster Survey (MICS). The study employed three datasets from the MICS 2006, 2014, and 2018. The study included a total of 9,229 women aged 15-49 who were married and fecund, and whose status of the met/unmet need for contraception could be identified. Logistic regression was employed to estimate the relationship of an unmet need for contraception with independent factors. A P value < 0.05 was set as statistically significant.
RESULTS: The prevalence of an unmet need for contraception was 19.9% in 2006, 20.4% in 2014, and 22.5% in 2018. Across 12 years, all reversible-contraceptive methods for women constantly declined. Although intrauterine devices were the prominent contraceptive method of usage among Kyrgyz women, the trend of usage drastically decreased over time. Factors associated with unmet need for contraception included women\'s age, area of residence, mother tongue of household head, age of husband, and number of children ever born.
CONCLUSIONS: The unmet need for contraception among married Kyrgyz women slightly increased, and the trend of modern contraceptive usage declined from 2006 to 2018, particularly the use of pills, injections, and intra-uterine devices. Comprehensive sexual health education for young people and youth-friendly services should be promoted. An effective and reliable supply chain of contraceptive commodities should be prioritized and strengthened. Regular supportive supervision visits are essential to improve the knowledge and skills of healthcare providers to be able to provide intrauterine device service as a contraceptive choice for Kyrgyz women.
METHODS: This is a cross-sectional study using secondary data that derived from the Multiple Indicator Cluster Survey (MICS). The study employed three datasets from the MICS 2006, 2014, and 2018. The study included a total of 9,229 women aged 15-49 who were married and fecund, and whose status of the met/unmet need for contraception could be identified. Logistic regression was employed to estimate the relationship of an unmet need for contraception with independent factors. A P value < 0.05 was set as statistically significant.
RESULTS: The prevalence of an unmet need for contraception was 19.9% in 2006, 20.4% in 2014, and 22.5% in 2018. Across 12 years, all reversible-contraceptive methods for women constantly declined. Although intrauterine devices were the prominent contraceptive method of usage among Kyrgyz women, the trend of usage drastically decreased over time. Factors associated with unmet need for contraception included women\'s age, area of residence, mother tongue of household head, age of husband, and number of children ever born.
CONCLUSIONS: The unmet need for contraception among married Kyrgyz women slightly increased, and the trend of modern contraceptive usage declined from 2006 to 2018, particularly the use of pills, injections, and intra-uterine devices. Comprehensive sexual health education for young people and youth-friendly services should be promoted. An effective and reliable supply chain of contraceptive commodities should be prioritized and strengthened. Regular supportive supervision visits are essential to improve the knowledge and skills of healthcare providers to be able to provide intrauterine device service as a contraceptive choice for Kyrgyz women.
摘要：
背景：自1998年家庭计划开始以来，使用避孕药具的已婚妇女比例一直在波动。从2006年(1.1%)到2014年(19.1%)，吉尔吉斯斯坦妇女未满足的避孕需求急剧增加，并在2018年之前保持不变（19.0%）。这项研究旨在以全面的方式重新调查2006年至2018年未满足的避孕需求的患病率。并研究与吉尔吉斯共和国已婚妇女在12年的过程中避孕需求未得到满足有关的因素。
方法：这是一项横断面研究，使用来自多指标类集调查（MICS）的次要数据。该研究采用了2006年、2014年和2018年MICS的三个数据集。这项研究共纳入了9229名年龄在15-49岁之间的已婚女性，以及可以确定谁满足/未满足避孕需求的状况。采用Logistic回归估计未满足的避孕需求与独立因素的关系。P值<0.05被设置为具有统计学意义。
结果：2006年未满足的避孕需求的患病率为19.9％，2014年为20.4％，2018年为22.5％。12年来,所有可逆的妇女避孕方法不断下降。尽管宫内节育器是吉尔吉斯斯坦妇女使用的主要避孕方法，随着时间的推移，使用趋势急剧下降。与未满足的避孕需求相关的因素包括女性的年龄，居住区,户主的母语,丈夫的年龄,以及出生孩子的数量。
结论：吉尔吉斯斯坦已婚妇女未满足的避孕需求略有增加，从2006年到2018年，现代避孕药具的使用趋势有所下降，特别是药丸的使用，注射,和子宫内装置。应促进对年轻人的全面性健康教育和对青年友好的服务。应优先考虑和加强有效和可靠的避孕商品供应链。定期的支持性监督访问对于提高医疗保健提供者的知识和技能至关重要，以便能够提供宫内节育器服务作为吉尔吉斯斯坦妇女的避孕选择。
方法：这是一项横断面研究，使用来自多指标类集调查（MICS）的次要数据。该研究采用了2006年、2014年和2018年MICS的三个数据集。这项研究共纳入了9229名年龄在15-49岁之间的已婚女性，以及可以确定谁满足/未满足避孕需求的状况。采用Logistic回归估计未满足的避孕需求与独立因素的关系。P值<0.05被设置为具有统计学意义。
结果：2006年未满足的避孕需求的患病率为19.9％，2014年为20.4％，2018年为22.5％。12年来,所有可逆的妇女避孕方法不断下降。尽管宫内节育器是吉尔吉斯斯坦妇女使用的主要避孕方法，随着时间的推移，使用趋势急剧下降。与未满足的避孕需求相关的因素包括女性的年龄，居住区,户主的母语,丈夫的年龄,以及出生孩子的数量。
结论：吉尔吉斯斯坦已婚妇女未满足的避孕需求略有增加，从2006年到2018年，现代避孕药具的使用趋势有所下降，特别是药丸的使用，注射,和子宫内装置。应促进对年轻人的全面性健康教育和对青年友好的服务。应优先考虑和加强有效和可靠的避孕商品供应链。定期的支持性监督访问对于提高医疗保健提供者的知识和技能至关重要，以便能够提供宫内节育器服务作为吉尔吉斯斯坦妇女的避孕选择。
