PDF(Pubmed)
Abstract：
Long-acting reversible contraceptive (LARC) method use is an ideal strategy for longer protection against unintended pregnancies, unsafe abortions, maternal morbidities, and mortalities related to pregnancies and childbirth. Despite low utilization of LARC methods in Ethiopia, early discontinuation remains a problem. This study aimed to assess prevalence of early discontinuation of LARC methods and associated factors in Hossana town. A community-based cross-sectional study was conducted among 433 adult women of reproductive age who had a history of LARC use. Logistic regression model was considered for the analysis. Proportion of LARC methods discontinuation within one year was 24.5%, 95% CI (20.6, 26.8%). Women whose age ≥ 30 years (AOR = 3.16, 95% CI: 1.27, 7.89), who had < 3 live children (AOR = 5.17, 95% CI 2.30, 11.61), who had a desire for pregnancy (AOR = 2.35, 95% CI 1.14, 4.85), who did not get pre-insertion counseling on the benefits of LARC methods (AOR = 1.79, 95% CI 1.01, 3.21) and who experienced side effects (AOR = 3.63, 95% CI 2.07, 6.38) were more likely to discontinue LARC methods early than their counterparts. Nearly one-fourth of clients discontinued using the LARC methods within the first year of insertion, highlighting the need to promote longer use for improved protection and success of family planning programs.
摘要：
长效可逆避孕（LARC）方法的使用是一种理想的策略，可以更长时间地防止意外怀孕。不安全堕胎,产妇发病率,以及与怀孕和分娩有关的死亡率。尽管LARC方法在埃塞俄比亚的利用率很低，早期停药仍然是一个问题。本研究旨在评估Hossana镇早期停用LARC方法的患病率及相关因素。对433名有LARC使用史的育龄成年女性进行了一项基于社区的横断面研究。采用Logistic回归模型进行分析。LARC方法在一年内停止的比例为24.5%，95%CI（20.6，26.8%）。年龄≥30岁的女性（AOR=3.16，95%CI：1.27，7.89），有<3个活儿的人(AOR=5.17，95%CI2.30，11.61)，谁有怀孕的愿望（AOR=2.35，95％CI1.14，4.85），未获得关于LARC方法获益的插入前咨询(AOR=1.79,95%CI1.01,3.21)和出现副作用的患者(AOR=3.63,95%CI2.07,6.38)比其他患者更有可能提前终止LARC方法.近四分之一的客户在插入的第一年内停止使用LARC方法，强调需要促进更长的使用，以改善计划生育方案的保护和成功。
