目的:研究东非育龄妇女(15-49岁)妊娠史与避孕方法使用之间的关系。
方法:来自布隆迪的人口和健康调查数据(2010年),Kenya(2008-2009),卢旺达(2010年),坦桑尼亚(2010年)和乌干达(2011年)被用于分析。采用Logistic回归分析确定妊娠史对妇女使用避孕方法的影响。
方法:布隆迪,肯尼亚,卢旺达,坦桑尼亚和乌干达。
方法:3226、2377、4396、3250和2596名来自布隆迪的育龄妇女(15-49岁),肯尼亚,卢旺达,坦桑尼亚和乌干达,分别,包括在分析中。
结果:在肯尼亚最近的性接触中,经历过错误怀孕的女性更有可能使用现代避孕方法,卢旺达,布隆迪和乌干达。妇女使用避孕药具的其他重要相关因素是:希望有更多的孩子,奇偶校验,家庭财富,母亲教育和通过无线电获取信息。注意到五个东非国家在使用现代避孕方法方面的国内区域差异。
结论:妇女的出生史与她们决定采用现代避孕方法显著相关。这凸显了考虑女性出生史的重要性,尤其是那些错误生育的女性,在东非推广避孕药具的使用。由于居住地的变化,教育程度,获得计划生育信息和产品,在东非地区增加现代避孕方法的使用时,应该解决财富问题。
OBJECTIVE: To examine the relationship between pregnancy history and the use of contraception among women of reproductive age (15-49 years) in East Africa.
METHODS: Demographic and Health Surveys data from Burundi (2010), Kenya (2008-2009), Rwanda (2010), Tanzania (2010) and Uganda (2011) were used in the analysis. Logistic regression was used to determine the effects of women\'s pregnancy history on their use of contraception.
METHODS: Burundi, Kenya, Rwanda, Tanzania and Uganda.
METHODS: 3226, 2377, 4396, 3250 and 2596 women of reproductive age (15-49 years) from Burundi, Kenya, Rwanda, Tanzania and Uganda, respectively, were included in the analysis.
RESULTS: Women who had experienced a mistimed pregnancy were more likely to use a modern contraceptive method during their most recent sexual encounter in Kenya, Rwanda, Burundi and Uganda. Other significant correlates of women\'s contraceptive use were: desire for more children, parity, household wealth, maternal education and access information through radio. In-country regional differences on use of modern contraceptive methods were noted across five East African countries.
CONCLUSIONS: Women\'s birth histories were significantly associated with their decision to adopt a modern contraceptive method. This highlights the importance of considering women\'s birth histories, especially women with mistimed births, in the promotion of contraceptive use in East Africa. Variations as a result of place of residency, educational attainment, access to family planning information and products, and wealth ought to be addressed in efforts to increase use of modern contraceptive methods in the East African region.