■国际发展议程强调普及计划生育,如可持续发展目标3.7所示。然而,发展中国家现代避孕方法的使用率仍然很低,特别是在西非。这项研究旨在评估该地区避孕药具的使用现状,专注于不同的方法。
■我们分析了来自13个西非国家(2012-2022年)的人口和健康调查数据,涉及117,165名已婚妇女。使用二元和多元多项逻辑回归,我们确定了与避孕药具使用相关的关键因素.使用95%置信区间的调整后优势比,二元回归在p≤0.2时确定显著性,多元回归在p<0.05时确定显著性。
■大约80.86%的女性没有使用任何方法,而16.56%的女性使用现代方法。产妇年龄35-49岁(RRR=0.77,95%CI,0.72,0.82),20年后第一次分娩(RRR=0.80,95%CI,0.77,0.83),20岁后同居(RRR=1.24,95%CI,1.18,1.29),被雇用(RRR=1.38,95%CI,1.33,1.43),有3-5个孩子和5个以上孩子的女性(RRR=2.06,95%CI,1.97,2.16,和(RRR=2.57,95%CI,2.42,2.74),主要(RRR=1.59,95%CI,1.52,1.66),中等/高等教育(RRR=2.08,95%CI,1.99,2.18),产前访视(RRR=1.38,95%CI1.28,1.49),机构交付(AOR=1.42,95%CI,1.35,1.49),丈夫工作状况(RRR=1.39,95%CI,1.28,1.51),培养基暴露(RRR=1.23,95%CI,1.19,1.28),多次访问医疗机构(RRR=1.09,95%CI,1.05,1.13),农村妇女(RRR=0.89,95%CI,0.85,0.93),女性家庭(RRR=0.79,95%CI,0.76,0.83),更富有(RRR=1.42,95%CI,1.33,1.51),和最富有的财富指数(RRR=1.69,95%CI,1.58,1.82)相关。
■这项研究显示,西非妇女使用避孕药具的水平较低。加强孕产妇生殖健康服务,例如产前护理,机构交付,和健康访问,同时也针对大众媒体和处境不利的妇女,有可能大大增加现代避孕技术的采用。
UNASSIGNED: The international development agenda emphasizes universal access to family planning, as seen in Sustainable Development Goal 3.7. However, the use of modern contraceptive methods remains low in developing countries, specifically in West Africa. This study aimed to assess the current status of contraceptive use in the region, focusing on different methods.
UNASSIGNED: We analyzed Demographic and Health Survey data from 13 West African nations (2012-2022) involving 117,165 married women. Using binary and multiple multinomial logistic regression, we identified key factors associated with contraceptive use. Adjusted odds ratios with 95% confidence intervals were utilized, and significance was determined at p ≤ 0.2 for binary regression and p < 0.05 for multiple multinomial regression.
UNASSIGNED: About 80.86% of women did not use any method, while 16.56% of women used modern methods. Maternal age of 35-49 years (RRR=0.77, 95% CI, 0.72,0.82), had given first birth after 20 years (RRR=0.80,95% CI, 0.77,0.83), cohabitation after 20 years old (RRR=1.24,95% CI, 1.18,1.29), being employed (RRR=1.38,95% CI, 1.33,1.43), women who have from 3-5, and more than five living children (RRR=2.06,95% CI,1.97,2.16, and (RRR=2.57, 95% CI, 2.42,2.74), primary(RRR=1.59, 95% CI, 1.52,1.66), secondary/higher education (RRR=2.08, 95% CI, 1.99,2.18), antenatal visit (RRR= 1.38, 95% CI 1.28,1.49), institutional delivery(AOR=1.42, 95% CI, 1.35,1.49), husband working status (RRR=1.39, 95% CI, 1.28,1.51), media exposure(RRR=1.23, 95% CI, 1.19,1.28), visited health facility more than once (RRR=1.09, 95% CI, 1.05,1.13), rural women (RRR=0.89,95% CI,0.85,0.93), female households (RRR=0.79, 95% CI,0.76,0.83), richer (RRR=1.42, 95% CI,1.33,1.51), and richest wealth indexes (RRR=1.69,95% CI,1.58,1.82) were associated.
UNASSIGNED: This study revealed a low level of contraceptive use among women in West Africa. Strengthening maternal reproductive health services, such as antenatal care, institutional delivery, and health visits, while also targeting mass media and disadvantaged women, has the potential to significantly increase the adoption of modern contraception techniques.