背景:塞拉利昂努力应对一个令人担忧的现实:青少年和年轻妇女对避孕的高度未满足的需求(AYW)。这意味着大量的意外怀孕,危害他们的健康,教育,和整体生活轨迹。为了有效地应对这一挑战,我们的目的是研究与塞拉利昂AYW中未满足的避孕需求相关的因素.
方法:该研究分析了2019年塞拉利昂人口和健康调查数据。共有1,796名年龄在15至24岁之间的已婚和同居AYW,代表全国代表性样本,包括研究。使用多变量二元回归分析来探索未满足的避孕需求的驱动因素。使用具有95%置信区间(CI)的校正比值比(AOR)来呈现回归结果。
结果:研究发现,29%的塞拉利昂人AYW的避孕需求未得到满足。AYW有三胎或三胎以上(AOR=6.80,95%CI=3.97,11.65),两胎(AOR=4.11,95%CI=2.50,6.76),一次出生(AOR=4.40,95%CI=2.81,6.88),过去几个月在电视上听到计划生育(AOR=1.94,95%CI=0.98,3.83),并且同居(AOR=1.88,95%CI=1.29,2.75)的避孕需求未得到满足的可能性更高。每周至少阅读一次报纸或杂志的AYW(AOR=0.11,95%CI=0.01,1.10)的避孕需求未得到满足的可能性较低。
结论:研究发现,塞拉利昂的AYW有很高的未满足需求,这表明预期和实际使用避孕药具之间存在显著差距,导致意外怀孕和潜在的不良健康和社会经济后果。奇偶校验,媒体曝光和同居与较高的未满足避孕需求相关,报纸/杂志读者与较低的未满足避孕需求相关.该研究强调需要增加获得负担得起的多样化避孕选择的机会,尤其是在农村地区。扩大电视以外的教育活动,包括印刷媒体和基于社区的干预措施。为AYW提供知识和权威,围绕他们的性和生殖健康做出明智的决定。
BACKGROUND: Sierra Leone grapples with a concerning reality: a high unmet
need for contraception among adolescents and young women (AYW). This translates to a multitude of unintended pregnancies, jeopardising their health, education, and overall life trajectory. To effectively address this challenge, we aim to examine the factors associated with the unmet
need for contraception among AYW in Sierra Leone.
METHODS: The study analysed the 2019 Sierra Leone Demographic and Health Survey data. A total of 1,796 married and cohabiting AYW aged 15 to 24 years, representing the nationally representative sample, comprised the study. A multivariable binary regression analysis was used to explore the drivers of unmet needs for contraception. The regression results were presented using an adjusted odds ratio (AOR) with 95% confidence intervals (CI).
RESULTS: The study found that 29% of Sierra Leonean AYW had an unmet
need for contraception. AYW with three or more births(AOR = 6.80, 95% CI = 3.97, 11.65), two births (AOR = 4.11, 95% CI = 2.50, 6.76), one birth (AOR = 4.40, 95% CI = 2.81, 6.88), heard family planning on TV last few months (AOR = 1.94, 95% CI = 0.98, 3.83), and are cohabiting (AOR = 1.88, 95% CI = 1.29, 2.75) had higher odds of unmet need for contraception. AYW who read the newspaper or magazine at least once a week (AOR = 0.11, 95% CI = 0.01, 1.10) had lower odds of unmet need for contraception.
CONCLUSIONS: The study found a high unmet
need among AYW in Sierra Leone, which indicates a significant gap between desired and actual contraceptive use, leading to unintended pregnancies and potentially adverse health and socio-economic consequences. Parity, media exposure and cohabitation were associated with a higher unmet need for contraception and newspaper/magazine readership was associated with a lower unmet
need for contraception. The study highlights the need to increase access to affordable and diverse contraceptive options, especially in rural areas. Expand educational campaigns beyond TV to include print media and community-based interventions. Provide AYWs with knowledge and authority to make well-informed decisions around their sexual and reproductive well-being.