Receiving voluntary family planning services has no relationship with the paradoxical situation of high use of contraceptives and abortion in Vietnam: a cross-sectional study
Receiving voluntary family planning services has no relationship with the paradoxical situation of high use of contraceptives and abortion in Vietnam: a cross-sectional study
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DOI：
10.1186/1472-6874-12-14
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发表时间：
2012-05-28
影响因子：
2.5
通讯作者：
Budiharsana, Meiwita P.
中科院分区：
文献类型：
--
作者：
Phuong Hong Nguyen;Budiharsana, Meiwita P.
背景：越南呈现出一种矛盾的情况，即高避孕普及率与高堕胎率同时存在。本研究调查了接受自愿计划生育 (VFP) 服务的自我报告与人工流产之间的关联。方法：在太原省进行了一项横断面调查，共覆盖 1281 名妇女。数据来自 935 名 18-49 岁已婚女性样本，她们曾经使用过避孕药具 (93.5%) 和当前使用避孕药具 (84%)，并且有完整的生育史。因变量是人工流产和重复（两次或多次）人工流产的可能性。主要自变量是接受了三个 VFP 维度（咨询、更广泛的信息和可用性）。考虑到女性的社会人口特征，使用多变量逻辑回归分析了这种关联。结果：总体人工流产率为每 100 例妊娠中有 19.4 例。 VFP 的三个维度均与人工流产或重复人工流产的几率没有显着相关。母亲年龄在 35 岁或以上，有超过 3 个孩子，并且曾经使用过女性避孕方法，人工流产的几率显着增加一倍或更多，重复流产的几率显着增加两倍。 结论：结果表明，接受 VFP 服务的妇女进行人工流产的可能性并不低。未来需要在一套新的政策和计划战略中加强提供计划生育咨询、有关避孕方法组合的信息以及确保可用性的管理技能。
Background: Vietnam shows a paradoxical situation where high contraceptive prevalence goes together with high abortion rates. This study examined the associations between self-reports of having received voluntary family planning (VFP) services and induced abortions.Methods: A cross sectional survey was conducted in Thai Nguyen province, covering a total of 1281 women. Data were derived from a sample of 935 married women aged 18-49 years who were ever-users (93.5%) and current users of contraceptives (84%), and had completed birth histories. The dependent variables were the likelihood of having an induced abortion and repeated (two or more) induced abortions. The main independent variable was having received the three VFP dimensions (counselling, broader information, and access to availability). The association was examined using multivariate logistic regressions, taking into account women's socio-demographic characteristics.Results: The overall induced abortion percentage was 19.4 per 100 pregnancies. None of the three VFP dimensions was significantly associated with the odds of having an induced abortion or having repeated induced abortions. Mother's age of 35 or older, having more than three living children, and ever used female contraception methods significantly doubled or more the odds of having an induced abortion and significantly tripled the odds of having repeated abortions.Conclusions: Results indicate that women receiving VFP services were not less likely to have induced abortions. The provision of family planning counselling, information on contraceptive method mix, and management skills to ensure availability, are in need of reinforcement in a new set of policy and program strategies in the future.