Non-use of contraception: determinants among Ugandan university students.
Non-use of contraception: determinants among Ugandan university students.
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DOI：
10.3402/gha.v5i0.18599
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发表时间：
2012-10-08
影响因子：
2.6
通讯作者：
Östergren PO
中科院分区：
文献类型：
--
作者：
Mehra D;Agardh A;Petterson KO;Östergren PO
在乌干达，少女怀孕往往导致不利的孕产妇和新生儿健康结果。在这种情况下，避孕药具使用率低和产妇死亡率高使得防止意外怀孕至关重要。目的是确定乌干达大学生中不使用避孕措施与社会人口因素、酒精消费和伴侣类型之间的关系。2010年，乌干达西南部姆巴拉拉科技大学的1 954名学生参加了一项横断面研究，使用自我填写的问卷来评估社会人口因素、酒精消费和包括使用避孕药具在内的性行为。采用多变量logistic回归进行分析，数据按性别分层。1179名学生（占研究人群的60.3%）报告说他们性活跃。其中，199人（18.6%）在最后一次性行为中没有采取避孕措施。目前没有恋爱关系的学生不使用避孕措施的几率更高（优势比为1.8,95%可信区间为1.2-2.7）。在控制了年龄、初次性行为、成长地区和户主的教育水平后，男性和女性的相关性仍然具有统计学意义。年龄（22岁或以下）、早期性行为（16岁或更早）和农村背景等社会人口统计学决定因素对男性有显著影响，但对女性没有显著影响。目前没有恋爱关系和过早性行为之间的协同效应也被观察到对不使用避孕措施有影响。乌干达大学生中不使用避孕措施的情况因男女而异，可能是由于性别权力关系。性健康和生殖健康政策和方案的设计应考虑到这些差异。
In Uganda, adolescent pregnancy often results in adverse maternal and neonatal health outcomes. In this context, low use of contraception and high rates of maternal mortality rate make preventing unwanted pregnancies critical. The objective was to determine the relationship between non-use of contraception and socio-demographic factors, alcohol consumption, and types of partner(s) among Ugandan university students. In 2010, 1,954 students at Mbarara University of Science and Technology in southwestern Uganda participated in a cross-sectional study whereby a self-administered questionnaire was used to assess socio-demographic factors, alcohol consumption, and sexual behaviour including the use of contraceptives. Multivariable logistic regression was used for the analysis and data were stratified by sex. 1,179 students (60.3% of the study population) reported that they were sexually active. Of these, 199 (18.6%) did not use contraception in their last sexual encounter. Students currently not in a relationship had higher odds of non-use of contraception (odds ratio 1.8, 95% confidence interval 1.2–2.7). The association remained statistically significant for both males and females after controlling for age, sexual debut, area of growing up, and educational level of the household head. Socio-demographic determinants of age (22 or younger), early sexual debut (at age 16 years or earlier), and a rural background were significant for males but not for females. A synergistic effect between not currently being in a relationship and early sexual debut were also observed to have an effect on the non-use of contraception. Non-use of contraception among Ugandan university students differs for males and females, possibly due to gendered power relations. Sexual and reproductive health policies and programmes should be designed to take these differences into account.
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影响因子：
4.5
作者：
Adhikari, Ramesh;Tamang, Jyotsna
通讯作者：
Tamang, Jyotsna
影响因子：
3.6
作者：
LaBrie, J;Earleywine, M;Marriot, C
通讯作者：
Marriot, C
影响因子：
2.1
作者：
Bankole, Akinrinola;Malarcher, Shawn
通讯作者：
Malarcher, Shawn
影响因子：
7.6
作者：
Aggarwal, O;Sharma, AK;Chhabra, P
通讯作者：
Chhabra, P
DOI：
10.2307/2673765
发表时间：
2001-05-01
期刊：
FAMILY PLANNING PERSPECTIVES
影响因子：
--
作者：
Ford, K;Sohn, W;Lepkowski, J
通讯作者：
Lepkowski, J