Cell phone ownership and modern contraceptive use in Burkina Faso: implications for research and interventions using mobile technology
Cell phone ownership and modern contraceptive use in Burkina Faso: implications for research and interventions using mobile technology
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DOI：
10.1016/j.contraception.2018.11.006
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发表时间：
2019-03-01
期刊：
影响因子：
2.9
通讯作者：
Choi, Yoonjoung
中科院分区：
文献类型：
--
作者：
Greenleaf, Abigail R.;Ahmed, Saifuddin;Choi, Yoonjoung
目标：撒哈拉以南非洲有4.2亿手机用户，使用个人手机进行公共卫生研究和干预的机会正在增加。我们评估了布基纳法索妇女手机拥有量与现代避孕药具使用之间的关系，以了解利用手机调查跟踪计划生育指标或远程提供计划生育干预的机会。研究设计：我们分析了2016年11月至2017年1月期间对布基纳法索育龄妇女进行的具有全国代表性的横断面人口调查数据，即2020年绩效监测和问责制第4轮。结果：在3215名15至49岁的女性受访者中，47%的人表示拥有手机。总体而言，22%的妇女报告目前使用现代避孕药具。拥有手机的妇女比没有手机的妇女更有可能报告使用现代避孕措施（29%对15%）。调整协变量（年龄、财富、教育、居住地区和婚姻状况）后，手机拥有者报告使用现代避孕措施的几率比非手机拥有者高68%（优势比=1.68,95%置信区间1.32.1）。与其他人群相比，拥有手机的人群的方法组合更加多样化。结论：该研究表明，在布基纳法索，手机拥有率与现代避孕药具的使用显著相关，即使在调整了妇女的社会人口特征之后也是如此。这些结果表明，在计划计划生育项目或使用手机进行调查时，需要解决手机拥有选择性和相关偏见。启示：手机可以用于无数的计划生育目的，从保密数据收集到避孕推广和知识传播，但所有权偏见是显著的。基于手机的干预或基于人群的调查不太可能达到意外怀孕最高风险人群的临界质量。(C) 2018年作者。Elsevier Inc.出版。
Objectives: With over 420 million unique cell phone subscribers in sub-Saharan Africa, the opportunities to use personal cell phones for public health research and interventions are increasing. We assess the association between cell phone ownership and modem contraceptive use among women in Burkina Faso to understand the opportunity to track family planning indicators using cell phone surveys or provide family planning interventions remotely.Study design: We analyzed data from a cross-sectional, nationally representative population-based survey of women of reproductive age in Burkina Faso, the Performance Monitoring and Accountability 2020 Round 4, which was conducted between November 2016 and January 2017.Results: Among the 3215 female respondents aged 15 to 49 years, 47% reported cell phone ownership. Overall, 22% of women reported current modern contraceptive use. Women who owned a cell phone were more likely to report modern contraceptive use than those who did not (29% versus 15%). Adjusted for covariates (age, wealth, education, area of residence and marital status), the odds of reporting modern contraceptive use were 68% higher among cell phone owners compared to nonowners (odds ratio=1.68, 95% confidence interval 1.32.1). Method mix was substantially more diverse among those who owned cell phones compared to their counterparts.Conclusions: The study shows that cell phone ownership is significantly associated with modern contraceptive use in Burkina Faso, even after adjusting for women's sociodemographic characteristics. These results suggest that cell phone ownership selectivity and associated biases need to be addressed when planning family planning programs or conducting surveys using cell phones. Implications: Cell phones can be used for myriad family planning purposes, from confidential data collection to contraceptive promotion and knowledge dissemination, but ownership bias is significant. A cell-phone-based intervention or population-based survey is unlikely to reach a critical mass of the population at highest risk for unintended pregnancy. (C) 2018 The Authors. Published by Elsevier Inc.