Relationships between antenatal and postnatal care and post-partum modern contraceptive use: evidence from population surveys in Kenya and Zambia.
Relationships between antenatal and postnatal care and post-partum modern contraceptive use: evidence from population surveys in Kenya and Zambia.
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DOI：
10.1186/1472-6963-13-6
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发表时间：
2013-01-04
影响因子：
2.8
通讯作者：
Hotchkiss D
中科院分区：
文献类型：
--
作者：
Do M;Hotchkiss D
在几乎没有支持性经验证据的情况下，人们常常假设，使用孕产妇保健的妇女比不使用现代避孕药具的妇女更有可能使用现代避孕药具。这项研究的目的是增加现有的文献之间的关联使用产前（ANC）和产后护理（PNC）和产后现代避孕药具。数据来自肯尼亚（2008 - 2009年）和赞比亚（2007年）最近的人口与健康调查。研究样本包括在调查前五年内活产的妇女（肯尼亚3667人，赞比亚3587人）。使用多变量比例风险模型来检查ANC和PNC服务使用强度与妇女在最近活产后采用现代避孕药具之间的关系。外源性测试证实，ANC和PNC服务的使用强度以及产后现代避孕措施的使用不受常见未观察到的因素的影响。Cox比例风险模型显示，两国ANC和PNC的服务强度与产后现代避孕药具使用之间存在显著关联。这种关系主要是由于非洲国民大会的服务；PNC服务强度与产后计划生育实践之间无显著关联。虽然产前避孕与产后计划生育使用之间缺乏联系可能是由于产前避孕服务强度有限，但该研究强调了通过产前避孕服务提供促进产后使用现代避孕药具的机会之窗。根据数据的可得性，进一步的研究应考虑到社区和设施一级的因素，这些因素可能影响现代避孕药具的使用，以检查产前避孕和产前避孕使用与产后计划生育实践之间的关系。
It is often assumed, with little supportive, empirical evidence, that women who use maternal health care are more likely than those who do not to use modern contraceptives. This study aims to add to the existing literature on associations between the use of antenatal (ANC) and post-natal care (PNC) and post-partum modern contraceptives. Data come from the most recent Demographic and Health Surveys (DHS) in Kenya (2008–09) and Zambia (2007). Study samples include women who had a live birth within five years before the survey (3,667 in Kenya and 3,587 in Zambia). Multivariate proportional hazard models were used to examine the associations between the intensity of ANC and PNC service use and a woman’s adoption of modern contraceptives after a recent live birth. Tests of exogeneity confirmed that the intensity of ANC and PNC service use and post-partum modern contraceptive practice were not influenced by common unobserved factors. Cox proportional hazard models showed significant associations between the service intensity of ANC and PNC and post-partum modern contraceptive use in both countries. This relationship is largely due to ANC services; no significant associations were observed between PNC service intensity and post-partum FP practice. While the lack of associations between PNC and post-partum FP use may be due to the limited measure of PNC service intensity, the study highlights a window of opportunity to promote the use of modern contraceptives after childbirth through ANC service delivery. Depending on the availability of data, further research should take into account community- and facility-level factors that may influence modern contraceptive use in examining associations between ANC and PNC use and post-partum FP practice.
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影响因子：
0.6
作者：
Lagro, Marieke;Liche, Agnes;van Roosmalen, Jos
通讯作者：
van Roosmalen, Jos
影响因子：
5.4
作者：
Magadi, MA;Madise, NJ;Rodrigues, RN
通讯作者：
Rodrigues, RN
影响因子：
2.1
作者：
GOLDBERG, HI;MCNEIL, M;SPITZ, A
通讯作者：
SPITZ, A
影响因子：
1.5
作者：
Hotchkiss, DR;Magnani, RJ;Heikel, J
通讯作者：
Heikel, J
影响因子：
2.1
作者：
LUCAS, D
通讯作者：
LUCAS, D