Prevalence and determinants of the use of modern contraceptive methods in Kinshasa, Democratic Republic of Congo
Prevalence and determinants of the use of modern contraceptive methods in Kinshasa, Democratic Republic of Congo
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DOI：
10.1016/j.contraception.2006.06.006
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发表时间：
2006-11-01
期刊：
影响因子：
2.9
通讯作者：
Mambu, Therese
中科院分区：
文献类型：
--
作者：
Kayembe, Patrick Kalambayi;Fatuma, Alphonsine Busangu;Mambu, Therese
简介：在2003年，在金沙萨进行了横断面研究，以确定流行率，并确定使用现代避孕方法之间的性活跃females.Methods的相关性：500育龄女性（15-49岁）谁是通过分层抽样程序选择了一个标准化的问卷进行了采访。结果：避孕药被认为是最广为人知的现代避孕方法，被43%的妇女提及，其中口服避孕药仅占28%，注射避孕药占16.2%，宫内节育器占8%，杀精泡沫占2%，子宫帽<2%。青少年和年轻人（15-24岁）对现代避孕方法的了解较少，而报告意外怀孕的比例很高。现代避孕方法（屏障避孕法和激素避孕法）的使用率估计为7%，男用避孕套是最常用的方法（74.3%的现代避孕方法使用者报告）。激素类药物的使用频率较低（口服避孕药，0.2%;其他药物，各< 1%）。目前使用现代避孕方法与曾与某人讨论过避孕方法[比值比（OR）3.18; 95%可信区间（95%CI）=1.52-6.64]和曾使用过现代避孕方法相关（OR= 11.57; 95%CI =2.71-49.48）。通过大众传播和人际传播提高对现代避孕方法的认识，可能是增加刚果民主共和国现代避孕方法的使用率。青少年应被视为优先群体，因为有证据表明他们的需求未得到满足。(c)2006爱思唯尔公司All rights reserved.
Introduction: In 2003, a cross-sectional study was carried out in Kinshasa to determine the prevalence and to identify the correlates of the use of modem contraceptive methods among sexually active females.Methods: Five hundred females of childbearing age (15-49 years) who were selected through a stratified sampling procedure were interviewed with a standardized questionnaire. The interview collected sociodemographic data, knowledge, perception and current use of modem contraceptive methods.Results: Condoms appear to be the most widely known modem contraceptive method since it was cited by 43% of women; the pill was cited by only 28%, injectables were cited by 16.2%, IUD was cited by 8%, spermicidal foam was cited by 2% and the diaphragm was cited by < 2%. Teenagers and young adults (15-24 years) were less knowledgeable of modem methods, while a noticeable proportion reported unwanted pregnancies. The prevalence of the utilization of modem contraceptive methods (barrier and hormonal methods) was estimated at 7%, with the male condom being the most commonly used method (reported by 74.3% of those using a modem method). Hormonal methods were used less often (the pill, 0.2%; others, < 1% each). The current use of a modem contraceptive method correlated with having discussed contraception with someone [odds ratio (OR) 3.18; 95% confidence interval (95% CI)=1.52-6.64] and having ever used a modem contraceptive method (OR= 11.57; 95% CI=2.71-49.48).Conclusion: An increase in the level of knowledge on modem contraceptive methods through mass and interpersonal communications could be one of the key strategies to increase the utilization rate of modem contraceptive methods in the Democratic Republic of Congo. Teenagers should be considered a priority group since there is evidence of unmet needs among them. (c) 2006 Elsevier Inc. All rights reserved.