Pregnancy history and current use of contraception among women of reproductive age in Burundi, Kenya, Rwanda, Tanzania and Uganda: analysis of demographic and health survey data
Pregnancy history and current use of contraception among women of reproductive age in Burundi, Kenya, Rwanda, Tanzania and Uganda: analysis of demographic and health survey data
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DOI：
10.1136/bmjopen-2015-009991
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发表时间：
2016-01-01
期刊：
影响因子：
2.9
通讯作者：
Atela, Martin
中科院分区：
文献类型：
--
作者：
Bakibinga, Pauline;Matanda, Dennis J.;Atela, Martin
目的探讨东非育龄妇女（15- 49岁）避孕行为与妊娠史的关系。方法采用布隆迪（2010年）、肯尼亚（2008-2009年）、卢旺达（2010年）、坦桑尼亚（2010年）和乌干达（2011年）的人口与健康调查数据。采用Logistic回归分析方法，以布隆迪、肯尼亚、卢旺达、坦桑尼亚和乌干达为研究对象，研究对象分别为3226、2377、4396、3250和2596名育龄妇女（15- 49岁）分别来自布隆迪、肯尼亚、卢旺达、坦桑尼亚和乌干达，结果在肯尼亚、卢旺达、布隆迪和乌干达，经历过不合时宜怀孕的妇女在最近的性接触中更有可能使用现代避孕方法。与妇女使用避孕药具有关的其他重要因素是：想要更多的孩子、生育能力、家庭财富、母亲教育程度和通过广播获得信息。国内地区使用现代避孕方法的差异，指出在五个东非countries.Conclusions妇女的出生史显着相关，他们决定采用现代避孕方法。这突出表明，在东非推广避孕药具的使用时，必须考虑妇女的生育史，特别是生育时间不对的妇女。在东非区域增加使用现代避孕方法的努力中，应处理因居住地、教育程度、获得计划生育信息和产品的机会以及财富而造成的差异。
Objective To examine the relationship between pregnancy history and the use of contraception among women of reproductive age (15-49years) in East Africa.Methods Demographic and Health Surveys data from Burundi (2010), Kenya (2008-2009), Rwanda (2010), Tanzania (2010) and Uganda (2011) were used in the analysis. Logistic regression was used to determine the effects of women's pregnancy history on their use of contraception.Setting Burundi, Kenya, Rwanda, Tanzania and Uganda.Participants 3226, 2377, 4396, 3250 and 2596 women of reproductive age (15-49years) from Burundi, Kenya, Rwanda, Tanzania and Uganda, respectively, were included in the analysis.Results Women who had experienced a mistimed pregnancy were more likely to use a modern contraceptive method during their most recent sexual encounter in Kenya, Rwanda, Burundi and Uganda. Other significant correlates of women's contraceptive use were: desire for more children, parity, household wealth, maternal education and access information through radio. In-country regional differences on use of modern contraceptive methods were noted across five East African countries.Conclusions Women's birth histories were significantly associated with their decision to adopt a modern contraceptive method. This highlights the importance of considering women's birth histories, especially women with mistimed births, in the promotion of contraceptive use in East Africa. Variations as a result of place of residency, educational attainment, access to family planning information and products, and wealth ought to be addressed in efforts to increase use of modern contraceptive methods in the East African region.