Barriers to modern contraceptive methods uptake among young women in Kenya: a qualitative study.
Barriers to modern contraceptive methods uptake among young women in Kenya: a qualitative study.
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DOI：
10.1186/s12889-015-1483-1
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发表时间：
2015-02-10
影响因子：
4.5
通讯作者：
Kays M
中科院分区：
文献类型：
--
作者：
Ochako R;Mbondo M;Aloo S;Kaimenyi S;Thompson R;Temmerman M;Kays M
与老年妇女相比，肯尼亚的年轻妇女经历更高的不合时宜和意外怀孕的风险。然而，青年避孕药具的使用率仍然很低。已知的采用障碍包括副作用、获得商品和合作伙伴批准。为了向以青年为重点的行为改变宣传运动提供信息，肯尼亚人口服务局开展了一项定性研究，以更好地了解青年妇女中的这些障碍。这项研究在尼扬扎、海岸和中部地区进行。在这些区域内，根据避孕普及率接近区域平均水平和人口社会经济状况较低的情况，有目的地选择了城市或城郊地区。深入访谈进行了抽样调查的性活跃的妇女年龄在15-24岁，用户和非用户，这是从随机选择的家庭。研究中的所有受访者都熟悉现代避孕方法，大多数人都能描述其一般作用机制。许多使用者不认为避孕药是避孕药。避孕也与滥交和流浪有关。对副作用和不良反应的恐惧是使用的主要障碍。最大的恐惧是某种方法会导致不孕。许多恐惧是基于神话和误解。年轻女性从她们的社交网络中了解真实的副作用和神话。这项研究的结果证实，对避孕的认识和知识并不一定转化为使用。年轻妇女采用现代避孕方法的主要障碍是神话和误解。研究结果强调了社会网络认可对计划生育使用的影响，超出了个人的信仰。在这种情况下，计划生育方案应通过群众和同伴运动战略与更广泛的社区接触。作为这项研究的成果，肯尼亚人口服务组织开展了一项大众媒体运动，以解决青年人中的主要神话和误解。
Young women in Kenya experience a higher risk of mistimed and unwanted pregnancy compared to older women. However, contraceptive use among youth remains low. Known barriers to uptake include side effects, access to commodities and partner approval. To inform a youth focussed behaviour change communication campaign, Population Services Kenya developed a qualitative study to better understand these barriers among young women. The study was carried out in Nyanza, Coast, and Central regions. Within these regions, urban or peri-urban districts were purposively selected based on having contraceptive prevalence rate close to the regional average and having a population with low socioeconomic profiles. In depth interviews were conducted with a sample of sexually active women aged 15–24, both users and non-users, that were drawn from randomly selected households. All the respondents in the study were familiar with modern methods of contraception and most could describe their general mechanisms of action. Condoms were not considered as contraception by many users. Contraception was also associated with promiscuity and straying. Fear of side effects and adverse reactions were a major barrier to use. The biggest fear was that a particular method would cause infertility. Many fears were based on myths and misconceptions. Young women learn about both true side effects and myths from their social networks. Findings from this research confirm that awareness and knowledge of contraception do not necessarily translate to use. The main barriers to modern contraceptive uptake among young women are myths and misconceptions. The findings stress the influence of social network approval on the use of family planning, beyond the individual’s beliefs. In such settings, family planning programming should engage with the wider community through mass and peer campaign strategies. As an outcome from this study, Population Services Kenya developed a mass media campaign to address key myths and misconceptions among youth.
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影响因子：
2.2
作者：
Nzioka, C
通讯作者：
Nzioka, C
影响因子：
4.5
作者：
Mosha I;Ruben R;Kakoko D
通讯作者：
Kakoko D
DOI：
10.1098/rstb.2009.0166
发表时间：
2009-10-27
期刊：
Philosophical transactions of the Royal Society of London. Series B, Biological sciences
影响因子：
--
作者：
Ezeh AC;Mberu BU;Emina JO
通讯作者：
Emina JO
影响因子：
2.2
作者：
Kabiru, Caroline W.;Orpinas, Pamela
通讯作者：
Orpinas, Pamela
影响因子：
2.1
作者：
Rutenberg, N;Watkins, SC
通讯作者：
Watkins, SC