Determinants of family planning service uptake and use of contraceptives among postpartum women in rural Uganda.
Determinants of family planning service uptake and use of contraceptives among postpartum women in rural Uganda.
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DOI：
10.1007/s00038-015-0683-x
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发表时间：
2015-12
影响因子：
4.6
通讯作者：
Kiene SM
中科院分区：
文献类型：
--
作者：
Sileo KM;Wanyenze RK;Lule H;Kiene SM
乌干达是全球未满足计划生育需求最多的国家之一，这与妇女健康状况不良和人口一级的公共卫生影响有关。本横断面研究确定了影响乌干达农村地区产后妇女计划生育服务接受和避孕药具使用的因素。参与者是258名妇女谁出席产前保健在乌干达农村医院。我们使用SPSS中的逻辑回归模型来确定产后计划生育服务接受和避孕药具使用的决定因素。对计划生育服务接受情况具有统计意义的预测因素包括：教育（AOR = 3.03，95% CI 1.57-5.83），既往使用避孕药（AOR = 7.15，95%CI 1.58-32.37），伴侣关于避孕措施的沟通（AOR = 1.80，95%CI 1.36-2.37）和自觉需要避孕（AOR = 2.57，95%CI 1.09-6.08）。自分娩以来避孕药具使用的统计学显著预测因素包括：教育（AOR = 2.04，95%CI 1.05-3.95），既往使用避孕药具（AOR = 10.79，95%CI 1.40-83.06）和伴侣关于避孕药具的沟通（AOR = 1.81，95%CI 1.34-2.44）。教育，合作伙伴的沟通，并认为需要计划生育产后计划生育服务的吸收和避孕药具的使用的关键决定因素，并应考虑在产前和产后计划生育咨询。
Uganda has one of the highest unmet needs for family planning globally, which is associated with negative health outcomes for women and population-level public health implications. The present cross-sectional study identified factors influencing family planning service uptake and contraceptive use among postpartum women in rural Uganda. Participants were 258 women who attended antenatal care at a rural Ugandan hospital. We used logistic regression models in SPSS to identify determinants of family planning service uptake and contraceptive use postpartum. Statistically significant predictors of uptake of family planning services included: education (AOR = 3.03, 95 % CI 1.57–5.83), prior use of contraceptives (AOR = 7.15, 95 % CI 1.58–32.37), partner communication about contraceptives (AOR = 1.80, 95 % CI 1.36–2.37), and perceived need of contraceptives (AOR = 2.57, 95 % CI 1.09–6.08). Statistically significant predictors of contraceptive use since delivery included: education (AOR = 2.04, 95 % CI 1.05–3.95), prior use of contraceptives (AOR = 10.79, 95 % CI 1.40–83.06), and partner communication about contraceptives (AOR = 1.81, 95 % CI 1.34–2.44). Education, partner communication, and perceived need of family planning are key determinants of postpartum family planning service uptake and contraceptive use, and should be considered in antenatal and postnatal family planning counseling.