Use of modern contraceptives among married women in Vietnam: a multilevel analysis using the Multiple Indicator Cluster Survey (2011) and the Vietnam Population and Housing Census (2009).
Use of modern contraceptives among married women in Vietnam: a multilevel analysis using the Multiple Indicator Cluster Survey (2011) and the Vietnam Population and Housing Census (2009).
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DOI：
10.3402/gha.v9.29574
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发表时间：
2016
影响因子：
2.6
通讯作者：
Le AT
中科院分区：
文献类型：
--
作者：
Vu LT;Oh J;Bui QT;Le AT
现代避孕药具使用普及率是反映生殖健康服务可及性的重要指标。仅满足未满足的计划生育需求就可以将孕产妇死亡人数减少近三分之一。本研究使用多个数据源来研究与越南 15-49 岁已婚女性使用现代避孕药具相关的多层次因素。来自不同国家调查（越南人口和住房普查、越南生活水平调查和多指标类集调查）的数据被链接起来，创建一个包括个人和背景（省）变量的数据集（N = 8,341）。采用多层次建模来研究个人和省份特征对现代避孕药具使用的影响。报告优势比 (OR) 和 95% 置信区间 (CI)。与现代避孕药具的使用显着相关的个体因素是年龄30-34岁（参考15-19岁）（OR=1.63）；高社会经济地位（SES）（OR=0.8）；有两个活着的孩子（OR=2.4）；并有一个儿子（OR=1.4）。省级贫困率调节了个人社会经济地位与使用现代避孕药具的可能性之间的关系。近年来，越南女性使用现代避孕方法的比例保持相对较高，但越南 63 个省份的差异显着。社会经济地位较低的女性更有可能使用现代避孕方法，尤其是在较贫困的省份。实现全民生殖健康是千年发展目标之一。越南必须继续在这一领域取得进展。
The prevalence of modern contraceptive use is an important indicator that reflects accessibility to reproductive health services. Satisfying unmet needs for family planning alone could reduce the number of maternal deaths by almost a third. This study uses multiple data sources to examine multilevel factors associated with the use of modern contraceptives among married women in Vietnam aged 15–49 years. Data from different national surveys (Vietnam Population and Housing Census, Vietnam Living Standard Survey, and Multiple Indicator Cluster Survey) were linked to create a dataset including individual and contextual (provincial) variables (N=8,341). Multilevel modeling was undertaken to examine the impact of both individual and provincial characteristics on modern contraceptive use. Odds ratios (ORs) and 95% confidence intervals (CIs) are reported. Individual factors significantly associated with the use of modern contraceptives were age 30–34 years (reference 15–19 years) (OR=1.63); high socioeconomic status (SES) (OR=0.8); having two living children (OR=2.4); and having a son (OR=1.4). The provincial poverty rate mediated the association between the individual's SES and the likelihood of using modern contraceptives. The proportion of women in Vietnam using modern contraceptive methods has remained relatively high in recent years with significant variation across Vietnam's 63 provinces. Women of lower SES are more likely to use modern contraceptive methods, especially in the poorer provinces. Achieving access to universal reproductive health is one of the Millennium Development Goals. Vietnam must continue to make progress in this area.