The role of women's empowerment and male engagement in pregnancy healthcare seeking behaviors in western Kenya
The role of women's empowerment and male engagement in pregnancy healthcare seeking behaviors in western Kenya
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DOI：
10.1080/03630242.2019.1567644
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发表时间：
2019-09-14
期刊：
影响因子：
1.6
通讯作者：
Turan, Janet M.
中科院分区：
文献类型：
--
作者：
Bello, Fatimah Oluwakemi;Musoke, Pamela;Turan, Janet M.
我们试图了解女性赋权和男性伴侣参与度是否与产前护理(ANC)的使用有关。2015年6月至2016年5月期间，在肯尼亚尼安萨省为非国大做介绍的妇女被邀请参加。共有137名孕妇和96名男性伴侣完成了基线评估。女性赋权使用修改后的性关系权力量表进行衡量。非国大使用措施包括非国大第一次访问的时间和访问次数。男性参与度是基于丈夫是否报告在怀孕期间陪同妻子进行一次或多次产前检查。使用多元线性和Logistic回归分析来确定与ANC的使用和时机独立相关的因素。平均赋权得分较高的女性在怀孕指数中可能有一次以上的ANC访问[调整后的优势比(AOR)=2.8，95%可信区间(CI)：1.1-7.3]，但赋权与早期使用ANC无关。权力更大的女性的丈夫报告与妻子一起参加非国大访问的可能性较小(AOR=0.1，95%CI：0.03-0.8)。妇女赋权很重要，可能与非国大以复杂的方式使用和接触男性伙伴有关。
We sought to understand whether women's empowerment and male partner engagement were associated with use of antenatal care (ANC). Women presenting for ANC in Nyanza province of Kenya between June 2015 and May 2016, were approached for participation. A total of 137 pregnant women and 96 male partners completed baseline assessments. Women's empowerment was measured using the modified Sexual Relationship Power Scale. ANC use measures included timing of the first ANC visit and number of visits. Male engagement was based on whether a husband reported accompanying his wife to one or more antenatal visits during the pregnancy. Multiple linear and logistic regression analyses were used to identify factors independently related to use and timing of ANC. Women with higher mean empowerment scores were likely to have more than one ANC visit in the index pregnancy [Adjusted Odds Ratio (AOR) = 2.8, 95% Confidence Interval (CI): 1.1-7.3], but empowerment was not associated with early ANC use. Women who were more empowered were less likely to have a husband who reported attending an ANC visit with his wife (AOR = 0.1, 95% CI: 0.03-0.8). Women's empowerment is important and may be related to ANC use and engagement of male partners in complex ways.