Perceptions of peer contraceptive use and its influence on contraceptive method use and choice among young women and men in Kenya: a quantitative cross-sectional study.
Perceptions of peer contraceptive use and its influence on contraceptive method use and choice among young women and men in Kenya: a quantitative cross-sectional study.
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DOI：
10.1186/s12978-022-01331-y
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发表时间：
2022-01-21
影响因子：
3.4
通讯作者：
Speizer IS
中科院分区：
文献类型：
--
作者：
Calhoun LM;Mirzoyants A;Thuku S;Benova L;Delvaux T;van den Akker T;McGuire C;Onyango B;Speizer IS
先前的研究已经确定，一个人的社会环境可能会影响他或她的生殖行为，但很少有人知道同龄人对年轻人（15-24岁）使用避孕药具的影响。在肯尼亚，15-19岁的青少年中有15%已经开始生育，45%的性活跃年轻女性报告目前使用现代避孕方法。这突出表明，需要更好地了解哪些因素影响年轻人使用避孕药具。本研究的目的是探讨肯尼亚青年男女对同龄人使用避孕药具的看法与避孕药具使用和方法选择之间的关系。这项研究利用了2018年和2019年肯尼亚青年年度调查Shujaaz州15-24岁女性和男性的全国代表性样本。在性经验的年轻人（59%）的样本中，多变量多项逻辑回归被用来探讨同伴使用避孕药具的看法和受访者的避孕方法选择之间的关联：非用户，使用避孕套或使用任何其他现代方法。分别列出了青年男子和青年妇女的结果。我们的研究结果表明，有性经验的年轻男女认为他们的同龄人正在使用避孕药具，与不使用避孕套相比，他们更有可能报告目前使用避孕套（RR = 2.12，p < 0.001，RR = 2.59，p < 0.001）;与另一种现代避孕方法相比，他们更有可能使用避孕套（分别为RRR = 2.13，p = 0.034，RRR = 1.71，p = 0.014）。当年轻妇女认为她们的同龄人使用避孕药具时，她们更有可能使用另一种现代方法（不包括避孕套），而不是不使用避孕药具（RR = 1.51，p = 0.020）。这项研究的结果突出了同龄人的影响对年轻人避孕选择的重要作用。这些发现可用于制定鼓励肯尼亚行为改变沟通活动的计划，重点是在有性经验的年轻人同龄群体中正常使用各种避孕方法。在肯尼亚，15-19岁的妇女中约有15%已经生育，其中约三分之一当时不想生孩子。然而，大约45%的15-24岁的性活跃女性报告说，她们目前使用计划生育（FP）。在年轻人中，朋友和同龄人对行为有重要影响。这项研究的重点是肯尼亚有过性行为的男女青年（15-24岁）的代表性样本。男性和女性被问及有关使用FP的问题，如果他们认为他们的同龄人使用FP以及年龄和教育等特征。结果表明，认为同龄人使用FP的年轻女性和男性更有可能自己使用FP。此外，认为同龄人使用FP的年轻男女更有可能使用避孕套而不是不使用任何FP，更有可能使用避孕套而不是使用另一种现代FP方法。认为同龄人使用的年轻女性更有可能使用另一种现代方法（不包括避孕套），而不是不使用FP。针对年轻人的方案应包括关于一系列计划生育方法的信息，并旨在包括同龄人群体，鼓励公开讨论。
Prior research has established that an individual’s social environment may influence his or her reproductive behaviors, yet less is known about peer influence on contraceptive use among young people (ages 15–24). In Kenya, the site of this study, 15% of adolescents ages 15–19 have begun childbearing and 45% of sexually active young women report current use of a modern contraceptive method. This highlights the need to better understand what factors influence young people to use contraception. The objective of this study is to explore the relationship between the perception of peers’ use of contraceptives and contraceptive use and method choice among young men and women in Kenya. This study utilizes a nationally representative sample of women and men aged 15–24 years from the 2018 and 2019 cross sectional Shujaaz State of the Kenyan Youth annual surveys. Among the sample of sexually experienced young people (59%), multivariable multinomial logistic regression was used to explore the association between the perception of peers’ use of contraceptives and the respondent’s contraceptive method choice: non-user, condom use or use of any other modern method. Results are presented separately for young men and young women. Our results show that sexually experienced young men and women who perceive that their peers are using contraceptives are more likely to report current use of condoms compared to being a nonuser (RRR = 2.12, p < 0.001, RRR = 2.59, p < 0.001, respectively); they are also more likely to use condoms than another modern method of contraception (RRR = 2.13, p = 0.034, RRR = 1.71, p = 0.014, respectively). Young women are more likely to use another modern method (not including condoms) than be a nonuser when they perceive that their peers’ use contraceptives (RRR = 1.51, p = 0.020). The results of this study highlight the important role of peer influence on young people’s contraceptive choices. These findings can be used to develop programs that encourage behavior change communication activities in Kenya that focus on normalizing use of a full range of contraceptive methods among peer groups of sexually experienced young people. In Kenya, about 15% of women age 15–19 have already had a birth and approximately one third of these women did not want to have a child at that time. Yet about 45% of sexually active women ages 15–24 report that they currently use family planning (FP). Among young people, friends and peers are an important influence on behaviors. This study focused on a representative sample from Kenya of female and male youth (ages 15–24) who ever had sex. Men and women were asked questions about use of FP, if they think their peers use FP and about characteristics such as age and education. The results showed that young women and men who believed their peers use FP were more likely to use FP themselves. Also, young men and women who believed that peers use FP were more likely to use condoms than not use any FP and more likely to use condoms than to use another modern method of FP. Young women who thought their peers use were more likely to use another modern method (not including condoms) than to be a nonuser of FP. Programs targeting young people should include information on a range of FP methods and aim to include groups of peers and encourage open discussion.
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影响因子：
1.6
作者：
Harrison A;Smit J;Hoffman S;Nzama T;Leu CS;Mantell J;Stein Z;Exner T
通讯作者：
Exner T
影响因子：
3.4
作者：
Chandra-Mouli V;Parameshwar PS;Parry M;Lane C;Hainsworth G;Wong S;Menard-Freeman L;Scott B;Sullivan E;Kemplay M;Say L
通讯作者：
Say L
影响因子：
2.9
作者：
Gonsalves, Lianne;Wyss, Kaspar;Hilber, Adriane Martin
通讯作者：
Hilber, Adriane Martin
影响因子：
3.4
作者：
Fikree FF;Lane C;Simon C;Hainsworth G;MacDonald P
通讯作者：
MacDonald P
影响因子：
2.9
作者：
Ahinkorah BO
通讯作者：
Ahinkorah BO