Use of family planning services and its relationship with women's decision-makingand support from their partner

Use of family planning services and its relationship with women's decision-makingand support from their partner
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DOI:
10.1590/s0036-36342008000600008
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发表时间:
2008-12-01
期刊:
Salud Pública de México
影响因子:
--
通讯作者:
Maternowska, Catherine
Maternowska, Catherine
中科院分区:
其他
文献类型:
--
作者:
Estrada, Fátima;Hernández-Girón, Carlos;Maternowska, Catherine

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目标。利用计划生育服务查明生殖特征和赋予妇女权力的影响。材料和方法。墨西哥瓜纳华托州社区对照病例和非病例设计(2003年期间计划生育服务使用者147人,非使用者146人)。构建了各种指标来评价妇女赋权及其与计划生育的关系。结果。计划生育服务的使用与妇女的决策权(高比值:OR 3.2, CI95% 1.4-7.4)、与伴侣在避孕药具使用方面的高水平沟通(OR 3.5, CI95% 1.4-9.3)呈正相关且显著相关;怀孕人数较多(6名儿童:OR 4.4, CI95% 1.4-13.8)。结论。女性决策水平高和伴侣对避孕药具使用的更多支持等因素与计划生育服务的使用有关。因此,制定让男子参与并支持赋予妇女权力的战略可以有助于增加计划生育服务的使用。
Objective. To identify the influence of reproductive characteristics and women empowerment with the use of family planning services. Material and Methods. Cases and non-cases design with neighborhood controls (147 users and 146 non-users of family planning services during 2003), in Guanajuato State, Mexico. Various indexes were constructed to evaluate women's empowerment and its relationship with family planning use. Results. The use of family planning services was positively and significantly associated with the woman's power to make decisions (High: OR 3.2, CI95% 1.4-7.4), a high level of communication with her partner on contraceptive use (OR 3.5, CI95% 1.4-9.3); and a greater number of pregnancies (> 6 children: OR 4.4, CI95% 1.4-13.8). Conclusion. Factors such as a high level of female decision-making and more partner support for contraceptive use are related to the use of family planning services. Therefore, developing strategies that involve men and support female empowerment could contribute to increasing the use of family planning services.