Social and provider networks and women's contraceptive use: Evidence from Madagascar.
Social and provider networks and women's contraceptive use: Evidence from Madagascar.
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社会和提供商网络以及妇女的避孕药使用：马达加斯加的证据。
DOI：
10.1016/j.contraception.2021.04.013
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发表时间：
2021-08
期刊：
影响因子：
2.9
通讯作者：
Krezanoski PJ
中科院分区：
文献类型：
--
作者：
Comfort AB;Harper CC;Tsai AC;Moody J;Perkins JM;Rasolofomana JR;Alperin C;Ranjalahy AN;Heriniaina R;Krezanoski PJ
妇女可能因是否依赖保健提供者和/或社会关系寻求有关计划生育的信息和建议而有所不同。目前尚不清楚这些差异是否会对避孕结果产生影响。这项研究评估了妇女计划生育(FP)网络(社会和/或提供者关系)与避孕用具使用之间的关系。这项横断面、以自我为中心的网络研究是在马达加斯加农村地区的育龄妇女(n=193)中进行的。数据包括社会人口统计数据和避孕用具使用情况。受访者列出了他们在避孕信息、建议或指导方面所依赖的人，并提供了他们的性别、年龄、关系和对避孕措施使用的感知支持。主要结果是目前避孕药的使用情况。预测因素包括具有FP网络(0/1)和FP网络构成(无网络、仅有社交关系、仅有提供者关系、既有提供者又有社会关系)。使用广义线性模型进行分析，该模型指定泊松分布，具有协变量调整和集群稳健标准误差。与没有计划生育网络相比，有个人网络可以寻求避孕信息与避孕措施的使用呈正相关(调整后的相对风险[ARR]4.4，95%可信区间[CI]2.00-9.87)。与没有FP网络相比，拥有社交网络、提供者网络或社交网络和提供者网络的组合都与避孕用具的使用正相关(分别为ARR 4.30[CI 1.92-9.66]、ARR 4.46[CI 2.04-9.75]、ARR 4.72[CI 1.93-11.50])。与没有计划生育网络的女性相比，依赖社会关系、提供者关系或两者兼而有之的女性使用避孕药具的比例更高。这些发现表明，计划生育干预应该使用多成分的方法，同时考虑到社会和提供者网络。尚不清楚妇女是否依赖社会关系(朋友、伴侣、家庭成员)与提供避孕信息和建议的提供者之间的差异是否会影响避孕结果。女性无论是依靠社会关系、提供者关系，还是两者兼而有之，都有可能使用避孕措施。
Women may differ by whether they rely on health providers and/or social ties for seeking information and advice about family planning. It is unknown whether these differences matter for contraceptive outcomes. This study assessed the association between women’s family planning (FP) network (social and/or provider ties) and contraceptive use. This cross-sectional, egocentric network study was conducted among reproductive-age women (n=193) in rural Madagascar. Data included socio-demographics and contraceptive use. Respondents listed who they relied on for contraceptive information, advice or guidance and provided ties’ gender, age, relationship, and perceived support of contraceptive use. The primary outcome was current contraceptive use. Predictors included having a FP network (0/1) and FP network composition (no network, social ties only, provider ties only, both provider and social ties), respectively. Analyses were conducted using a generalized linear model specifying a Poisson distribution, with covariate adjustment and cluster robust standard errors. Having a network of individuals to turn to for contraceptive information compared to having no FP network was positively associated with contraceptive use (adjusted relative risk [aRR] 4.4, 95% confidence interval [CI] 2.00-9.87). Having a social network, a provider network, or a combination of social and provider network were all positively associated with contraceptive use (aRR 4.30 [CI 1.92-9.66], aRR 4.46 [CI 2.04-9.75], aRR 4.72 [CI 1.93-11.50], respectively), compared to having no FP network. Contraceptive use was higher among women who relied on social ties, provider ties or both for contraceptive information and advice, compared to women with no FP network. These findings suggest that FP interventions should use a multi-component approach taking into account both social and provider networks. It is unknown whether differences in whether women rely on social ties (friends, partner, family members) versus providers for contraceptive information and advice affect contraceptive outcomes. Women are just as likely to use contraception whether they rely on social ties, provider ties, or both for contraceptive information and advice.
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实际与感知的艾滋病毒测试规范和个人艾滋病毒测试吸收：乌干达农村的横断面，基于人群的研究。
影响因子：
4.4
作者：
Perkins JM;Nyakato VN;Kakuhikire B;Mbabazi PK;Perkins HW;Tsai AC;Subramanian SV;Christakis NA;Bangsberg DR
通讯作者：
Bangsberg DR
DOI：
10.11604/pamj.2016.24.39.5836
发表时间：
2016
期刊：
The Pan African medical journal
影响因子：
--
作者：
Alege SG;Matovu JK;Ssensalire S;Nabiwemba E
通讯作者：
Nabiwemba E
影响因子：
2.5
作者：
Montgomery, MR;Casterline, JB
通讯作者：
Casterline, JB
影响因子：
9.1
作者：
Sandberg, J
通讯作者：
Sandberg, J
影响因子：
5.4
作者：
Kincaid, DL
通讯作者：
Kincaid, DL