Trends and determinants of contraceptive use in Rakai District, Uganda, 1995-98
Trends and determinants of contraceptive use in Rakai District, Uganda, 1995-98
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DOI：
10.1111/j.1728-4465.2000.00217.x
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发表时间：
2000-09-01
影响因子：
2.1
通讯作者：
Gray, RH
中科院分区：
文献类型：
--
作者：
Lutalo, T;Kidugavu, M;Gray, RH
1995年至1998年进行的一项前瞻性研究评估了乌干达Rakai区农村地区避孕药具使用的趋势。在30个月的时间里，妇女使用现代避孕药具的比例从2%大幅上升到20%。男用避孕套的使用率从10%上升到17%。15-49岁性活跃妇女的怀孕率从15%大幅下降到13%。为预防怀孕而实行计划生育的妇女主要在20-39岁年龄组，已婚，受过良好教育，比其他人有更高的产次，而采用避孕套的妇女或男子主要是年轻，未婚，受过良好教育。在报告有多个性伴侣或婚外关系的个人中，安全套的使用率特别高。在希望少生孩子的妇女、希望间隔生育或终止生育的妇女以及有过意外生育或堕胎经历的妇女中，避孕药具的使用率较高。艾滋病毒风险的自我认知增加了安全套的使用，但艾滋病毒检测和咨询只有适度的影响。预防怀孕和预防艾滋病毒/性传播疾病的避孕措施是相辅相成的。
A prospective study conducted between 1995 and 1998 assessed trends in contraceptive use in rural Rakai District, Uganda. Over a period of 30 months, women's use of modern contraceptives increased significantly from II percent to 20 percent. Male condom use increased from 10 percent to 17 percent. The prevalence of pregnancy among sexually active women 15-49 declined significantly from 15 percent to 13 percent. Women practicing family planning for pregnancy prevention were predominantly in the 20-39-year age group, married, better educated, and had higher parity than others, whereas women or men adopting condoms were predominantly young, unmarried, and better educated. Condom use was particularly high among individuals reporting multiple sexual partners or extramarital relationships. Contraceptive use was higher among women who desired fewer children, among those who wished to space or terminate childbearing, and among women with previous experience of unwanted births or abortions. Self-perception of HIV risk increased condom use, but HIV testing and counseling had only modest effects. Contraception for pregnancy prevention and for HIV/STD prophylaxis are complementary.