Women's autonomy, education and contraception use in Pakistan: a national study.
Women's autonomy, education and contraception use in Pakistan: a national study.
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DOI：
10.1186/1742-4755-2-8
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发表时间：
2005-10-21
影响因子：
3.4
通讯作者：
Bobak M
中科院分区：
文献类型：
--
作者：
Saleem S;Bobak M
有人提出，妇女的自主权是教育如何影响发展中国家避孕用具使用的机制之一。我们在巴基斯坦全国范围内的女性样本中检验了这一假设。我们使用了2000年巴基斯坦生殖健康和计划生育调查，该调查访问了15-49岁已婚妇女的全国样本(n=6579)。妇女的决策自主权是从9个关于谁在家里做决定的问题来估计的；运动自主权是基于关于妇女是否需要许可才能去外面的地方的6个问题。在多变量分析中使用了一些社会人口学变量，以调查自主性和终生与当前避孕用法之间的独立关联，并评估自主性在多大程度上调节教育和避孕用法之间的关联。决策自主性与终身和当前避孕措施的使用显著相关；在控制协变量后，最高和最低五分位数的优势比分别为1.8(1.4-2.4)和2.0(1.4-2.8)。行动自主性与避孕用具的使用并不一致。避孕措施的使用与妇女的教育密切相关，但这种关系不受妇女自主权的调节。妇女的决策自主权与避孕用具的使用有很大关系，但似乎不能调和妇女教育和避孕之间的联系。
It has been proposed that the autonomy of women is one of the mechanisms of how education influences contraceptive use in developing countries. We tested this hypothesis in a national sample of women in Pakistan. We used the 2000 Pakistan Reproductive Health and Family Planning Survey, which interviewed a national sample of ever married women aged 15–49 years (n = 6579). Women's decision autonomy was estimated from 9 questions on who makes decisions at home; movement autonomy was based on 6 questions on whether women need permission to visit places outside home. A number of socio-demographic variables were used in multivariate analysis to investigate the independent association between autonomy and lifetime and current contraception use and to assess the extent to which autonomy mediates the association between education and contraception use. Decision autonomy was significantly associated with both lifetime and current contraception use; after controlling for covariates, the odds ratios for the highest vs. the lowest quintile were 1.8 (1.4–2.4) and 2.0 (1.4–2.8), respectively. Movement autonomy was not consistently associated with contraceptive use. Contraceptive use was strongly associated with women's education but this relation was not mediated by women's autonomy. Women's decision autonomy is significantly associated with contraceptive use but it does not appear to mediate the link between woman's education and contraception.