Contraceptive preferences and use among auto artisanal workers in the informal sector of Kumasi, Ghana: a discrete choice experiment
Contraceptive preferences and use among auto artisanal workers in the informal sector of Kumasi, Ghana: a discrete choice experiment
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DOI：
10.1186/s12978-015-0022-y
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发表时间：
2015-04-12
影响因子：
3.4
通讯作者：
Addy, Ernestine A.
中科院分区：
文献类型：
--
作者：
Agyei-Baffour, Peter;Boahemaa, Mary Yaa;Addy, Ernestine A.
背景：加纳，特别是阿散蒂地区的避孕药具使用率仍然很低。这可能部分是由于产品的特性和选择受到消费者在确定哪种方法提供最佳组合时的属性效用权衡的影响，考虑到做出选择的个人的需求和愿望。该研究旨在确定避孕药的具体属性如何影响手工自动机械师的陈述偏好的一个假设的避孕药具的使用在Tafo-Suame工业区的库马西，Ghana.Methods：一个离散的选择实验进行了手工自动机械师在研究领域从2011年5月至9月。根据焦点小组讨论和结构化问卷之前的深入访谈的属性总结，创建了离散选择实验（VCE）。使用的属性为;副作用、可逆性、易用性、预防怀孕和性传播感染（STI）的能力、获取方法的价格和隐私以及吸引力。共有340名年龄在15至49岁之间的知情受访者参加了这项研究。数据输入Access和Sawtooth软件SSI Web CAPi模块，然后导出到Stata进行analysis.Results：该研究表明，避孕知识的普及（99.4%），曾经使用过87%，目前正在使用的方法，58%。研究显示，方法的可逆性（β = 21.74; 95% CI：20.17，23.3）、最小过敏反应（β = 13.93; 95% CI：12.8，15.05）和对血压无影响（β = 12.71; 95% CI：11.62，13.79）与避孕偏好和使用密切相关。虽然避孕药的能力，以防止“只有怀孕”，（β = -15.13：95% CI：-16.2，-14.02;“仅STI”）（β = -11.65; 95% CI：-11.84，-11.46）;性活动期间中断（beta = -4.26，95%CI：-5.19，3.34），对避孕选择和使用有较大的负向影响。结论：本研究证实了避孕属性对知情选择、使用和偏好的影响程度。它揭示了可逆性，副作用和防止怀孕和性传播感染的能力是主要的重要属性。研究结果对避孕药具的开发、采用和其他计划生育方案的执行具有影响。
Background: Contraceptive uptake in Ghana, especially in the Ashanti region remains low. This may be partly due to products' characteristics and choice which are influenced by attribute utility trade-offs by consumers in determining which method offers the optimal combinations, given the needs and desires of the individuals making the choice. The study sought to determine how specific attributes of contraceptives influence artisanal auto mechanics' stated preferences for a hypothetical contraceptive use in the Tafo-Suame industrial area of Kumasi, Ghana.Methods: A discrete choice experiment was conducted with artisanal auto mechanics in the study area from May to September 2011. Based on the summary of the attributes from the focus group discussion and in-depth interviews preceded administration of structured questionnaire, a discrete choice experiment (DCE) was created. The attributes used were; side effects, reversibility, ease of use, ability to prevent both pregnancy and sexually transmitted infection (STI's), price and privacy in acquiring and attractiveness of the method. A total of 340 consented respondents aged 15 to 49 years participated in the study. Data were entered in Access and Sawtooth software SSI Web CAPi module and then exported to Stata for analysis.Results: The study showed a universal (99.4%) knowledge on contraception, ever used 87% and currently using a method, 58%. The study revealed that methods' reversibility (beta = 21.74; 95% CI: 20.17, 23.3), minimal allergic reaction (beta = 13.93; 95% CI: 12.8, 15.05) and no effect on blood pressure (beta = 12.71; 95% CI: 11.62, 13.79), were strongly associated with contraceptive preference and use. While contraceptives' ability to prevent "only pregnancy", (beta = -15.13: 95% CI: -16.2, -14.02; "only STI's") (beta = -11.65; 95% CI: -11.84, -11.46); and interrupt during sexual activity (beta = -4.26; 95% CI: -5.19, 3.34), had large negative influence on contraceptive preference and use.Conclusion: The study has documented the magnitude of the effects of contraceptive attributes on informed choice, use, preference. It revealed that reversibility, side effects and ability to prevent both pregnancy and STI's are the major important attributes that. The findings have implications on contraceptive development, uptake and the implementation of other family planning programmes.