Contraceptive Demand, Utilization and Associated Factors Among University Female Students in Amhara Region, Ethiopia: Institution-Based Cross-Sectional Study.

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY Open access journal of contraception Pub Date : 2020-10-09 eCollection Date: 2020-01-01 DOI:10.2147/OAJC.S267966
Amare Simegn, Dawit Tiruneh, Tigist Seid, Florence Ayalew
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引用次数: 2

Abstract

Background: Worldwide, university students fall in the youth group which is prone to unattended sexual risks, including unintended pregnancies and sexually transmitted diseases. One of the key strategies to prevent these problems is to use contraceptives. Therefore, the study was aimed at assessing contraceptive utilization and factors hindering their utilization.

Objective: The objective of the study was to assess contraceptive demand, utilization, and associated factors among university female students in Amhara region, Ethiopia.

Methods: An institution-based cross-sectional study was conducted. From seven universities, three of them were randomly selected. A multistage sampling method was used. Finally, a simple random sampling method was used to select the respondents. Data were entered via Epi-data version 3.1 and exported to SPSS version 20 for analysis. Bivariable and multivariable logistic regression analyses were employed. Results are presented using text, tables, and graphs.

Results: A total of 1276 respondents participated in the study with a response rate of 98.8%. The median age of the participants is 21.37 years (SD=1.88 years). About 398 (31.2%) of the respondents had sexual intercourse within the last 12 months. However, only 207 (16.2%) of the respondents were currently using contraceptives. Marital status, year of study, history of having information and previous discussion on contraceptives were found to be significantly associated. Married participants had a 94.4% lower contraceptive utilization compared with unmarried participants [0.056 (0.03- 0.12)]. Third year students were 50% less likely to use contraceptives compared to 2nd year students [0.50 (0.30- 0.82)]. Those having previous information on contraceptives [7.7 (1.01- 59.8)] and discussions with someone else [2.3 (1.5-3.6)] were 7.7- and 2.3-times more likely to use contraceptives than their counterparts, respectively.

Conclusion: Contraceptive utilization among university female students is low. For students, new information, education and communication strategies for sexual and reproductive health issues should be launched.

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埃塞俄比亚阿姆哈拉地区女大学生避孕需求、利用及相关因素:基于机构的横断面研究
背景:在世界范围内,大学生属于容易发生无人照料的性风险的青年群体,包括意外怀孕和性传播疾病。预防这些问题的关键策略之一是使用避孕药具。因此,本研究旨在评估避孕药具的使用情况及阻碍其使用的因素。目的:本研究旨在评估埃塞俄比亚阿姆哈拉地区女大学生避孕药具的需求、使用情况及相关因素。方法:采用基于机构的横断面研究。从7所大学中随机抽取了3所。采用多级抽样方法。最后,采用简单的随机抽样方法来选择受访者。通过Epi-data 3.1版本输入数据,导出到SPSS 20版本进行分析。采用双变量和多变量logistic回归分析。结果以文本、表格和图形的形式呈现。结果:共有1276名受访者参与研究,回复率为98.8%。参与者的年龄中位数为21.37岁(SD=1.88岁)。约398名(31.2%)受访者在过去12个月内有过性行为。然而,只有207人(16.2%)目前在使用避孕药具。研究发现,婚姻状况、学习年份、获得信息的历史和以前对避孕药具的讨论都有显著关联。已婚受试者的避孕药具使用率比未婚受试者低94.4%[0.056(0.03- 0.12)]。三年级学生使用避孕药的可能性比二年级学生低50%[0.50(0.30- 0.82)]。有避孕信息[7.7(1.01- 59.8)]和与他人讨论过[2.3(1.5-3.6)]的妇女使用避孕措施的可能性分别是同龄妇女的7.7倍和2.3倍。结论:高校女生避孕措施使用率较低。对学生而言,应开展关于性健康和生殖健康问题的新的信息、教育和宣传战略。
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