Clinical Epidemiology and Global Health最新文献

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IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2026-01-01

引用次数: 0

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2026-01-01

引用次数: 0

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2026-01-01

引用次数: 0

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2026-01-01

引用次数: 0

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2026-01-01

引用次数: 0

Determinants of permanent contraceptive use among multiparous women in Indonesia: The role of education and other demographic factors 印度尼西亚多胎妇女永久使用避孕药具的决定因素：教育和其他人口因素的作用

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2026-01-01 DOI: 10.1016/j.cegh.2025.102280

Maya Fitria , Agung Dwi Laksono , Isyatun Mardhiyah Syahri , Ratna Dwi Wulandari , Yuly Astuti , Ratu Matahari , Purwo Setiyo Nugroho

Problem considered

Increased education for women, in line with their increased independence in making decisions for their good. The study analyzed the role of education and demographic factors in permanent contraceptive use among multiparous women in Indonesia.

Methods

This cross-sectional study examined 33,471 respondents. We used permanent contraceptives as an outcome variable and education level as an exposure variable. The study also uses nine control variables (residence, age, partner, employment, wealth, family planning (FP) information exposure from the radio, television, and the internet, and the number of living children). The study used binary logistic regression to assess the association between education level and the use of permanent contraceptives, adjusting for relevant control variables.

Results

The results showed that the average permanent contraceptive use among multiparous women in Indonesia is 78.7 %. Primary education was 1.747 times more likely than no formal education to use permanent contraceptives (AOR 1.747; 95 % CI 1.458–2.092). Meanwhile, secondary education was 3.295 times more likely to use permanent contraceptives than no formal education (AOR 3.295; 95 % CI 2.720–3.991). Moreover, higher education was 5.360 times more likely than no formal education to utilize permanent contraceptives (AOR 5.360; 95 % CI 4.227–6.796).

Conclusions

The study concluded that education level was associated with permanent contraceptive use among multiparous women in Indonesia. The higher the education level, the higher the possibility of using permanent contraceptives. Moreover, the study also found all control variables associated with permanent contraceptive use among multiparous women in Indonesia.

考虑到的问题妇女受教育程度的提高，与她们为自己的利益作出决定的独立性的提高相一致。该研究分析了教育和人口因素在印度尼西亚多胎妇女长期使用避孕药具方面的作用。方法本横断面研究调查了33471名受访者。我们使用永久性避孕药作为结果变量，教育水平作为暴露变量。该研究还使用了9个控制变量（居住地、年龄、伴侣、就业、财富、从广播、电视和互联网获取的计划生育信息，以及活着的孩子数量）。本研究采用二元逻辑回归评估教育水平与使用永久性避孕药具之间的关系，并对相关控制变量进行调整。结果调查结果显示，印度尼西亚多胎妇女的平均永久避孕药具使用率为78.7%。接受过初等教育的人使用永久性避孕药具的可能性是未接受过正规教育的人的1.747倍（AOR 1.747; 95% CI 1.458-2.092）。与此同时，中等教育人群使用永久性避孕药具的可能性是未接受正规教育人群的3.295倍（AOR 3.295; 95% CI 2.720-3.991）。此外，受过高等教育的人使用永久性避孕药具的可能性是没有受过正规教育的人的5.360倍（AOR 5.360; 95% CI 4.227-6.796）。结论教育水平与印度尼西亚多胎妇女长期使用避孕药具有关。受教育程度越高，使用永久性避孕药具的可能性越高。此外，该研究还发现了与印度尼西亚多胞胎妇女长期使用避孕药具相关的所有控制变量。

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引用次数: 0

Associated factors for low modern contraceptive use and high unmet needs among postpartum women in Nepal: A cross-sectional study 尼泊尔产后妇女现代避孕药具使用率低和未满足需求高的相关因素：一项横断面研究

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2026-01-01 DOI: 10.1016/j.cegh.2025.102281

Gita Shrestha, Minato Nakazawa

Problem considered

Postpartum family planning (PPFP) plays a crucial role in reducing unintended pregnancies. However, many low-resource countries, including Nepal, have limited uptake of modern contraceptives. This study assessed PPFP use and unmet contraceptive needs among women within six months postpartum and identified factors associated with it.

Methods

This was a cross-sectional study. Of the 33 healthcare facilities screened, eight met the inclusion criteria. A total of 241 women who provided consent were enrolled in the study. Descriptive analyses were conducted using Jamovi version 2.6.2.0, and multivariate logistic regression was performed in R version 4.4.2 to identify predictors of modern contraceptive use. Odds ratios (ORs) with 95 % confidence intervals (CIs) were calculated, with statistical significance set at p < 0.05.

Result

Logistic regression revealed key predictors of modern family planning: higher parity (OR = 2.55, 95 % CI: 1.02–6.39, p = 0.045), knowledge of ovulation (OR = 3.20, 95 % CI: 1.03–9.88, p = 0.043), and past family planning (FP) use (OR = 4.57, 95 % CI: 1.86–11.22, p < 0.001) were significantly associated with modern contraceptive use. Conversely, having a last child under two years (OR = 0.49, 95 % CI: 0.25–0.98, p = 0.043) was associated with a negative outcome.

Conclusion

Almost two-thirds of the women wish to delay or prevent a future pregnancy, and one in six women adopted modern contraceptives within six months postpartum. Interventions aimed at increasing the adoption of effective contraceptive methods are urgently needed to reduce unmet needs and improve maternal and child health outcomes.

产后计划生育（PPFP）在减少意外怀孕方面起着至关重要的作用。然而，包括尼泊尔在内的许多资源匮乏的国家对现代避孕药具的使用有限。本研究评估了产后6个月内妇女PPFP的使用和未满足的避孕需求，并确定了与之相关的因素。方法采用横断面研究。在筛选的33家医疗机构中，有8家符合纳入标准。共有241名提供同意的妇女参加了这项研究。使用Jamovi 2.6.2.0版本进行描述性分析，并使用R 4.4.2版本进行多因素logistic回归，以确定现代避孕措施使用的预测因素。计算95%置信区间（ci）的优势比（ORs）， p <； 0.05为统计学显著性。结果logistic回归分析显示，现代计划生育的主要预测因素为：较高胎次（OR = 2.55, 95% CI: 1.02 ~ 6.39, p = 0.045）、排卵知识（OR = 3.20, 95% CI: 1.03 ~ 9.88, p = 0.043）、过去计划生育（FP）使用情况（OR = 4.57, 95% CI: 1.86 ~ 11.22, p < 0.001）与现代避孕措施的使用有显著相关性。相反，最后一个孩子在两岁以下（OR = 0.49, 95% CI: 0.25-0.98, p = 0.043）与负面结果相关。结论近三分之二的妇女希望推迟或预防未来怀孕，六分之一的妇女在产后六个月内采取了现代避孕措施。迫切需要采取旨在增加有效避孕方法的干预措施，以减少未得到满足的需求并改善孕产妇和儿童健康结果。

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引用次数: 0

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2026-01-01

引用次数: 0

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2026-01-01

引用次数: 0

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health

Pub Date : 2026-01-01

引用次数: 0

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