Devendra Raj Singh, Samita K.C, Dev Ram Sunuwar, Sarina Shrestha, Rajeeb Kumar Sah, Sushmita Ghimire, Dan Bahadur Khadka, Lalita Kumari Sah, Jennifer Mathias Shah, Kshitij Karki
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Contraceptive-related services were utilized by 47.6% of participants, pregnancy-related services by 27.7%, safe abortion-related services by 13.0%, and HIV testing and treatment services by 3.6%. Likewise, 16.8% of participants utilized STI screening, diagnosis, and management services. Males were 2.5 times more likely to utilize SRH services compared to females (AOR = 2.5, 95% CI = 1.4-4.2), whereas unmarried participants were less likely to utilize SRH services as compared to single/separated/divorced (AOR = 0.2, 95% CI = 0.0-0.5). Similarly, participants who were living with their families compared to those living alone (AOR = 3.4, 95% CI = 1.4-7.7), and participants who were unemployed compared to employed (AOR = 1.8, 95% CI = 1.0-3.5) had higher odds for utilization of SRH services. There are significant variations depending on the intersections of various characteristics affecting the utilization rate across different SRH services among people with disabilities. 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引用次数: 0
摘要
本研究旨在评估决定居住在尼泊尔加德满都谷地的残疾人获得和利用性与生殖健康(SRH)服务的因素。研究在加德满都谷地随机抽取的 422 名残疾人中进行了横断面研究。数据通过结构化问卷进行面对面访谈收集。研究进行了二元和多元逻辑回归分析。在总共 422 名参与者中,32.7% 的人使用过与性健康和生殖健康相关的教育、信息和咨询服务。47.6%的参与者使用过避孕相关服务,27.7%的参与者使用过怀孕相关服务,13.0%的参与者使用过安全堕胎相关服务,3.6%的参与者使用过艾滋病检测和治疗服务。同样,16.8% 的参与者使用了性传播感染筛查、诊断和管理服务。男性利用性健康和生殖健康服务的可能性是女性的 2.5 倍(AOR = 2.5,95% CI = 1.4-4.2),而未婚参与者利用性健康和生殖健康服务的可能性低于单身/分居/离异者(AOR = 0.2,95% CI = 0.0-0.5)。同样,与家人同住的参与者比独居者(AOR = 3.4,95% CI = 1.4-7.7)和失业的参与者比就业者(AOR = 1.8,95% CI = 1.0-3.5)利用性健康和生殖健康服务的几率更高。影响残疾人性健康和生殖健康服务使用率的各种特征的交叉点存在明显差异。避孕相关服务是使用率最高的服务,而安全堕胎、怀孕相关服务、性传播感染筛查和管理服务以及艾滋病毒检测和治疗服务则是使用率较低的服务。
Accessibility and Utilization of Sexual and Reproductive Health Services among People with Disabilities in Nepal
The study aims to assess the factors determining the access and utilization of sexual and reproductive health (SRH) services among people with disabilities residing in the Kathmandu Valley of Nepal. A cross-sectional study was conducted among randomly selected 422 people with disabilities in Kathmandu Valley. Data were collected through face-to-face interviews using structured questionnaires. Bivariate and multivariate logistic regression analyses were conducted. Among a total of 422 participants, 32.7% had utilized SRH-related education, information, and counselling services. Contraceptive-related services were utilized by 47.6% of participants, pregnancy-related services by 27.7%, safe abortion-related services by 13.0%, and HIV testing and treatment services by 3.6%. Likewise, 16.8% of participants utilized STI screening, diagnosis, and management services. Males were 2.5 times more likely to utilize SRH services compared to females (AOR = 2.5, 95% CI = 1.4-4.2), whereas unmarried participants were less likely to utilize SRH services as compared to single/separated/divorced (AOR = 0.2, 95% CI = 0.0-0.5). Similarly, participants who were living with their families compared to those living alone (AOR = 3.4, 95% CI = 1.4-7.7), and participants who were unemployed compared to employed (AOR = 1.8, 95% CI = 1.0-3.5) had higher odds for utilization of SRH services. There are significant variations depending on the intersections of various characteristics affecting the utilization rate across different SRH services among people with disabilities. Contraceptive-related services were the most utilized service, whereas safe abortion, pregnancy related services, STI screening and management services and HIV testing and treatment services were less utilized services.
期刊介绍:
Sexuality and Disability is an international forum for the publication of peer-reviewed original interdisciplinary scholarly papers that address the psychological and medical aspects of sexuality in relation to rehabilitation. Publishing timely research articles, review articles, case studies, clinical practice reports, brief research reports, survey data reports, and book and film reviews, the journal offers the latest developments in the area of sexuality as it relates to a wide range of disabilities and conditions. Contributions address: clinical and research progress; community programs; independent-living programs; guidelines for clinical practice; special grand-rounds topics; consumer issues; and contemporary developments in special programs in sex education and counseling for people with disabilities. The journal features special issues with internationally renowned guest editors focusing on current topics in sexual health. By publishing research, best-practice, evidence-based, and educational articles, the journal seeks to contribute to the field''s knowledge base and advancement. Sexuality and Disability is an essential resource for the exchange of new knowledge, issues, techniques, and available modalities for researchers and other professionals addressing the psychological and medical aspects of sexuality in rehabilitation, medical, academic, and community settings.