法律变化和避孕需求未得到满足的证据,菲律宾。

IF 8.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Bulletin of the World Health Organization Pub Date : 2024-11-01 Epub Date: 2024-10-02 DOI:10.2471/BLT.23.290577
Miguel Antonio Garcia Estrada, Kent Jason Go Cheng, Rutcher Madera Lacaza
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引用次数: 0

摘要

目的:调查菲律宾《父母责任与生殖健康法》与未满足避孕需求之间的关系:调查菲律宾《父母责任与生殖健康法》与妇女避孕需求未得到满足之间的关系:研究涉及 2013 年(n = 14 053)、2017 年(n = 21 835)和 2022 年(n = 24 253)菲律宾人口与健康调查中 18 至 49 岁女性的数据。父母责任与生殖健康法》于 2012 年颁布,但直到 2017 年才全面实施。我们采用了调查加权逻辑回归法来估算各种变量与避孕需求未得到满足之间的关系,以及不同财富五分位数的妇女避孕需求未得到满足的概率:我们观察到,在所有年份中,最低和最高财富五分位数的妇女在未满足需求方面持续存在差距。2013 年,与最高财富五分位数妇女相比,最低财富五分位数妇女未满足需求的几率为 1.288(标准误差:0.124);2022 年为 1.287(标准误差:0.113)。然而,在 2013 年至 2022 年期间,需求未得到满足的妇女的加权比例有所下降;在财富最低的五分之一人口中,该比例从 18.4% 降至 10.6%。此外,在 2013 年至 2022 年期间,所有财富五分位数中未满足需求的概率都有所下降;下降幅度最大的是最低财富五分位数,从 0.146(95% 置信区间:0.131-0.162)下降到 0.088(95% 置信区间:0.079-0.098):结论:新的生殖健康法实施后,未满足的避孕需求大幅下降。结论:新的生殖健康法实施后,未满足的避孕需求大幅下降,但最低和最高财富五分位数之间在未满足需求方面仍存在差距。
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Legal changes and evidence on unmet need for contraception, Philippines.

Objective: To investigate the relationship between the Responsible Parenthood and Reproductive Health Law in the Philippines and women's unmet needs for contraception.

Methods: The study involved data on women aged 18 to 49 years from the 2013 (n = 14 053), 2017 (n = 21 835) and 2022 (n = 24 253) Philippine Demographic and Health Surveys. The Responsible Parenthood and Reproductive Health Law was enacted in 2012, but not fully implemented until 2017. Survey-weighted logistic regression was used to estimate the association between variables and an unmet need for contraception, and the probability that women in different wealth quintiles would have an unmet need.

Findings: We observed a persistent gap in unmet needs between women in the lowest and highest wealth quintiles in all years. In 2013, the odds of unmet needs for women in the lowest quintile compared with those in the highest were 1.288 (standard error (SE): 0.124); and in 2022, it was 1.287 (SE: 0.113). Nevertheless, the weighted proportion of women with unmet needs declined between 2013 and 2022; in the lowest wealth quintile, it fell from 18.4% to 10.6%. Moreover, the probability of having an unmet need declined across all wealth quintiles between 2013 and 2022; the largest decline was from 0.146 (95% confidence interval, CI: 0.131-0.162) to 0.088 (95% CI: 0.079-0.098) in the lowest quintile.

Conclusion: The unmet needs for contraception declined substantially following implementation of a new reproductive health law. However, there was a persistent gap in unmet needs between the lowest and highest wealth quintiles.

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来源期刊
Bulletin of the World Health Organization
Bulletin of the World Health Organization 医学-公共卫生、环境卫生与职业卫生
CiteScore
11.50
自引率
0.90%
发文量
317
审稿时长
3 months
期刊介绍: The Bulletin of the World Health Organization Journal Overview: Leading public health journal Peer-reviewed monthly journal Special focus on developing countries Global scope and authority Top public and environmental health journal Impact factor of 6.818 (2018), according to Web of Science ranking Audience: Essential reading for public health decision-makers and researchers Provides blend of research, well-informed opinion, and news
期刊最新文献
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