布基纳法索、刚果民主共和国和乌干达皮下储存醋酸甲羟孕酮(DMPA-SC)使用趋势

Q2 Medicine Contraception: X Pub Date : 2019-01-01 DOI:10.1016/j.conx.2019.100013

Philip Anglewicz , Pierre Akilimali , Georges Guiella , Patrick Kayembe , Simon P.S. Kibira , Fredrick Makumbi , Amy Tsui , Scott Radloff

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引用次数: 8

摘要

目的:醋酸甲羟孕酮皮下储库(DMPA-SC)被认为是一项有价值的计划生育创新，但对DMPA-SC的使用趋势和使用者特征知之甚少。利用来自布基纳法索、刚果民主共和国(DRC)和乌干达的数据，我们测量了DMPA-SC的趋势，并确定了与DMPA-SC使用相关的特征。研究设计我们使用了2016年至2019年间收集的重复横截面代表性数据。首先，我们绘制了所有女性和已婚女性使用DMPA-SC的趋势。接下来，我们介绍了DMPA-SC用户的社会人口统计学和计划生育相关特征。最后，我们进行了加权多元逻辑回归分析，以检验DMPA-SC使用者与女性的差异(1)使用所有其他现代方法组合(2)不使用任何现代方法。结果dmpa - sc的使用在三个国家均呈单调增长趋势。许多DMPA-SC使用者是首次使用现代避孕方法(布基纳法索为54.5%，刚果民主共和国为34.6%，乌干达为50.7%)。在这三个国家中，未婚妇女使用DMPA-SC的几率低于已婚妇女(与其他现代方法相比)[布基纳法索调整优势比(AOR) 0.40, 95%可信区间(95% CI) 0.20-0.80;DRC为0.31,95% ci 0.10-0.93;乌干达AOR 0.24;95% ci 0.08-0.71]。教育水平与DMPA-SC的使用呈正相关(与不使用相比)(布基纳法索AOR 1.79;95% ci 1.03-3.14;乌干达AOR 3.23;95% ci 1.33-7.84)。结论sdmpa - sc是一种快速发展的方法。尽管这三个国家的使用水平和使用量都有可比性，但各国使用DMPA-SC的相关特征普遍不同。这是对非洲国家代表性数据的DMPA-SC使用模式的首次分析。我们的研究结果证实，DMPA-SC越来越受欢迎，尽管用户的配置文件因设置而异。

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Trends in subcutaneous depot medroxyprogesterone acetate (DMPA-SC) use in Burkina Faso, the Democratic Republic of Congo and Uganda

Objectives

Subcutaneous depot medroxyprogesterone acetate (DMPA-SC) is seen as a valuable innovation in family planning, but little is known about trends in DMPA-SC use or characteristics of users. Using data from Burkina Faso, the Democratic Republic of Congo (DRC) and Uganda, we measured trends in DMPA-SC and identified characteristics associated with DMPA-SC use.

Study design

We used repeated cross-sectional representative data collected between 2016 and 2019. First, we plotted trends in DMPA-SC use for all women and married women. Next, we presented the sociodemographic and family-planning-related characteristics of DMPA-SC users. Finally, we conducted weighted multivariate logistic regression analysis to examine how DMPA-SC users were different from women (1) using all other modern methods combined and (2) not using any modern method.

Results

DMPA-SC use increased monotonically in all three countries. Many DMPA-SC users were first-time users of modern contraception (54.5% in Burkina Faso, 34.6% in DRC, 50.7% in Uganda). Never-married women had lower odds than married women of using DMPA-SC (compared to other modern methods) in all three countries [Burkina Faso adjusted odds ratio (AOR) 0.40, 95% confidence interval (95% CI) 0.20–0.80; DRC AOR 0.31 95% CI 0.10–0.93; Uganda AOR 0.24; 95% CI 0.08–0.71]. Level of education was positively associated with DMPA-SC use (compared to no use) (Burkina Faso AOR 1.79; 95% CI 1.03–3.14; Uganda AOR 3.23; 95% CI 1.33–7.84).

Conclusions

DMPA-SC is a rapidly growing method in these settings. Despite the comparable levels of and increases in use for all three countries, the characteristics associated with DMPA-SC use generally differed across countries.

Implications

This is the first analysis of patterns of DMPA-SC use with representative data for African countries. Our results confirm that DMPA-SC is increasingly popular, although the profile of users varies across settings.

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