乌干达东部少女母亲产后避孕使用的决定因素:一项横断面研究。

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY Open access journal of contraception Pub Date : 2020-12-11 eCollection Date: 2020-01-01 DOI:10.2147/OAJC.S281504
Doreen L Muyama, Milton W Musaba, Ronald Opito, David J Soita, Julius N Wandabwa, Dinah Amongin
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引用次数: 2

摘要

在乌干达,20岁前再次活产的妇女比例(少女重复生育)在30年内没有下降。越来越多的女性希望推迟下一次生育。我们确定了Mbale市少女母亲产后使用避孕药具的患病率和相关因素。患者和方法:我们在Mbale市所有六个政府支持的卫生设施中进行了横断面研究。在3个月的时间里,助产士/护士连续登记了511名产后少女母亲。数据收集使用预先测试的访谈者管理的问卷。我们在STATA版本14中使用逻辑回归来确定各种社会人口统计学特征与避孕措施利用之间的关系。我们设置显著性水平为5%,并报告优势比和相应的95%置信区间。结果:314/511 (61.5%,95% CI= 57.1 ~ 65.6%)的受访妇女使用了避孕措施。超过四分之三(238/314)的受访者选择短期避孕方法。在调整后的分析中,复学意向[AOR 1.79(1.16-2.74)]和使用母婴保健服务(如产后护理服务)[AOR 0.40(0.25-0.63)]与使用产后避孕措施显著相关。结论:我们发现产后避孕药的使用率很高,超过6 / 10的妇女,尽管她们主要使用短期方法。那些打算复学并利用产后护理服务的妇女最有可能使用避孕药具。这是令人鼓舞的,并呼吁调查为什么它们的使用高于全国平均水平。此外,研究结果呼吁继续努力,让青春期母亲留在学校。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Determinants of Postpartum Contraception Use Among Teenage Mothers in Eastern Uganda: A Cross-Sectional Study.

Introduction: In Uganda, the proportion of women having another live birth before age 20 years (repeat adolescent birth) has not declined in 30 years. More women want to delay the next birth. We determined the prevalence and factors associated with postpartum contraceptive use among teenage mothers in Mbale City.

Patients and methods: We conducted a cross-sectional study in all the six government-supported health facilities within Mbale City. Over a period of 3 months, 511 teenage mothers in the postpartum period were consecutively enrolled by midwives/nurses. Data were collected using a pretested interviewer-administered questionnaire. We used logistic regression in STATA version 14, to determine the association between various sociodemographic characteristics and utilization of contraception. We set the level of significance at 5% and report odds ratios and the corresponding 95% confidence intervals.

Results: Most of the respondents - 314/511 [61.5%, 95% CI= 57.1-65.6%] - were using contraceptives. More than three-fourth (238/314) of the respondents opted for short-term methods of contraception. In the adjusted analyses, intention to resume school [AOR 1.79 (1.16-2.74)], and utilization of maternal Child Heath services such as postnatal care services [AOR 0.40 (0.25-0.63)] were significantly associated with utilisation of postpartum contraception.

Conclusion: We found a high prevalence of postpartum contraceptives use - over 6 in 10 women - although they were using mainly short-term methods. Those with intentions of resuming schooling and utilised postnatal care services were most likely to use contraceptives. This is encouraging and calls for inquiry into why their use is higher than the national averages. Further, the results call for renewed efforts to maintain adolescent mothers in school.

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