埃塞俄比亚北部沃姆伯马地区男性参与计划生育利用及其相关因素:基于社区的横断面研究。

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY Open access journal of contraception Pub Date : 2020-12-31 eCollection Date: 2020-01-01 DOI:10.2147/OAJC.S287159
Getinet Wondim, Genet Degu, Yohannes Teka, Gedefaw Diress
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引用次数: 21

摘要

背景:生殖健康问题是男女共同关心的问题。为了改善孕产妇健康,加强男性参与计划生育是一项重要的公共卫生举措。然而,在埃塞俄比亚,男性仍然是家庭的主要决策者,尤其是在农村社区。很少有具体证据表明男性参与计划生育的程度及其在农村环境中的障碍。目的:评估埃塞俄比亚北部农村社区男性参与计划生育利用的程度及其相关因素。材料和方法:对620名已婚男性进行了基于社区的横断面研究设计。采用多阶段抽样技术来选择研究的参与者。使用访谈者管理的结构化问卷收集数据。进行多变量逻辑回归分析,以确定与男性参与计划生育相关的变量。结果:在这项研究中,只有12.5%的男性直接参与了使用男性避孕方法的计划生育,约60.0%的男性通过配偶沟通和批准参与了计划生育。受过教育[AOR=1.64;95%可信区间:(1.12-2.62)],有受过教育的伴侣[AOR=1.77;95%置信区间:(1.17-2.94)],对计划生育持积极态度[AOR=2.27;95%可信范围:(1.53-3.36)],与妻子讨论[AOR=2.51;95%可信区间:(1.69-3.72)]和对计划生育有足够的了解[AOR=1.92;95%置信区间:(1.28-2.87)]与男性参与计划生育利用呈正相关,而有三个以上孩子[AOR=0.32;95%置信度:(0.15-0.70)]与男性参与计划生育使用呈负相关。结论:总体而言,与国家建议相比,男性参与计划生育利用的水平较低。为了提高男性参与计划生育的程度,提高男性对计划生育的认识和态度至关重要。
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Male Involvement in Family Planning Utilization and Associated Factors in Womberma District, Northern Ethiopia: Community-Based Cross-Sectional Study.

Background: Reproductive health issues are an inclusive concern for both men and women. In order to improve maternal health, strengthening male participation in family planning is an important public health initiative. Yet, men are still the main decision-makers in the family in Ethiopia, especially in the rural community. There is little concrete evidence of the extent of male participation in family planning and its barriers in rural settings.

Purpose: To assess the magnitude of male involvement in family planning utilization and its associated factors in the rural community of northern Ethiopia.

Materials and methods: A community-based cross-sectional study design was carried out on 620 currently married men. A multi-stage sampling technique was used to select the participants of the study. Data were collected using interviewer-administered structured questionnaires. Multivariable logistic regression analysis was performed to identify variables associated with male participation in family planning.

Results: In this study, only 12.5% of males were directly involved in the use of family planning using a male contraceptive method, and about 60.0% of males were involved in family planning through spousal communication and approval. Being educated [AOR=1.64; 95% CI: (1.12-2.62)], having an educated partner [AOR= 1.77; 95% CI: (1.17-2.94)], having a positive attitude towards family planning [AOR=2.27; 95% CI: (1.53-3.36)], discussing with wife [AOR= 2.51; 95% CI: (1.69-3.72)] and having adequate knowledge about family planning [AOR=1.92; 95% CI: (1.28-2.87)] were positively associated with male involvement in family planning utilization whereas having more than three children [AOR=0.32; 95% CI: (0.15-0.70)] was negatively associated with male involvement in family planning utilization.

Conclusion: In general, as compared to the national recommendation, the level of male participation in family planning utilisation was low. In order to improve male participation in family planning, improving male knowledge and attitudes towards family planning is essential.

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