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首页> 外文期刊>BMC Pregnancy and Childbirth >Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray region, north Ethiopia
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Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray region, north Ethiopia

机译：埃塞俄比亚北部提格里州麦凯尔镇育龄已婚妇女使用长效和永久避孕方法的相关因素

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Background Ethiopia is the second most populous country in Sub-Saharan Africa. Total Fertility Rate of Ethiopia is 5.4 children per women, population growth rate is estimated to be 2.7% per year and contraceptive prevalence rate is only 15% while the unmet need for family planning is 34%. Overall awareness of Family Planning methods is high, at 87%. The prevalence of long acting and permanent contraceptive methods (LAPMs) in Tigray region was very low which accounts for 0.1% for implants and no users for intra-uterine contraceptive device (IUCD) and female sterilization. Moreover almost all modern contraceptive use in Ethiopia is dependent on short acting contraceptive methods. The objective of this study was to assess factors associated with utilization of long acting and permanent contraceptive methods (LAPM) among married women of reproductive age group in Mekelle town. Methods A cross sectional community based survey was conducted from March 9-20, 2011. Multistage sample technique was used to select the participants for the quantitative methods whereas purposive sampling was used for the qualitative part of the study. Binary descriptive statistics and multiple variable regressions were done. Results The study consisted of quantitative and qualitative data. From the quantitative part of the study the response rate of the study was 95.6%. Of the qualitative part two FGDs were conducted for each married women and married men. 64% of the married women heard about LAPMs. More than half (53.6%) of the married women had negative attitude towards practicing of LAPMs. The overall prevalence of LAPMs use was 12.3% however; there were no users for female or male sterilization. The main reason cited by the majority of the married women for not using LAPMs was using another method of contraception 360 (93.3%). Mothers who had high knowledge were 8 times more likely to use LAPMs as compared with those who had low knowledge (AOR = 7.9, 95% CI of (3.1, 18.3). Mothers who had two or more pregnancies were 3 times more likely to use LAPM as compared with those who had one pregnancy (AOR = 2.7, 95% CI of (1.4, 5.1). Conclusion A significant amount of the participants had low knowledge on permanent contraceptive particularly vasectomy. More than half (53.6%) of married women had negative attitude towards practicing of LAMPs. Few of married women use female sterilization and none use of female sterilization and or vasectomy. Positive knowledge of LAMPs, women who had two and above pregnancies and women who do not want to have additional child were significantly associated. Information education communication should focus on alleviating factors hinder from practicing of LAPMs.
机译：背景埃塞俄比亚是撒哈拉以南非洲第二大人口大国。埃塞俄比亚的总生育率是每名妇女5.4个孩子，人口增长率估计为每年2.7％，避孕普及率仅为15％，而计划生育的未满足需求为34％。对计划生育方法的总体认识很高，达到87％。在提格雷地区，长效和永久避孕方法（LAPM）的患病率很低，占植入物的0.1％，子宫内避孕器（IUCD）和女性绝育术的使用者没有使用者。此外，埃塞俄比亚几乎所有现代避孕方法的使用都依赖于短效避孕方法。这项研究的目的是评估与梅克尔镇育龄已婚妇女使用长效和永久避孕方法（LAPM）有关的因素。方法2011年3月9日至20日进行了基于社区的横断面调查。采用多阶段抽样技术选择参与者作为定量方法，而定性研究则采用目的抽样。进行了二进制描述性统计和多元回归分析。结果研究包括定量和定性数据。从研究的定量部分来看，研究的回应率为95.6％。在定性部分中，对已婚妇女和已婚男子分别进行了两次烟气脱硫。 64％的已婚妇女听说过LAPM。超过一半（53.6％）的已婚妇女对执业LAPM持消极态度。然而，使用LAPM的总患病率为12.3％。没有女性或男性绝育的使用者。大多数已婚妇女所引用的不使用LAPM的主要原因是使用另一种避孕方法360（93.3％）。知识水平较高的母亲使用LAPM的概率是知识水平较低的母亲（AOR = 7.9，（3.1，18.3）的95％CI）;两次或两次以上怀孕的母亲使用LAPM的可能性高3倍。与有一次妊娠的孕妇相比，LAPM（AOR = 2.7，（1.4，5.1）的95％CI。结论）相当多的参与者对永久性避孕尤其是输精管切除术的了解不高，已婚妇女中超过一半（53.6％）对LAMP的实践持消极态度;已婚妇女很少使用女性绝育方法，而没有使用女性绝育或输精管切除术;对LAMP的积极知识，怀孕两次及以上的妇女以及不想再生育孩子的妇女具有显着相关性。信息教育交流应着重于减轻妨碍实施LAPM的因素。

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