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首页> 外文期刊>Advances in Sexual Medicine >Determinants of Modern Contraceptive Use among Women of Reproductive Age in Tanzania: Evidence from Tanzania Demographic and Health Survey Data
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Determinants of Modern Contraceptive Use among Women of Reproductive Age in Tanzania: Evidence from Tanzania Demographic and Health Survey Data

机译：坦桑尼亚育龄妇女现代避孕药具使用的决定因素：来自坦桑尼亚人口统计和健康调查数据的证据

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Introduction: Tanzania is among of the African countries with high maternal and child mortality rates and fast growing population. It also has high fertility rate and a huge unmet need for family planning. Contraceptive use reported to avert more than 1 million maternal deaths in Sub-Saharan Africa due to decline in fertility rate and thus help to achieve MDG 4 and 5. Therefore, this study aimed to determine factors influencing modern contraceptive use among women aged 15 - 49 years in Tanzania. Methods: This was a secondary analysis of Tanzania Demographic Health Survey (TDHS), 2010. A total of 475 clusters (urban and rural) composed of 9663 households were selected. During the survey, a total of 10,139 women aged 15 - 49 years were interviewed about sexual and reproductive matters using a standardized questionnaire. We restricted our analysis to married/cohabiting women (n = 6412) responded for in individual records and domestic violence (n = 4471). Univariate and multiple logistic regression analyses were performed using Stata version 11.0. Odds ratios with 95% confidence intervals for determinants of modern contraceptive use were estimated. A P value of 5% (2 tails) was considered statistically significant. Results: Women empowerment (OR = 1.4; 95% CI: 1.13 - 1.63), male-female age difference of less or equal to nine (OR = 1.6; 95 CI: 1.01 - 2.66), and advice given at health care facilities on family planning (OR = 1.6; 95 CI: 1.37 - 1.96) were predictors of modern contraceptive use. Woman sexual violence was not associated with modern contraceptive use. Conclusions: The predictors of modern contraceptive use in our study correspond with previous studies in low and middle income countries. Women empowerment, male-female age difference, and child desire were important predictors for modern contraceptive use. This highlights the need to promote contraceptive use among women of reproductive age.
机译：简介：坦桑尼亚是非洲孕产妇和儿童死亡率高，人口快速增长的国家之一。它的生育率也很高，计划生育的需求未得到满足。据报道，使用避孕药具可避免由于生育率下降而在撒哈拉以南非洲造成超过100万孕产妇死亡，从而有助于实现MDG 4和5。因此，本研究旨在确定影响15-49岁女性现代避孕药具使用的因素年在坦桑尼亚。方法：这是对2010年坦桑尼亚人口健康调查（TDHS）的第二次分析。共选择了包括9653个家庭的475个聚类（城市和农村）。在调查过程中，使用标准化问卷调查了10,139名15-49岁的女性，涉及性和生殖问题。我们的分析仅限于已婚/同居妇女（n = 6412）在个人记录和家庭暴力（n = 4471）中得到答复。使用Stata 11.0版进行单变量和多逻辑回归分析。估计现代避孕方法使用的决定因素的置信区间为95％的几率。 P值为5％（2尾）被认为具有统计学意义。结果：增强妇女权能（OR = 1.4; 95％CI：1.13-1.63），男女年龄差异小于或等于9（OR = 1.6; 95 CI：1.01-2.66），并在医疗机构就计划生育（OR = 1.6; 95 CI：1.37-1.96）是现代避孕药具的预测指标。妇女性暴力与现代避孕药具无关。结论：我们研究中使用现代避孕药的预测因素与中低收入国家以前的研究相符。妇女赋权，男女年龄差异和儿童欲望是现代避孕方法使用的重要预测指标。这突出表明需要在育龄妇女中促进避孕药具的使用。

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