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Determinants of modern contraceptive use among sexually active men in Kenya

机译：肯尼亚性活跃男性中现代避孕药具使用的决定因素

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Background Research in Kenya has focussed on family planning from women’s perspectives, with the aim of helping reduce the burden of unintended pregnancies. As such, the determinants of modern contraceptive use among sexually active women are well documented. However, the perspectives of men should be considered not only as women’s partners, but also as individuals with distinct reproductive histories and desires of their own. This study seeks to understand the determinants of modern contraceptive use among sexually active men, by exploring factors that are correlated with modern contraceptive use. Methods The data source is the nationally representative 2014 Kenya Demographic and Health Survey (DHS) of men aged 15–54?years. The analysis is restricted to 9,514 men who reported being sexually active in the past 12?months prior to the survey, as they were likely to report either doing something or not to avoid or delay pregnancy. We use bivariate and multinomial logistic regression to assess factors that influence modern contraceptive use among sexually active men. Results Findings from the bivariate and multinomial logistic regression indicate that region of residence, marital status, religion, wealth, interaction with a health care provider, fertility preference, number of sexual partners and access to media were all significantly associated with modern contraceptive use among sexually active men. Conclusion Provider-client interaction as well as dissemination of information through mass media has the potential to increase knowledge and uptake of modern contraceptives. Similar efforts targeting segments of the population where contraceptive uptake is low are recommended.
机译：肯尼亚的背景研究从女性的角度着眼于计划生育，目的是帮助减轻意外怀孕的负担。因此，有充分证据证明性活跃妇女使用现代避孕药具的决定因素。但是，男人的观点不仅应被视为女性的伴侣，而且应被视为具有独特的生殖史和自己的欲望的个体。本研究通过探索与现代避孕药具使用相关的因素，试图了解性活跃男性中现代避孕药具使用的决定因素。方法数据来源为全国代表性的2014年肯尼亚人口与健康调查（DHS），年龄为15-54岁。该分析仅限于9,514名在调查前的12个月内报告有性活动的男性，因为他们很可能报告为避免或延迟怀孕而做某事或不做某事。我们使用二元和多项式逻辑回归来评估影响性活跃男性中现代避孕药具使用的因素。结果从二元和多项式逻辑回归得出的结果表明，居住地区，婚姻状况，宗教信仰，财富，与医疗保健提供者的互动，生育偏好，性伴侣的数量以及接触媒体的机会都与性行为中现代避孕药具的使用密切相关。活跃的男人。结论提供者与客户之间的互动以及通过大众传播媒介传播信息都有可能增加对现代避孕药具的了解和采用。建议针对避孕药具摄取率低的人群进行类似的努力。

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