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Contraceptive prevalence and preference in a cohort of south–east Nigerian women

机译：尼日利亚东南部女性队列中的避孕普及率和偏爱

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Background: Rates of fertility, population growth, and maternal deaths in Nigeria are among the highest in the world, with an estimated 4% of all births being unwanted and 7% mistimed. These are caused mainly by nonuse, inappropriate choice, and difficulty in accessing contraceptive commodities. The purpose of this study was to determine the prevalence and factors influencing the choice and sources of contraceptive options among market women in Ebonyi State, Nigeria.Methods: This was a questionnaire-based, cross-sectional, descriptive study involving 330 market women of reproductive age in Abakaliki, Ebonyi State, Nigeria. A survey was carried out to identify their knowledge, use, and sources of contraception and the factors that influence their contraceptive practices.Results: Knowledge of contraception was high (275 [83.3%]), and 229 (69.4%) of the study population approved of contraceptive use. However, only 93 (28.3%) of the respondents were currently using any form of contraception. Fifty-four women (16.3%) were using modern methods. The commonly used forms of modern contraception were the barrier method (male condoms, 27 [8.2%]), the oral contraceptive pill (10 [3.0%]), injectables (8 [2.5%]), and the intrauterine contraceptive device (7 [2.0%]). The most common source of contraceptive products was patent medicine dealers (58 [51%]). The main barriers to use of contraception were desire for more children (86 [26.1%]), religious prohibition (62 [18.8%]), spousal disapproval (32 [9.7%]), and the perceived side effects of modern contraceptives (25 [7.6%]). There was a significant association for approval of contraception when the model was adjusted for religion (odds ratio [OR] 0.39, 95% confidence interval [CI] 0.18–0.84; P=0.02); educational status (OR?2.84, 95% CI 0.96–8.40; P=0.04); parity (OR 1.78, 95% CI 1.09–2.85; P=0.03); and social class (OR 2.54, 95% CI 1.26–5.11; P=0.01).Conclusion: There is good knowledge about contraception among Nigerian women, but use of these products is low. The main barriers to use of contraception are the desire for more children, religious prohibition, and spousal disapproval.
机译：背景：尼日利亚的生育率，人口增长和孕产妇死亡率是世界上最高的，估计所有分娩中有4％是不想要的，而错误时机是7％。这些主要是由于不使用，选择不当以及获取避孕商品的困难。这项研究的目的是确定尼日利亚埃博尼州市场妇女中避孕选择的选择和来源的普遍性和影响因素。方法：这是一项基于问卷调查的横断面描述性研究，涉及330名生殖妇女。尼日利亚埃邦伊州阿巴卡利基（Abakaliki）的年龄。进行了一项调查，以确定他们的避孕知识，使用方法和来源以及影响其避孕行为的因素。结果：避孕知识很高（275名[83.3％]），占研究人群的229名（69.4％）批准使用避孕药具。但是，目前只有93（28.3％）位受访者使用任何形式的避孕方法。五十四名妇女（16.3％）正在使用现代方法。现代避孕的常用形式是屏障法（男用避孕套，27 [8.2％]），口服避孕药（10 [3.0％]），注射剂（8 [2.5％]）和宫内避孕器（7） [2.0％]）。避孕药具的最常见来源是专利药经销商（58 [51％]）。使用避孕的主要障碍是对更多孩子的渴望（86 [26.1％]），宗教禁忌（62 [18.8％]），配偶不赞成（32 [9.7％]）以及现代避孕药的副作用（25） [7.6％]）。当模型针对宗教进行调整时，避孕的批准存在显着关联（优势比[OR] 0.39，95％置信区间[CI] 0.18-0.84; P = 0.02）;受教育程度（OR？2.84，95％CI 0.96-8.40; P = 0.04）;奇偶校验（OR 1.78，95％CI 1.09-2.85; P = 0.03）;结论：尼日利亚妇女对避孕的知识很丰富，但是使用这些产品的比例很低。使用避孕药具的主要障碍是对更多孩子的渴望，宗教禁忌和配偶不赞成。

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