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首页> 外文期刊>Patient Preference and Adherence >The influence of socioeconomic status on women's preferences for modern contraceptive providers in Nigeria: a multilevel choice modeling
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The influence of socioeconomic status on women's preferences for modern contraceptive providers in Nigeria: a multilevel choice modeling

机译：社会经济地位对尼日利亚现代避孕药提供者的女性偏爱的影响：多层次选择模型

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Background: Contraceptives are one of the most cost effective public health interventions. An understanding of the factors influencing users' preferences for contraceptives sources, in addition to their preferred methods of contraception, is an important factor in increasing contraceptive uptake. This study investigates the effect of women’s contextual and individual socioeconomic positions on their preference for contraceptive sources among current users in Nigeria. Methods: A multilevel modeling analysis was conducted using the most recent 2008 Nigerian Demographic and Health Surveys data of women aged between 15 and 49 years old. The analysis included 1,834 ever married women from 888 communities across the 36 states of the federation, including the Federal Capital Territory of Abuja. Three outcome variables, private, public, and informal provisions of contraceptive sources, were considered in the modeling. Results: There was variability in women's preferences for providers across communities. The result shows that change in variance accounted for about 31% and 19% in the odds of women's preferences for both private and public providers across communities. Younger age and being from the richest households are strongly associated with preference for both private and public providers. Living in rural areas and economically deprived neighborhoods were the community level determinants of women's preferences. Conclusion: This study documents the independent association of contextual socioeconomic characteristics and individual level socioeconomic factors with women's preferences for contraceptive commodity providers in Nigeria. Initiatives that seek to improve modern contraceptive uptake should jointly consider users’ preferences for sources of these commodities in addition to their preference for contraceptive type.
机译：背景：避孕药具是最具成本效益的公共卫生干预措施之一。除了用户首选的避孕方法外，了解影响用户偏爱避孕药具来源的因素也是增加避孕药具摄入量的重要因素。这项研究调查了尼日利亚的当前用户中，女性的情境和个人社会经济地位对其选择避孕药具来源的影响。方法：使用2008年尼日利亚人口与健康调查的最新数据，对年龄在15至49岁之间的女性进行多级建模分析。这项分析包括来自联邦36个州（包括阿布贾联邦首都辖区）的888个社区的1,834名已婚妇女。在模型中考虑了三个结果变量，分别是避孕药具来源的私人，公共和非正式规定。结果：在整个社区中，女性对提供者的偏好存在差异。结果表明，在社区中，妇女对私人和公共服务提供者的偏爱率中，差异的变化分别占31％和19％。年龄较小和来自最富有家庭的人与私人和公共提供者的偏好密切相关。生活在农村地区和经济贫困的社区是决定妇女偏好的社区因素。结论：本研究记录了尼日利亚社会背景环境的社会经济特征和个人层面的社会经济因素与妇女对避孕商品提供者的偏好的独立联系。寻求改善现代避孕方式使用率的措施，除了对避孕类型的偏爱外，还应共同考虑使用者对这些商品来源的偏爱。

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