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Predictors of Contraceptive Adherence among Women Seeking Family Planning Services at Reproductive Health Uganda, Mityana Branch

机译:在乌干达生殖健康Mityana分行寻求计划生育服务的妇女中避孕药依从性的预测因素

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Poor adherence is one of the main causes of unintended pregnancies among women of reproductive age. The purpose of this study was to establish the predictors of contraceptive adherence. A total of 211 women were enrolled and interviewed while seeking family planning services at reproductive health Uganda facility. Binary logistic regression was used to analyze the association between adherence and the independent variables. Most of the respondents (83.4%) were currently using a hormonal contraceptive. Of the participants who were using contraceptives, 43% had discontinued use at some time for reasons other than pregnancy, 53.1% reported having short birth interval less than 2 years, and 7% reported having more children than desired. The predictors of poor contraceptive adherence included lower education level (OR 2.484, 95% CI 1.403–4.397) and lower self-efficacy (OR 1.698, 95% CI 1.959–3.004). Lack of male partner support (OR 2.014, 95% CI 1.140–3.557) and low education level (OR 2.103, 95% CI 1.196–3.699) were predictive of reporting short birth interval less than 2 years. The findings point to a number of predictors of contraceptive adherence that may have implications for designing and evaluating family planning programs. In the Ugandan context, studies to evaluate effective adherence improvement strategies are needed.
机译:依从性差是育龄妇女意外怀孕的主要原因之一。这项研究的目的是建立避孕药依从性的预测指标。在乌干达生殖健康设施寻求计划生育服务时,总共招募了211名妇女并进行了采访。二元逻辑回归用于分析依从性和自变量之间的关联。大多数受访者(83.4%)目前正在使用激素避孕药。在使用避孕药的参与者中,有43%因怀孕以外的原因而在某些时候停止使用避孕药,有53.1%的人报告的生育间隔短于2年,而有7%的人生育的孩子超过了预期。避孕依从性差的预测因素包括较低的教育水平(OR 2.484,95%CI 1.403–4.397)和较低的自我效能感(OR 1.698,95%CI 1.959–3.004)。缺乏男性伴侣支持(OR 2.014,95%CI 1.140-3.557)和低教育水平(OR 2.103,95%CI 1.196-3.699)可预测报告的出生间隔短于两年。研究结果指出避孕药依从性的许多预测因素可能对设计和评估计划生育计划有影响。在乌干达语境中,需要进行研究以评估有效的依从性改善策略。

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