Factors associated with contraceptive use among sexually active Nepalese youths in the Kathmandu Valley
Tóm tắt
In Nepal, evidence is sparse regarding the use of contraception at first and current relationships among sexually active young people. This study examined the factors associated with modern contraceptive use at first and current sexual relationships. A descriptive cross-sectional household survey conducted amongst young Nepalese men and women living in the urban areas of the Kathmandu valley. We used logistic regression to model the relationship between selected independent variables and outcome variables (use at first sexual intercourse and current use of modern contraception) among 492 ever sexually active youth aged 15–24 years. We found that the key factors associated with current non-use of modern contraceptives among sexually active youth age 15–24 were young age at first sexual contact and a relationship with someone other than a spouse, while significant factor associated with current use of contraception was religion, revealing that Hindu youths having lower odds of use compared to young people who belonged to other religions. The findings suggest that contraception education should be intensified and directly towards those entering adolescence to encourage youths to adopt contraception at the time of their first sexual relationship. The influence of religion on use of modern contraception needs further exploration.
Tài liệu tham khảo
Frost JJ, Lindberg LD. Reasons for using contraception: perspectives of US women seeking care at specialized family planning clinics. Contraception. 2013;87(4):465–72.
Cleland J, Harbison S, Shah IH. Unmet need for contraception: issues and challenges. Stud Fam Plan. 2014;45(2):105–22.
Glasier A, et al. Sexual and reproductive health: a matter of life and death. Lancet. 2006;368(9547):1595–607.
WHO. MDG 5: Improve Maternal health 2012; Available from: http://www.who.int/topics/millennium_development_goals/maternal_health/en/. Accessed 25 May 2016.
Patton GC, et al. Health of the world’s adolescents: a synthesis of internationally comparable data. The Lancet. 2012;379(9826):1665–75.
GoN and UNFPA. Health related quality of life of women suffering from pelvic organ prolapse: before and 9 to 11 months after surgical interventions. Kathmandu: Ministry of Health and Population, Department of Health Services, Family Health Division and United Nations Population Fund; 2013.
Puri M, Cleland J. Sexual behavior and perceived risk of HIV/AIDS among young migrant factory workers in Nepal. J Adolesc Health. 2006;38(3):237–46.
Puri M, Ingham R, Matthews Z. Factors affecting abortion decisions among young couples in Nepal. J Adolesc Health. 2007;40(6):535–42.
Bearinger L, et al. Global perspectives on the sexual and reproductive health of adolescents: patterns, prevention, and potential. Lancet. 2007;369(9568):1220–31.
WHO. The sexual and reproductive health of young adolescents in developing countries: reviewing the evidence, identifying research gaps, and moving the agenda. Geneva: World Health Organisation; 2011.
Khatiwada N, et al. Sexual and reproductive health of adolescents and youth in Nepal: trends and determinants: futher analysis of the 2011 Nepal demographic and health survey. Calverton, Maryland: Nepal Ministry of Health and Population, New ERA, and ICF International; 2013.
DeJong J, et al. The sexual and reproductive health of young people in the arab countries and Iran. Reprod Health Matters. 2005;13(25):49–59.
Dahal G, Hennink M, Hinde A. Risky sexual behaviour among young Men in Nepal, in applications and policy working paper A05/01. England: Southhampton University; 2005.
Puri MC, Busza J. In forests and factories: sexual behaviour among young migrant workers in Nepal. Cult Health Sex. 2004;6(2):145–58.
MoHP Nepal. Nepal adolescents and youth survey 2010/2011. Kathmandu: Ministry of Health and Population; 2012.
Adhikari R, Tamang J. Premarital sexual behavior among male college students of Kathmandu, Nepal. BMC Public Health. 2009;9(1):241.
MoHP Nepal, New ERA, and ICF International Inc. Nepal demographic health survey 2011. Kathmandu, Nepal: Ministry of Health and Population, New ERA and ICF International Inc, Claverton, Maryland; 2012.
Raj A, McDougal L, Rusch MA. Changes in prevalence of girl child marriage in south asia. JAMA. 2012;307(19):2027–9.
Kamal Mostafa, S.M. and C.H. Hassan. Childbearing, Unintended Pregnancy and Contraceptive Use among South Asian Married Female Adolescents. 2003; Available from: http://ghf.g2hp.net/2013/08/29/childbearing-unintended-pregnancy-and-contraceptive-use-among-south-asian-married-female-adolescents/. Accessed 25 May 2016.
Leone T, Matthews Z, Zuanna GD. Impact and determinants of sex preference in Nepal. Int Fam Plan Perspect. 2003;29(2):69–75.
Kidsley S. Contraceptive use in Nepal. University of Southampton, School of Medicine, Doctoral Thesis. 2006. p. 21. Available from: http://eprints.soton.ac.uk/210221/1.hasCoversheetVersion/00369850.pdf. Accessed 25 May 2016.
Cleland J, Ingham R, Stone N. Asking young people about sexual and reproductive behaviours: illustrative core instruments. Geneva: UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction; 2001.
MoHP Nepal, New ERA, and Macro International Inc. Nepal demographic health survey 2006. Kathmandu: Minsitry of Health and Population, New ERA and Macro International Inc; 2007.
Pulerwitz J, Barker G. Measuring attitudes towards gender norms among young men in brazil-development and pschometric evaluation of the GEM scale. Men Masculinities. 2008;10(3):322–38.
Pulerwitz J, Gortmaker S, DeJong W. Measuring sexual relationship power in HIV/STD research. Sex Roles. 2000;42(7):637–60.
Adhikari R. Factors affecting awareness of emergency contraception among college students in Kathmandu, Nepal. BMC Womens Health. 2009;9(1):27.
Frost JJ, Darroch JE. Factors associated with contraceptive choice and inconsistent method use, United States, 2004. Perspect Sex Reprod Health. 2008;40(2):94–104.
East L, et al. Use of the male condom by heterosexual adolescents and young people: literature review. J Adv Nurs. 2007;59(2):103–10.
Gaydos L, et al. An emerging field in religion and reproductive health. J Relig Health. 2010;49(4):473–84.
Hill NJ, Siwatu M, Robinson AK. “My religion picked My birth control”: the influence of religion on contraceptive use. J Relig Health. 2014;53(3):825–33.
Davidson Sr JK, et al. Sexual attitudes and behavior at four universities: do region, race, and/or religion matter? Adolescence. 2008;43(170):189–220.
Srikanthan A, Reid RL. Religious and cultural influences on contraception. J Obstet Gynaecol Can. 2008;30(2):129–37.
Fisher JA, Bowman M, Thomas T. Issues for South Asian Indian patients surrounding sexuality, fertility, and childbirth in the US health care system. J Am Board Fam Pract. 2003;16(2):151–5.
Nath DC, Land KC, Goswami G. Effects of the status of women on the first interval in Indian urban society. J Biosoc Sci. 1999;31(01):55–69.