Table1_Predictors of long-acting contraceptive utilization hot spots in Ethiopia: using geographical weighted regression analysis.xlsx

BackgroundThe use of long-acting contraceptives is a common health challenge in Ethiopia. Therefore, the current study aimed to assess the determinants of using long-acting contraceptive hot spots in Ethiopia using data from the Ethiopian Mini Demographic and Health Survey for 2019.MethodsThis study used data from the Ethiopia Mini Demographic and Health Survey 2019 and included a total weighted sample of 8,885 women in the analysis. The geographical variation of long-acting contraceptive usage was initially observed using hot spot analysis. Arc GIS version 10.7 was used for geographically weighted regression. Ordinarily, least squares regression was performed to identify predictors that explain the geographical variation in the use of long-acting contraceptives. Geographic weighted regression was used to predict the hot spot area of long-acting contraceptive methods.ResultsThe overall prevalence of long-acting contraceptive utilization use was 6.9% (95% confidence interval: 6.4–7.45). Most of the statistically significant hot spots for long-acting contraceptives were found in lactated areas of the Oromia part of Amhara and Dire Dawa. Primary education, followers of the Muslim religion, marital status, and women with >4 children were the determinants of spatial variation use of hot spot areas for long-acting contraceptive methods.ConclusionsA detailed map of long-acting contraceptive use hot spots and their determinants will enable decisions to target their sociodemographic-related predictors of women.

背景：在埃塞俄比亚，长效避孕措施的使用是一项普遍存在的健康挑战。因此，本研究旨在利用2019年埃塞俄比亚微型人口与健康调查数据，评估埃塞俄比亚长效避孕热点地区的使用决定因素。方法：本研究采用2019年埃塞俄比亚微型人口与健康调查数据，分析中包含总计8,885名女性的加权样本。首先通过热点分析观察长效避孕措施使用的地理差异性。地理加权回归分析采用Arc GIS版本10.7进行。常规地，通过最小二乘回归法识别解释长效避孕措施使用地理差异性的预测因子。采用地理加权回归法预测长效避孕措施的热点区域。结果：长效避孕措施使用总体普及率为6.9%（95%置信区间：6.4–7.45）。大多数统计上显著的热点区域位于阿姆哈拉地区的奥罗米亚部分以及迪雷德瓦的哺乳地区。基本教育程度、穆斯林宗教信仰者、婚姻状况以及拥有超过4个孩子的女性是决定长效避孕措施热点区域空间变异使用的因素。结论：绘制长效避孕措施使用热点及其决定因素的详细地图，将有助于针对女性的社会人口学相关预测因子进行决策。