Age disparities in unmet need for contraception among all sexually active women in Colombia: Demographic Health Survey 2015

2021 ◽  
pp. 1-10
Author(s):  
Sharon Sánchez-Franco ◽  
Catalina González-Uribe
Keyword(s):  
Health Survey ◽  
Unmet Need ◽  
Sexually Active ◽  
Demographic Health Survey ◽  
Age Disparities ◽  
Unmet Need For Contraception

scholarly journals Age disparities in unmet need for contraception among all sexually active women in Colombia: an analysis of the 2015 Demographic Health Survey

2019 ◽  
Author(s):  
Sharon Sánchez-Franco ◽  
Catalina González-Uribe
Keyword(s):  
Reproductive Health ◽  
Health Survey ◽  
Health Care Services ◽  
Age Groups ◽  
Unmet Need ◽  
Social Determinant ◽  
Sexually Active ◽  
Unintended Pregnancies ◽  
Age Disparities ◽  
Unmet Need For Contraception

Abstract Background Unmet need for contraception increases unintended pregnancies and puts the health and reproductive rights of women at risk. Social determinants are associated with unmet need for contraception, but it is unclear if age is a social determinant of disparities in reproductive health-related outcomes in all Colombian women irrespective of marital status.Methods This study used the 2015 Colombian Demographic and Health Survey. The outcome of interest was the unmet need for contraception among 24,245 sexually active women aged 13-49. Age was associated with unmet need for contraception in Colombia through multivariate analysis. Absolute and relative inequalities were estimated using prevalence differences and odds ratios, respectively.Results The prevalence of unmet need was significantly higher in women in marital union aged 13 to 19 years old (19.8%), than their unmarried counterparts (16.8%), and all older age groups either married or unmarried. Women 13 to 19 years old [OR=2.98 (2.49-3.57)] and 20-29 year old [OR=1.71(1.48-1.97)] are more likely to have an unmet need for contraception than those 40-49-year-old.Conclusions Age disparities are barriers to attaining the Sustainable Development Goals for sexual and reproductive health. Cultural, social, and access barriers demand to tailor health care services to meet the needs of younger women to narrow the age gap.

scholarly journals Factors Associated with an Unmet Need for Contraception in the United States, 2002-2017

2019 ◽  
Author(s):  
Joseph Molitoris
Keyword(s):  
United States ◽  
Unwanted Pregnancy ◽  
Unmet Need ◽  
The United States ◽  
Modern Method ◽  
Sexually Active ◽  
Logistic Regression Models ◽  
Individual Level ◽  
Using Data ◽  
Unmet Need For Contraception

This study investigates the association between individual-level characteristics and the risk of having an unmet need for contraception in the United States between 2002 and 2017 for women who were sexually active, not pregnant or postpartum, fecund, and wanted no more children. Using data from the National Survey of Family Growth, logistic regression models are used to estimate the association between demographic, socioeconomic, and reproductive characteristics and the probability of having an unmet need for any contraception and for modern methods. The results show that 6.8% of the women at risk did not use any form of contraception and 12.1% did not use any modern method. Women who were black, Catholic, insured by Medicaid or uninsured, nulliparous, and who had not used contraception at their first sex had the greatest odds of having an unmet need, suggesting that specific groups are disproportionately vulnerable to unwanted pregnancy in the United States.

scholarly journals Spatial Heterogeneity and Socio-economic Correlates of Unmet Need for Spacing in India: Evidences From National Family Health Survey, 2015-16

2021 ◽  
Author(s):  
Margubur Rahaman ◽  
MD Juel Rana ◽  
Avijit Roy ◽  
Pradip Chouhan
Keyword(s):  
Logistic Regression ◽  
Family Planning ◽  
Spatial Heterogeneity ◽  
Health Survey ◽  
Unmet Need ◽  
Married Women ◽  
Multivariate Logistic Regression ◽  
Natural Break ◽  
National Family ◽  
Unmet Need For Contraception

Abstract Background:The high unmet need for contraception among women who wants to delay their subsequent births for two or more years is a challenging issue in India. Therefore, the present study aims to display spatial heterogeneity and determine the associated factors underlying the unmet need for contraception among the currently married women aged 15-49 years with a demand for spacing births in India.Methods:The present study used data from the National Family and Health Survey, 2015-16. Unmet need for spacing (UNS) used as outcomes and socio-cultural and demographic factors as explanatory variables. Among the comprehensive family planning, 16.7% (56742 women) of currently married women had demand for spacing births were used for analysis. Univariate, bivariate with chi-square significance test, spatial natural break technique, and multivariate logistic regression were used to accomplish the study objectives. Results:Almost 17% of women had demand spacing out of total demand for family planning in India. High unmet need for contraception found among them except the women with higher-level education and wealth status. District level spatial heterogeneity of UNS shows 119 districts had very high unmet for spacing (69% and above). Results from multivariate logistic regression show that UNS's likelihood was noticeably high among the women with parity three or more (AOR: 1.42 [1.3-1.55]) compared to their counterparts. Similarly, 44% (AOR: 1.44[1.38-1.51]) more likely found among the OBC than General caste. Rural (AOR: 1.24[1.19-1.30]) women compared to urban, women living in South (AOR: 6.19 [5.76-6.65]), Central (AOR: 1.52 [1.43-1.61]), and West (AOR: 1.80 [1.68-1.92]) region compared to those from North had higher odds of UNS. Conclusion:Deal with the UNS in India requires scaling up women education, client choice-based services, campaign on benefits of spacing births and available contraception, and socio-economically backward group centric policies.

scholarly journals Spatial Heterogeneity and Socio-economic Correlates of Unmet Need for Spacing Contraception in India: Evidences from National Family Health Survey, 2015-16

2021 ◽  
Author(s):  
Margubur Rahaman ◽  
Md Juel Rana ◽  
Avijit Roy ◽  
Pradip Chouhan
Keyword(s):  
Logistic Regression ◽  
Family Planning ◽  
Spatial Heterogeneity ◽  
Health Survey ◽  
Unmet Need ◽  
Married Women ◽  
Multivariate Logistic Regression ◽  
Natural Break ◽  
National Family ◽  
Unmet Need For Contraception

Abstract Background:The high unmet need for contraception among women who wants to delay their subsequent births for two or more years (UNS) is a challenging issue in India. Therefore, the present study aims to display spatial heterogeneity and determine the associated factors underlying the UNS among the currently married women aged 15-49 years with a demand for spacing births in India.Methods:The present study used data from the National Family and Health Survey, 2015-16. Unmet need for spacing (UNS) used as outcomes and socio-cultural and demographic factors as explanatory variables. Among the comprehensive family planning, 16.7% (56742 women) of currently married women had demand for spacing births were used for analysis. Univariate, bivariate with chi-square significance test, spatial natural break technique, and multivariate logistic regression were used to accomplish the study objectives. Results:Almost 17% of women had demand spacing out of total demand for family planning in India. High unmet need for contraception found among them except the women with higher-level education and wealth status. District level spatial heterogeneity of UNS shows 248 districts had remarkably high unmet for spacing (68% and above). Results from multivariate logistic regression show that UNS's likelihood was noticeably high among the women with parity three or more (AOR: 1.42 [1.3-1.55]) compared to their counterparts. Similarly, 44% (AOR: 1.44[1.38-1.51]) more likely found among the OBC than General caste. Rural (AOR: 1.24[1.19-1.30]) women compared to urban, women living in South (AOR: 6.19 [5.76-6.65]), Central (AOR: 1.52 [1.43-1.61]), and West (AOR: 1.80 [1.68-1.92]) region compared to those from North had higher odds of UNS. Conclusion:Deal with the UNS in India requires scaling up women education, client choice-based services, campaign on benefits of spacing births and available contraception, and socio-economically backward group centric policies.

scholarly journals Individual and community level factors associated with unmet need for contraception among married reproductive age women in Ethiopia. A multilevel analysis using 2016 Ethiopian Demographic and Health Survey

2020 ◽  
Author(s):  
Melaku Yalew Anagaw ◽  
Bezawit Adane Desta ◽  
Bereket Kefale Abitew ◽  
Yitayish Damtie Sinishaw
Keyword(s):  
Health Survey ◽  
Unmet Need ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Reproductive Age ◽  
Care Providers ◽  
Factors Associated ◽  
Reproductive Age Women ◽  
Living Children ◽  
Unmet Need For Contraception

Abstract Background: There is limited evidence on unmet need to contraceptive among married reproductive age women especially in developing countries like Ethiopia. Thus, this study aimed to assess individual and community level factors associated with unmet need for contraception among married women of reproductive age in Ethiopia, EDHS 2016 dataset, 2019. Method: A secondary analysis was done on Ethiopian Demographic and Health Survey (2016) dataset by using cross sectional study design. A total of 9125 women who were married, fecund and/or sexually active were included in the analysis. Multilevel mixed-effect logistic regression analysis was done by STATA version 14.0 to identify individual and community level factors. Adjusted odds ratio with 95% confidence interval was used to show the strength and direction of association and statistical significance was declared at P value less than 0.05. Result: Factors significantly associated with unmet need were; ages between 15-19 years [AOR=2.25, 95% CI: (1.34, 3.79)], greater than or equal to three living children [AOR=1.87, 95 % CI: (1.40, 2.49)], belong to richer household [AOR=0.73, 95% CI: (0.54, 0.97)], Muslim followers [AOR=1.37, 95% CI: (1.02, 1.83)], married more than once [AOR=1.31, 95 % CI: (1.06, 1.62)]. From community level variables, belong to Somali region [AOR=0.34, 95% CI: (0.19, 0.61)] were significantly associated with unmet need. Conclusion: Both individual and community-level factors were significant determinants of unmet need. From individual level factors; ages of women, number of living children, religion, married more than once and wealth of house hold and from community level variables; region was significantly associated with unmet need for contraception. The findings suggested that health care providers should mainly focus on women nearly on menopauses, who live in the poorest household and who had many number of living children and married more than once to decrease unmet need to contraceptive.

scholarly journals Individual and community level factors associated with unmet need for contraception among married reproductive age women in Ethiopia. A multilevel analysis using 2016 Ethiopian Demographic and Health Survey

2019 ◽  
Author(s):  
Melaku Yalew Anagaw ◽  
Bezawit Adane Desta ◽  
Bereket Kefale Abitew ◽  
Yitayish Damtie Sinishaw
Keyword(s):  
Health Survey ◽  
Unmet Need ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Reproductive Age ◽  
Care Providers ◽  
Factors Associated ◽  
Reproductive Age Women ◽  
Living Children ◽  
Unmet Need For Contraception

Abstract Background: There is limited evidence on unmet need to contraceptive among married reproductive age women especially in developing countries like Ethiopia. Thus, this study aimed to assess individual and community level factors associated with unmet need for contraception among married women of reproductive age in Ethiopia, EDHS 2016 dataset, 2019. Method: A secondary analysis was done on Ethiopian Demographic and Health Survey (2016) dataset by using cross sectional study design. A total of 9125 women who were married, fecund and/or sexually active were included in the analysis. Multilevel mixed-effect logistic regression analysis was done by STATA version 14.0 to identify individual and community level factors. Adjusted odds ratio with 95% confidence interval was used to show the strength and direction of association and statistical significance was declared at P value less than 0.05. Result: Factors significantly associated with unmet need were; ages between 15-19 years [AOR=2.25, 95% CI: (1.34, 3.79)], greater than or equal to three living children [AOR=1.87, 95 % CI: (1.40, 2.49)], belong to richer household [AOR=0.73, 95% CI: (0.54, 0.97)], Muslim followers [AOR=1.37, 95% CI: (1.02, 1.83)], married more than once [AOR=1.31, 95 % CI: (1.06, 1.62)]. From community level variables, belong to Somali region [AOR=0.34, 95% CI: (0.19, 0.61)] were significantly associated with unmet need. Conclusion: Both individual and community-level factors were significant determinants of unmet need. From individual level factors; ages of women, number of living children, religion, married more than once and wealth of house hold and from community level variables; region was significantly associated with unmet need for contraception. The findings suggested that health care providers should mainly focus on women nearly on menopauses, who live in the poorest household and who had many number of living children and married more than once to decrease unmet need to contraceptive.

scholarly journals Individual and community-level factors associated with unmet need for contraception among reproductive-age women in Ethiopia. A multi-level analysis of 2016 Ethiopia Demographic and Health Survey

2020 ◽  
Author(s):  
Melaku Yalew ◽  
Bezawit Adane ◽  
Bereket Kefale ◽  
Yitayish Damtie
Keyword(s):  
Health Survey ◽  
Unmet Need ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Reproductive Age ◽  
Factors Associated ◽  
Reproductive Age Women ◽  
Multi Level ◽  
Living Children ◽  
Unmet Need For Contraception

Abstract Background: There is limited evidence on the unmet need for contraceptives among married reproductive-age women especially in developing countries like Ethiopia. Thus, this study aimed to assess individual and community-level factors associated with unmet need for contraception among reproductive-age women in Ethiopia. Method: A secondary analysis was done on the 2016 Ethiopian Demographic and Health Survey (EDHS) dataset which were collected cross-sectional. A total of 9,056 women who were fecund, married and/or sexually active were included in the analysis. Multi-level mixed-effect logistic regression analysis was done by STATA version 14.0 to identify individual and community-level factors. Adjusted odds ratio with 95% confidence interval was used to show the strength and direction of the association and statistical significance was declared at P value less than 0.05. Result: Factors significantly associated with unmet need were; ages of women between 45-49 years [AOR=2.25, 95% CI: (1.34, 3.79)], greater than or equal to three living children [AOR=1.87, 95 % CI: (1.40, 2.49)], belong to richer household [AOR=0.73, 95% CI: (0.54, 0.97)], Muslim followers [AOR=1.37, 95% CI: (1.02, 1.83)], married more than once [AOR=1.31, 95 % CI: (1.06, 1.62)]. From community level variables, belong to Somali region [AOR=0.34, 95% CI: (0.19, 0.61)] were significantly associated with unmet need. Conclusion: Both individual and community-level factors were significant determinants of unmet need. From individual-level factors: advanced ages of women, many total numbers of living children, live in the richer wealth quintile, being Muslim follower and married more than once and from community-level variables: belong to the Somali region were significantly associated with unmet need for contraception. The findings suggested that health care providers should mainly focus on women nearly on menopauses, who live in the poorest household and who had many numbers of living children and married more than once to decrease the unmet need for contraceptives.

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