Prevalence and factors associated with covert contraceptive use in Kenya: a cross-sectional study

Abstract Background Family planning (FP) is a key intervention for preventing unplanned pregnancies, unsafe abortions, and maternal death. Involvement of both women and their partners promotes contraceptive acceptance, uptake and continuation, couple communication and gender-equitable attitude. Partner involvement is a key strategy for addressing about 17.5% of the unmet needs in FP in Kenya. This study assessed the prevalence and factors associated with covert contraceptive use (CCU) in Kenya. Methods We used data from the sixth and seventh rounds of the performance monitoring for accountability surveys. We defined CCU as “the use of contraceptives without a partner’s knowledge”. We used frequencies and percentages to describe the sample characteristics and the prevalence of CCU and assessed the associated factors using bivariate and multivariable logistic regressions. Results The prevalence of CCU was 12.2% (95% CI: 10.4–14.2%); highest among uneducated (22.3%) poorest (18.2%) and 35–49 years-old (12.8%) women. Injectables (53.3%) and implants (34.6%) were the commonest methods among women who practice CCU. In the bivariate analysis, Siaya county, rural residence, education, wealth, and age at sexual debut were associated with CCU. On adjusting for covariates, the odds of CCU were increased among uneducated women (aOR 3.79, 95% CI 1.73–8.31), women with primary education (aOR 1.86, 95% CI 1.06–3.29) and those from the poorest (aOR 2.67, 95% CI 1.61–4.45), poorer (aOR 1.79, 95% CI 1.05–3.04), and middle (aOR 2.40, 95% CI 1.52–3.78) household wealth quintiles and were reduced among those with 2–3 (aOR 0.49, 95% CI 0.33–0.72) and ≥ 4 children (aOR 0.62, 95% CI 0.40–0.96). Age at sexual debut (aOR 0.94, 95% CI 0.89–0.99) reduced the odds of CCU. Conclusion About one in 10 married women in Kenya use contraceptives covertly, with injectables and implants being the preferred methods. Our study highlights a gap in partner involvement in FP and calls for efforts to strengthen their involvement to increase contraceptive use in Kenya while acknowledging women’s right to make independent choices.

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Prevalence and Determinants of Covert Contraceptive Use in Kenya: a Cross-Sectional Study

10.21203/rs.3.rs-48096/v1 ◽

2020 ◽

Author(s):

Catherine Akoth ◽

James Odhiambo Oguta ◽

Samwel Maina Gatimu

Keyword(s):

Rural Areas ◽

Performance Monitoring ◽

Contraceptive Use ◽

Sexual Debut ◽

Cross Sectional Study ◽

Married Women ◽

Cross Sectional ◽

Couple Communication ◽

And Gender ◽

Partner Involvement

Abstract Background: Family planning (FP) is a key intervention for preventing unplanned pregnancies, unsafe abortions, and maternal death. Involvement of both women and their partners promotes contraceptive acceptance, uptake and continuation, couple communication and gender-equitable attitude. It is a key strategy for addressing about 17.5% of the unmet needs in FP in Kenya. This study assessed the prevalence and determinants of covert contraceptive use (CCU) in Kenya.Methods: We used data from the sixth and seventh rounds of the performance monitoring for accountability surveys. We defined CCU as ”the use of contraceptives without a partner’s knowledge”. We used frequencies and percentages to describe the sample characteristics and the prevalence of CCU and assessed the determinants using bivariate and multivariable logistic regressions.Results: Of the 3,892 married women using contraceptives included in this study, 62.9% were 20−34 years, 65.4% lived in rural areas, 51.3% had primary education and 82.4% had two or more children. The mean age at first sexual encounter was 17.3 years (standard deviation: 3.0). The prevalence of CCU was 12.2% (95% CI: 10.4%−14.2%) and was high among 35−49 years (12.8%), uneducated (22.3%) and poorest (18.2%) women. Siaya (22.9%), Kericho (16.7%) and Kakamega (13.1%) counties had the highest prevalence of CCU. Injectables (53.3%) and implants (34.6%) were the commonest methods among women who practice CCU. County of residence, education, wealth, parity, and age at sexual debut were associated with CCU.Conclusion: About one in 10 married women in Kenya use contraceptive covertly, with injectables and implants being the preferred methods. Our study highlights a gap in partner involvement in FP and calls for efforts to strengthen their involvement to increase contraceptive use in Kenya while acknowledging the rights of women to make independent choices.

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The factors associated with the length of the third stage of labour: A descriptive-analytical study

Current Women s Health Reviews ◽

10.2174/1573404817666210406154510 ◽

2021 ◽

Vol 17 ◽

Author(s):

Mansoureh Refaei ◽

Soodabeh Aghababaei ◽

Mansoureh Yazdkhasti ◽

Farideh Kazemi ◽

Fatemeh Farahmandpour

Keyword(s):

Cross Sectional Study ◽

Study Data ◽

Cross Sectional ◽

Factors Associated ◽

The Third ◽

Third Stage ◽

History Of ◽

Mother’S Age ◽

And Gender ◽

The Relationship

Background: Several risk factors have been identified for postpartum hemorrhage, one of which being the duration of the third stage of labour. This stage refers to the interval between the expulsion of the fetus to the expulsion of the placenta. Some bleeding occurs in this stage due to the separation of the placenta Objective: This study aimed to identify the factors associated with the length of the third stage of labour. Methods: In this cross-sectional study, 300 women hospitalized for vaginal birth were selected via convenience sampling. The study data were collected using a researcher-made questionnaire. Then, the data were analyzed using univariate and multivariate linear regression analyses. Results: The mean (SD) age of the participants was 26.41 (6.26) years. Investigation of the relationship between the study variables and the time of placental separation indicated that a minute increase in the length of membranes rupture caused a 0.003minute decrease in the time of placental separation. However, this time increased by 2.75, 6.68, and 2.86 minutes in the individuals without the history of abortion, those with the history of stillbirth, and those who had not received hyoscine, respectively. The results of multivariate analysis indicated that suffering from preeclampsia or hypertension, history of stillbirth, not receiving hyoscine, and not receiving misoprostol increased the length of the third stage by 4.40, 8.55, 2.38, and 6.04 minutes, respectively. Conclusion: Suffering from preeclampsia and having the history of stillbirth increased and using hyoscine and misoprostol decreased the length of the third stage of labour. However, no significant relationship was found between the length of the third stage of labour and mother’s age, gestational age, parity, mother’s body mass index, mother’s chronic disorders, history of manual placenta removal, length of the first and second stages, membranes rupture, induction, amount of oxytocin after delivery, and infant’s weight and gender.

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Prevalence of and factors associated with polypharmacy among elderly persons resident in the community

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562017020.160086 ◽

2017 ◽

Vol 20 (1) ◽

pp. 138-148 ◽

Cited By ~ 2

Author(s):

Natália Araujo de Almeida ◽

Annelita Almeida Oliveira Reiners ◽

Rosemeiry Capriata de Souza Azevedo ◽

Ageo Mário Cândido da Silva ◽

Joana Darc Chaves Cardoso ◽

...

Keyword(s):

The Elderly ◽

Cross Sectional Study ◽

Health Condition ◽

Bivariate Analysis ◽

Elderly Persons ◽

Chi Square ◽

Cross Sectional ◽

Mato Grosso ◽

Significance Level ◽

Factors Associated

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.

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Adolescent and non-consensual anal sexual debut among Chinese men who have sex with men: a cross-sectional study

10.21203/rs.3.rs-25389/v4 ◽

2020 ◽

Author(s):

Weiming Tang ◽

Yehua Wang ◽

Wenting Huang ◽

Dan Wu ◽

Fan Yang ◽

...

Keyword(s):

Sexual Risk ◽

Sexual Debut ◽

Cross Sectional Study ◽

Sectional Study ◽

Anal Sex ◽

Cross Sectional ◽

Chinese Men ◽

Factors Associated ◽

Consensual Sex ◽

Sex With Men

Abstract Background: Adolescent sexual debut and non-consensual sex have been linked to higher sexual risk and STI infection in adulthood among men who have sex with men (MSM) in high-income countries. This study aimed to examine adolescent and non-consensual anal sexual debut among Chinese MSM and to evaluate factors associated with adolescent sexual debut and non-consensual anal sex.Methods: A cross-sectional study was conducted recently among Chinese men assigned male sex at birth, ≥18 years old, and who had ever engaged in anal sex with a man. Participants answered questions regarding socio-demographics, condomless sex, age at anal sexual debut with a man, and whether the first anal sex was consensual. Factors associated with an adolescent sexual debut (<18 years old) and non-consensual sex at sexual debut were evaluated. We defined adolescent sexual debut as having anal sex with another man at 17 years old or younger, and the participants were asked whether their first male-to-male anal sex was non-consensual.Results: Overall, 2031 eligible men completed the survey. The mean age of sexual debut was 20.7 (SD=4.3) years old. 17.6% (358/2031) of men reported adolescent sexual debut, and 5.0% (101/2031) reported a non-consensual sexual debut. The adolescent sexual debut was associated with having more male sexual partners (adjusted OR 1.10, 95% CI 1.06–1.15) and condomless anal sex in the last three months (AOR=1.71, 95% CI 1.34-2.18). MSM whose sexual debut was non-consensual were more likely to have condomless anal sex (AOR=1.76, 95% CI 1.17-2.66), and to have reported an adolescent sexual debut (AOR=2.72, 95% CI 1.75-4.21).Conclusions: Many Chinese MSM reported adolescent sexual debut and non-consensual sex, both of which are associated with sexual risk behaviors and drive STI transmission. These findings highlight the need for designing tailored interventions for MSM who experienced adolescent sexual debut and non-consensual sex at debut.

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Hubungan Perilaku Orang Tua Dengan Status Gizi Balita Di Desa Bulalo Kabupaten Gorontalo Utara

Gorontalo Journal of Public Health ◽

10.32662/gjph.v1i1.149 ◽

2018 ◽

Vol 1 (1) ◽

pp. 039

Author(s):

Maesarah Maesarah ◽

Lisa Djafar ◽

Fremly Pakaya

Keyword(s):

Nutritional Status ◽

Parental Attitudes ◽

Sampling Technique ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Cross Sectional ◽

Factors Associated ◽

Study Approach ◽

Food Consumed ◽

Program Version

Nutrition is a major factor that has an important role in the growth anddevelopment in the toddlers. In the nutritional fulfillment of the toddler,the mother plays very important role. This study aimed to determinethe factors associated with the behavior of parents with the nutritionalstatus of toddlers. The research design was used analytical surveywith cross sectional study approach. The population in this researchwas 213 Balita, the sample in this research was 136 children in BulaloVillage Kwandang District, North Gorontalo District, the samplingmethod was used purposive sampling technique. Data collection ofrespondents in general using questionnaires, data analysis usingSPSS program version 21.0. Bivariate analysis to know the existenceof relation between dependent variable and independet by using chisquared test α = 0,05. The results showed that there was a correlationbetween parents' knowledge on the Nutritional Status of Toddlers (p =0,000), there was a correlation between parental attitudes with thenutritional status in the toddler (p = 0,000), there was a correlationbetween parental action with the nutritional status in the toddler (p =0,000 ). This study recommends to parents to always pay attention tothe type of food consumed and the mothers should often follow thecounseling done by midwives and nutrition officials so that thenutritional status of toddlers has increased.

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Factors associated with risk sexual behaviours of HIV/STDs infection among university students in Henan, China: a cross-sectional study

Reproductive Health ◽

10.1186/s12978-021-01219-3 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Xiaoan Du ◽

Ling Zhang ◽

Hong Luo ◽

Wenlong Rong ◽

Xianxin Meng ◽

...

Keyword(s):

University Students ◽

Condom Use ◽

Sexual Debut ◽

Scale Up ◽

Cross Sectional Study ◽

Multivariable Logistic Regression Analysis ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Sexual Behaviours

Abstract Background This study aimed to identify factors associated with risk sexual behaviours and target high-risk groups at risk of HIV/STDs infection among university students. Methods The cross-sectional study was conducted from 1 November to 31 December 2020 in one university, located in Henan Province. A total of 1602 individuals who reported having ever had sex were analyzed as the subjects of this study. Descriptive analysis and multivariable logistic regression analysis were applied for this study to assess factors associated with risk sexual behaviours among university students. Results University students who reported having ever had sex accounted for about 9%, with an average age of 19.37 ± 1.03. Of them, having multiple sexual partners and inconsistent condom use during the last 6 months were 37.3% and 35%, respectively. Over 50% of participants had their sexual debut before the age of 18. Bisexual students (AOR = 0.27; 95% CI 0.16, 0.44) and those who lived on over 3000 Yuan per month (AOR = 0.50; 95% CI 0.28, 0.91) were consistently less likely to engage in condom use during the last 6 months. University students who were from high-grade (AOR = 1.56; 95% CI 1.12, 2.18 for sophomore; AOR = 1.84; 95% CI 1.28, 2.65 for junior; AOR = 2.07; 95% CI 1.38, 3.11 for senior), who lived on over 3,000 Yuan per month (AOR = 4.19; 95% CI 2.17, 8.11) or who reported being homosexual (AOR = 3.92; 95% CI 2.17, 7.06) and bisexual (AOR = 33.22; 95% CI 13.11, 84.15) were more likely to have multiple sexual relationships. University students who had sexual debut before the age of 18 were more likely to engage in risk sexual behaviours. Conclusions The prevalence of sexual activity among Chinese university students is generally low, but risk sexual behaviours are of considerable concern. University students with higher living expenses, who are not heterosexual and who are younger at first sexual intercourse tend to engage in risk sexual behaviours. The scale-up of intervention is the need to prevent the expansion of the HIV epidemic among young students.

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Identify determinant of contraceptive use in rural set up of Surat district, Gujarat

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20173352 ◽

2017 ◽

Vol 4 (8) ◽

pp. 2956

Author(s):

Rajendra Solanki ◽

Hiteshri C. Patel ◽

J. K. Kosambiya

Keyword(s):

Contraceptive Use ◽

Total Sample ◽

Cross Sectional Study ◽

Cross Sectional ◽

Factors Affecting ◽

Number Of Children ◽

First Child ◽

Education Of Women ◽

And Gender ◽

Set Up

Background: In spite of significant growth and expansion of family planning programme, pregnancy continues to be unplanned. This study has been conducted to identify determinant responsible for use of contraception. The aim of the study was to determine the factors affecting the use of the contraceptives. The objectives were to study Socio – demographic, fertility profile of eligible couples and its relation to use of contraceptionMethods: This is a cross sectional study conducted during period of 20th September 2014 to 15th January 2015. Three PHCs were selected purposively from Olpad taluka of the Surat District. Two Sub Centers were selected randomly from each PHC. Data regarding eligible couples were collected from Sub Center register. From each Sub Center, 47 eligible women were selected randomly. Total sample size was 280 (CPR: 60%, DLHS-3).Results: Mean age of study participants were 29.14±6.7 years. Out of total women, 18.6% women were married before attaining the age of 18 years. More than 50% women were 20-24 years of age group at the time of birth of first child where as 25.4% women gave birth to first child before the age of 20 years. There was significant association between use of Contraceptive methods with factors like age of women, caste, religion, education of women, education of husband and number of children (p<0.05). At the time of sterilization, number of children and gender of last child plaed a significant role.Conclusions: Women should be empowered with education regarding use of contraception. Child marriage act should be strictly followed.

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Utilization of adolescent friendly health services and its associated factors in Dang district of Nepal

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20203365 ◽

2020 ◽

Vol 7 (8) ◽

pp. 2931

Author(s):

Niraj Giri ◽

Shushila Shrestha ◽

Srijana Uprety ◽

Raj Kumar Sangroula

Keyword(s):

Health Services ◽

Educational Status ◽

Cross Sectional Study ◽

Health Facilities ◽

Bivariate Analysis ◽

Cross Sectional ◽

Factors Associated ◽

Institutional Review ◽

Adolescent Friendly Health Services ◽

Socio Demographic Factors

Background: Adolescence is a period of transition from childhood to adulthood. It is very crucial for adolescents to use the adolescent friendly health services in order to meet sexual and reproductive health needs. This study aimed to assess the factors associated with utilization of adolescent friendly health services in Dang district of Nepal.Methods: A community based analytical cross-sectional study was conducted in Dang district of Nepal. Five adolescent friendly health facilities were randomly selected and proportionate sampling was done to fulfill the required sample size. The adolescents were selected conveniently from the areas. Verbal informed consent was taken from the participants and their parents in case of age below 16 years. Approval was taken from Institutional Review Committee of Chitwan Medical College. Bivariate analysis was performed to detect the factors associated with utilization of adolescent friendly health services.Results: Nearly half (48.7%) of the adolescents had utilized adolescent friendly health services. Different socio-demographic factors like age of the participants, current educational status, mother’s education, ethnicity was significantly associated with utilization of adolescent friendly health services. Other factors like awareness about were services, convenient opening days and hour of health facilities and shyness to utilize the services were significantly associated with the utilization of the services.Conclusions: The utilization of the adolescent friendly services was found to be low among the adolescents of Dang district. In order to increase awareness among the adolescent regarding utilization of the services, there is need of coordination between schools, health institutions, communities etc. to conduct various awareness related program.

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Early and non-consensual sexual debut among Chinese men who have sex with men: a cross-sectional study

10.21203/rs.3.rs-25389/v1 ◽

2020 ◽

Author(s):

Weiming Tang ◽

Yehua Wang ◽

Wenting Huang ◽

Dan Wu ◽

Fan Yang ◽

...

Keyword(s):

Sexual Debut ◽

Cross Sectional Study ◽

Sectional Study ◽

Anal Sex ◽

Cross Sectional ◽

Early Sexual Debut ◽

Chinese Men ◽

Factors Associated ◽

Consensual Sex ◽

Sex With Men

Abstract Background Early sexual debut and non-consensual sex have been linked to higher sexual risk and STI infection among men who have sex with men (MSM) in high-income countries. This study aimed to examine early and non-consensual sexual debut among Chinese MSM and to evaluate factors associated with early sexual debut and non-consensual sex. Methods A cross-sectional study was conducted in 2016 among Chinese men born biologically male, ≥ 18 years old, and who had ever engaged in anal sex with a man. Participants answered questions regarding socio-demographics, condomless sex, age at anal sexual debut with a man, and whether the first anal sex was consensual sex. Factors associated with an early sexual debut (< 18 years old) and non-consensual sex at sexual debut were evaluated. Results Overall, 2031 eligible men completed the survey. The mean age of sexual debut was 20.7 (SD = 4.3) years old. 17.6% (358/2031) of men reported early sexual debut, and 5.0% (101/2031) reported a non-consensual sexual debut. Early sexual debut was associated with having more male sexual partners (adjusted OR 1.10, 95% CI 1.06–1.15) and condomless anal sex in last three months (AOR = 1.71, 95% CI 1.34–2.18) in last three months. MSM whose sexual debut was non-consensual were more likely to have condomless anal sex (AOR = 1.76, 95% CI 1.17–2.66), and to have reported an early sexual debut (AOR = 2.72, 95% CI 1.75–4.21). Conclusions Many Chinese MSM reported early sexual debut and non-consensual sex, both of which are associated with sexual risk behaviors and drive STI transmission. These findings highlight the need for improving sexual health education among young people.

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Sociodemographic and Clinical Factors Associated with Postpartum Hemorrhage in a Maternity Ward

Aquichan ◽

10.5294/aqui.2021.21.2.7 ◽

2021 ◽

Vol 21 (2) ◽

pp. 1-13

Author(s):

Daianne Teixeira ◽

Telmara Menezes Couto ◽

Ridalva Dias Martins ◽

Jules Ramon Brito Teixeira ◽

Jaqueline Alves Pires ◽

...

Keyword(s):

Multivariate Analysis ◽

Postpartum Hemorrhage ◽

Maternity Hospital ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

Clinical Factors ◽

Cross Sectional ◽

Significance Level ◽

Factors Associated ◽

Multiparous Women

Objective: Checking the sociodemographic and clinical factors associated with the prevalence of postpartum hemorrhage (PPH) in a maternity school. Materials and methods: A quantitative cross-sectional study in a maternity hospital in Salvador, Bahia, Brazil. In data collection, we used a standardized form that contained sociodemographic and clinical data from the medical records of 83 women for the period of 2018. Stata version 14 software was used in the analyses. Bivariate analysis was conducted using Pearson’s or Fisher’s exact tests. Poisson regression was performed with robust variation in multivariate analysis. Prevalence ratios (PR) and respective 95 % confidence intervals were estimated. The significance level of the tests was 5 %. Results: The prevalence of PPH was 38.6 % and 25.6 % for atony as the cause. In the bivariate analysis, there was an association between PPH and non-breastfeeding in the first hour of life (p = 0.039). In the multivariate analysis, it was identified that multiparous women had an increase in the prevalence of PPH by almost twice (PR = 1.97). Not breastfeeding in the first hour of life increased this prevalence more than four times (PR = 4.16). Conclusions: Monitoring multiparous women during birth care and encouraging breastfeeding in the first hour of life may decrease the prevalence of PPH.

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