Contraceptive use and its determinants among adolescent women in Tigray, Ethiopia: a multilevel modeling

AbstractBackgroundAdolescent women are central for intergenerational health of human populations. Adolescent women are the most vulnerable to a range of reproductive health problems. One of the leading causes of death for adolescent women is complications from childbirth and pregnancy. Contraceptive prevents the occurrence of unwanted pregnancies and its complications, thus potentially lower the death rate for adolescent women. However, contraceptive use assumed to be affected by multilevel factors thus needs statistical modeling that account the effect of these factors. Understanding multilevel factors affecting contraceptive use among adolescent women is important for improving the access to and quality of health services.ObjectiveThe aim of this study was to assess the contraceptive use and its multilevel determinants among adolescent women in Tigray region.MethodsA community based cross-sectional study was conducted. Women who were 15–19 years of age residing in the selected households at the time of data collection were included in the survey. Multi-stage cluster sampling was used to select study units. A multivariable two-level mixed effect binary logistic regression model was fitted to assess the effect of the explanatory variables on contraceptive use.ResultsA total of 1,755 adolescent women were participated. Of these 12.3% were contraceptive users. Pills (40%) and intrauterine device (30%) were commonly used contraceptive methods. Educational level, schooling, marital status, age, being informed about contraceptive, health facility visit, duration of stay at their residence, having partner and hearing of contraceptive use message through media were the most important determinants for use of contraceptive among adolescent women. Study participants who were not at school currently had more likely to use contraceptive methods compared to those who were at school (Adjusted odds ratio [AOR]=2.05; 95% confidence interval [CI]: 1.502, 4.183). Similarly, adolescent women who had no history of health facility visit had less likely to use contraceptive methods than those have history of health facility visit (AOR=0.057; 95% CI: 0.034, 0.096). Adolescent women who heard of contraceptive through median had two times (AOR=2.103; 95% CI: 1.207, 3.664) more likely to use contraceptive methods than those not heard contraceptive through media.Conclusion and recommendationThe factors affecting use of contraceptive method among adolescent women were educational level, schooling, marital status, age, being informed about contraceptive, health facility visit, duration of stay at their residence, having partner and hearing of contraceptive use message through media. This study recommends that in order to increase use of contraceptive method among adolescent women, interventions should continue like the promotion of contraceptive methods through media.

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Predictors of contraceptive method discontinuation among adolescent and young women in three West African countries (Burkina Faso, Mali, and Niger)

BMC Women s Health ◽

10.1186/s12905-021-01326-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Adja Mariam Ouédraogo ◽

Adama Baguiya ◽

Rachidatou Compaoré ◽

Kadari Cissé ◽

Désiré Lucien Dahourou ◽

...

Keyword(s):

Marital Status ◽

Burkina Faso ◽

Young Women ◽

Contraceptive Method ◽

Occupation Number ◽

Education Level ◽

Demographic And Health Surveys ◽

Contraceptive Methods ◽

Unintended Pregnancies ◽

Contraceptive Discontinuation

Abstract Background The effective use of contraception among adolescents and young women can reduce the risk of unintended pregnancies. However, the prevalence of contraceptive use remains low in this age group. The objective of this study was to estimate the rate of contraceptive method discontinuation among adolescents and young women and to identify its associated factors in Burkina Faso, Mali, and Niger. Method This was a secondary analysis of data from Demographic and Health Surveys of Burkina Faso (2010), Mali (2012–2013), and Niger (2012). The dependent variable was the time to discontinuation of contraceptive methods. Independent variables were represented by sociodemographic, socioeconomic, and cultural characteristics. Mixed-effects survival analysis with proportional hazards was used to identify the predictors. Results A total of 2,264 adolescents and young women aged 15 to 24 years were included in this analysis, comprising 1,100 in Burkina Faso, 491 in Mali, and 673 in Niger. Over the last five years, the overall contraceptive discontinuation rate was 68.7% (50.1% in Burkina Faso, 59.6% in Mali, and 96.8% in Niger). At the individual level, in Burkina Faso, occupation (aHR = 0.33), number of living children (aHR = 2.17), marital status (aHR = 2.93), and region (aHR = 0.54) were associated with contraceptive discontinuation. Except for education and marital status, we found the same factors in Mali. In Niger, a women's education level (aHR = 1.47) and her partner (aHR = 0.52) were associated with discontinuation. At the community level, the region of origin was associated with discontinuation of contraceptive methods. Conclusion Most adolescents and young women experienced at least one episode of discontinuation. Discontinuation of contraceptive methods is associated with the level of education, occupation, number of children, marital status, and desire for children with the spouse. Promotion of contraceptive interventions should target adolescents, young women, and their partners, as well as those with a low education level or in a union.

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The effect of Women’s decision-making autonomy on family Planning acces in Senegal in 2017

European Journal of Public Health ◽

10.1093/eurpub/ckz186.125 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

N M Sougou ◽

O Bassoum ◽

M M M M Leye ◽

A Tal-Dia

Keyword(s):

Decision Making ◽

Family Planning ◽

Contraceptive Method ◽

Contraceptive Use ◽

Modern Contraceptive ◽

Contraceptive Methods ◽

Modern Contraceptive Method ◽

Significant Difference ◽

Modern Contraceptive Use ◽

The Impact

Abstract Background The impact of access to decision-making on women’s health in the choice of fertility control has been highlighted by research. The aim of this study was to analyze the impact of access to decision-making for women’s health on access to family planning in Senegal in 2017. Methods The analyses of this study had been done on the Individual Records file of Senegal’s Demographic Health Survey 2017. This data covered 8865 women aged 15 to 49 years. The propensity scores matching method had been done. The variable access to the decision was considered as the variable of interest. Matching was done using variables that were not modified by the effect of the treatment. These were religion and socio-economic level. The outcome variables were modern contraceptive use, the existence of unmet needs and the type of modern contraceptive method used. Significance was at 5%. The condition of common support had been respected. The analysis was done with the STATA.15 software. Results Six percent (6.26%) of women could decide about their health on their own. Access to decision-making increased significantly with the woman’s age (p < 0.05). Fifteen percent (15.24%) women used a modern contraceptive method. Women using a contraceptive method were more numerous in the group with access to decision-making (29.43%) with a significant difference with the other group of 8% (p < 0.05). After matching, there was no significant difference between women in terms of modern contraceptive use and the existence of unmet needs. There was a significant difference in the type of contraceptive method used between the two groups of women. These differences were 23.17% for Intra Uterine Device, 52.98% for injections, 08.9% for implants and 10.79% for condoms. Conclusions Access to decision-making for health would facilitate women’s access to long-acting contraceptive methods. These findings show the importance of implementing gender transformative interventions in improving access to family planning. Key messages Access to decision-making for health would allow better access to modern contraceptive methods, especially those with a long duration of action. Better consideration of gender disparity reduction could improve access to family planning in Senegal.

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A rise in births following contraceptive failure in France between 2010 and 2016: results from the French national perinatal surveys

BMC Women s Health ◽

10.1186/s12905-021-01255-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Camille Bonnet ◽

Béatrice Blondel ◽

Caroline Moreau

Keyword(s):

Contraceptive Method ◽

Contraceptive Use ◽

Significant Proportion ◽

Adult Women ◽

Contraceptive Methods ◽

Subsequent Increase ◽

Contraceptive Failure ◽

Live Births ◽

Socially Disadvantaged ◽

Method Mix

Abstract Background In France, while the prevalence of contraception is high, a significant proportion of pregnancies are unintended. Following the 2012 pill scare, the contraceptive method mix, which was mostly comprised of pills and intrauterine devices (IUD), has become more diversified. In this changing landscape, our objective was to describe trends in live births resulting from contraceptive failure and evaluate how patterns of contraceptive use have contributed to observed changes between 2010 and 2016. Methods We used data from the 2010 and the 2016 French National Perinatal surveys which included all births from all maternity units in France over a one-week period. Interviews collecting information about pre-conception contraceptive practices were conducted in the maternity ward post-delivery. Women were classified as having a contraceptive failure if they discontinued contraception because they were pregnant. Our study sample included adult women who had a live birth, had ever used contraception and did not undergo infertility treatment (n = 11,590 in 2010 and n = 9703 in 2016). We evaluated changes in contraceptive failure over time using multivariate Poisson regressions to adjust for sociodemographic characteristics and pre-pregnancy contraceptive methods. Results Pre-pregnancy contraception evolved between 2010 and 2016 with a 12.3% point-drop in pill use, and conversely, 4.6%- and 3.2%-point increases in IUD and condom use, respectively. Use of other barrier or natural methods doubled between 2010 and 2016 but remained marginal (1.4% in 2010 vs 3.6% in 2016). Between 2010 and 2016, the proportion of live births resulting from contraceptive failure rose from 7.8 to 10.0%, with higher risks among younger, parous and socially disadvantaged mothers. The risk ratio of contraceptive failure in 2016 compared to 2010 remained higher after sociodemographic adjustments (aRR = 1.34; 95% CI; 1.23–1.47) and after adjusting for pre-pregnancy contraceptive method mix (aRR = 1.35; 95% CI; 1.25–1.49). Increases in contraceptive failures were concentrated among pill and condom users. Conclusions Recent shifts in contraceptive behaviors in France following the 2012 pill scare may be associated with a subsequent increase in births resulting from short acting contraceptives failures.

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Investigation On Psychological Status of Patients With Cervical Precancerous Lesions And Cancer Among Han And Ethnic Minority In Yunnan Province of China

10.21203/rs.3.rs-1103852/v1 ◽

2021 ◽

Author(s):

Min Zhao ◽

Dan Liu ◽

Rong-Yan Gu ◽

Hong-Tao Lei ◽

Shao Zhang ◽

...

Keyword(s):

Marital Status ◽

Ethnic Minority ◽

Economic Burden ◽

Psychological Intervention ◽

Precancerous Lesions ◽

Psychological Status ◽

Treatment Modalities ◽

Factors Affecting ◽

Genetic History ◽

History Of

Abstract Objective The aim of this study was to explore the correlation and difference of influencing factors by analyzing the psychological status of patients with cervical precancerous lesions and cancer in Han and Ethnic minorities. So as to provide evidence for more targeted psychological intervention for categories types of patients. Methods 200 Han patients with cervical lesions and 100 Ethnic minority patients in Yunnan cancer center were investigated with the Chinese version of Kessler 10 Scale. Statistical analysis was performed using t-test, analysis of variance, and multivariable linear regression. Results There was no significant difference in the distribution of demographic characteristics between the two groups (P>0.05).The results of univariate analysis showed that the impression of K10 score was statistically significant among the following factors: educational level, awareness of HPV vaccine, disease screening status, employee medical insurance, economic burden of disease, cancerous or not, pathological type, treatment modalities, marital status, and family genetic history of tumor (P<0.05).Among them, the marital status had opposite effects on the two groups of patients. The mean score of married Han patients were higher than those of Han patients with other marital status, but the score of Ethnic minority patients the opposite. Multivariate analysis indicates that the economic burden of the disease, occupation, and family genetic history of tumor had a greater impact on the total score of Han patients among many factors, accounting for a total of 8.1% (Adj=0.081).Treatment modalities had the greatest effect on the scores of ethnic minority patients, accounting for 8.4%(Adj=0.084). Conclusion The factors affecting the psychological status of patients between the two groups have similarities and differences. Multifactorial analysis showed that the main factors affecting the psychology of Han patients were: economic burden caused by the disease, occupation, and family genetic history of tumor; while the main factors affecting the psychology of minority patients were: treatment modalities. Therefore, targeted recommendations and policy measures can be proposed respectively. We should not only increase the publicity of disease-related knowledge, but also call on all women to receive vaccines and regular screening of women in the high incidence age group. It is also necessary to positively guide patients with higher education level and give more encouragement and spiritual support to patients with family genetic history of tumor and heavy economic burden of the disease. The effect of marital relationship on patients cannot be neglected at the same time. More targeted psychological intervention and more favorable treatment modalities should be provided for patients.

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Use of contraceptive methods by sexually active teenagers in Pelotas, Rio Grande do Sul State, Brazil

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2007001200007 ◽

2007 ◽

Vol 23 (12) ◽

pp. 2862-2868 ◽

Cited By ~ 12

Author(s):

Clarissa Lisbôa Arla da Rocha ◽

Bernardo L. Horta ◽

Ricardo Tavares Pinheiro ◽

Ana Laura Sica Cruzeiro ◽

Suelen Cruz

Keyword(s):

Urban Area ◽

Contraceptive Method ◽

Contraceptive Use ◽

Rio Grande ◽

Cross Sectional Study ◽

Rio Grande Do Sul ◽

Contraceptive Methods ◽

Chi Square ◽

Cross Sectional ◽

Increased Risk

This study aimed to assess the prevalence of contraceptive use by adolescents. A cross-sectional study was performed from March to September 2002 in a representative sample of adolescents 15 to 18 years of age in the urban area of Pelotas, Rio Grande do Sul State, Brazil. Multiple-stage sampling was used, and in the 448 census tracts located in the urban area, 90 were sampled and households were visited in each tract. Information was collected on sexual initiation and use of contraceptive methods. Chi-square test was used to compare proportions. The sample included 960 adolescents. 88% of subjects reported the use of any contraceptive method. Condoms were the most commonly used method (63.2%). Low adolescent schooling was the only variable associated with increased risk of non-use of contraceptives. Condom use was higher among males, adolescents whose mothers had 9 or more years of schooling, and those reporting several sexual partners in the previous year. Condoms were the most commonly used contraceptive method.

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The Effects of Nurses' Personal and Professional Characteristics on Needle Stick Injuries

Archives of Occupational Health ◽

10.18502/aoh.v5i4.7976 ◽

2021 ◽

Author(s):

Masoud Askari Majdabadi ◽

Seyed Mahdi Mousavi ◽

Saeid Yazdanirad ◽

Sogand Pirhadi ◽

Seyyedeh Shadi Hosseini ◽

...

Keyword(s):

Marital Status ◽

Educational Level ◽

Work Experience ◽

Individual Characteristics ◽

Work Shift ◽

Needle Stick ◽

Professional Characteristics ◽

Significant Difference ◽

History Of ◽

Needle Stick Injuries

Background: Nurses face many professional dangers such as needle stick injuries. This study investigated the effects of nurses' personal and professional characteristics on needle stick injuries. Methods: The present cross-sectional study was performed on 200 nursing staff in a hospital. The sampling method was the classified method. Participants were asked to complete a researcher-made questionnaire on personal characteristics (age, work experience, gender, marital status, and educational level) and job (work department, number of shifts per month, and type of work shift). Also, the number of their needle stick events was extracted from their medical records. Results: The prevalence of needle sticks was 45.5%. Based on individual characteristics, the mean age and work experience of people with a history of needle stick are significantly lower than people without a history of needle stick (P <0.03). There was a significant relationship between needle stick history and educational level (P <0.00). However, there was no significant difference between the two groups without and with a history of needle stick in terms of marital status (P = 0.11) and gender (P = 0.13). Based on job characteristics, there were significant relationships between the history of needle stick with the variables of type of work shift (P = 0.00) and the number of shifts per month (P <0.00). Conclusion: Some personal and professional characteristics effective in needle sticking were identified. These findings can be used as a guide to prioritize individuals to take precautionary measures against needle sticking.

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Peran perempuan dalam penggunaan alat kontrasepsi

Masyarakat Kebudayaan dan Politik ◽

10.20473/mkp.v29i32016.121-132 ◽

2016 ◽

Vol 29 (3) ◽

pp. 121

Author(s):

Anis Fitriani

Keyword(s):

Family Planning ◽

Contraceptive Method ◽

Contraceptive Use ◽

Contraceptive Methods ◽

Negative Effects ◽

Level Of Education ◽

Qualitative Phenomenology ◽

Study Researcher ◽

Experiences Of Women ◽

Choice Frequency

Family planning is a program established by government to minimize the population explosion by preventing pregnancy and child birth. Women are naturally able to conceive and give birth so they become the target of higher contraceptive use than men. Women in the Pucangro Village Kalitengah subdistrict in Lamongan regency explained their experiences and knowledge they have in using contraception. This type of research is qualitative phenomenology. In this study, researcher explains knowledge and experiences of women in using contraception. Information obtained through observation of women’s life by conducting interview with five women who use contraceptives. Contraception which used by many people in Pucangro Village, Kalitengah subdistrict, Lamongan regency are injection, pill, implant and steady contraception. Women often change contraception methods to adjust the most suitable type for their body because of the effects of contraception make users uncomfortable. Even so, informants persist in using contraception because they have no other choice. Frequency in changing contraceptive method also due to women's knowledge about contraceptive methods which is critically low, such knowledge is mostly gained throughm experiences from parents and siblings. The partner (husband) are less involved and do not want to know the use of contraception’s partner (wife). Several factors that stimulate contraception usage are knowledge possession, level of education, encouragement from family or partner, and side effect of the contraception itself. Women have the power to determine the type of contraception they prefer but no power to refuse using contraception even though negative effects are most likely to occur.

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Modern contraceptive use among sexually active women aged 15–19 years in North-Western Tanzania: results from the Adolescent 360 (A360) baseline survey

BMJ Open ◽

10.1136/bmjopen-2019-030485 ◽

2019 ◽

Vol 9 (8) ◽

pp. e030485 ◽

Cited By ~ 7

Author(s):

Mussa Kelvin Nsanya ◽

Christina J Atchison ◽

Christian Bottomley ◽

Aoife Margaret Doyle ◽

Saidi H Kapiga

Keyword(s):

Marital Status ◽

Contraceptive Use ◽

Baseline Survey ◽

Modern Contraceptive ◽

Sexually Active ◽

Modern Contraception ◽

Adolescent Women ◽

Modern Contraceptive Use ◽

North Western ◽

Western Tanzania

ObjectivesTo describe differences in modern contraceptive use among adolescent women aged 15–19 years according to their marital status and to determine factors associated with modern contraceptive use among sexually active women in this population.DesignCross-sectional analysis of Adolescent 360 evaluation baseline survey.SettingThe 15 urban and semiurban wards of Ilemela district, Mwanza region, North-Western Tanzania.ParticipantsAdolescent women aged 15–19 years who were living in the study site from August 2017 to February 2018 and who provided informed consent. Women were classified as married if they had a husband or were living as married. Unmarried women were classified as sexually active if they reported having sexual intercourse in the last 12 months.Outcome measurePrevalence of modern contraceptive among adolescent women aged 15–19 years.ResultsData were available for 3511 women aged 15–19 years, of which 201 (5.7%) were married and 744 (22.5%) were unmarried-sexually active. We found strong evidence of differences in use of modern contraceptive methods according to marital status of adolescent women. Determinants of modern contraception use among unmarried-sexually active women were increasing age, increasing level of education, being in education, hearing of modern contraception from interpersonal sources or in the media in the last 12 months, perceiving partner and/or friends support for contraceptive use, as well as higher knowledge and self efficacy for contraception.ConclusionsSexual and reproductive health programmes aiming to increase uptake of modern contraceptives in this population of adolescent women should consider the importance of girl’s education and social support for contraceptive use particularly among unmarried-sexually active women.

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DETERMINANTS OF CONTRACEPTIVE USE AMONG WOMEN OF REPRODUCTIVE AGE IN GREAT BRITAIN AND GERMANY I: DEMOGRAPHIC FACTORS

Journal of Biosocial Science ◽

10.1017/s002193209700415x ◽

1997 ◽

Vol 29 (4) ◽

pp. 415-435 ◽

Cited By ~ 26

Author(s):

B. J. ODDENS ◽

P. LEHERT

Keyword(s):

Educational Level ◽

Contraceptive Method ◽

Health Care Policy ◽

Church Attendance ◽

Contraceptive Use ◽

Reproductive Status ◽

Reproductive Age ◽

Oral Contraceptive Use ◽

Future Child ◽

Combined Impact

Multifactorial analyses of data from representative British and German national contraception surveys were used to examine the principal demographic determinants of contraceptive use by women. Contraceptive use appeared to be determined mainly by reference to ‘reproductive status’ (the combined impact of age, marital status, parity and future child wish). Women who were postponing pregnancies were using oral contraceptives, whereas those who wanted no more children relied more on intrauterine devices or sterilisation. Differences between the countries suggested that the choice of contraceptive method was influenced by health care policy, the organisation of the relevant services and differential provider preferences. The contraceptive method used was also related to having occasional rather than steady sexual partners (more condom use), lower educational level (less oral contraceptive use) and frequent church attendance (greater use of condoms and periodic abstinence). Contraception decisions appeared to follow a fixed pattern, based more on a couple's demographic situation (reproductive status, country, educational level and religious beliefs) than on the characteristics of the contraceptive methods. This resulted in an unnecessarily restricted choice of methods.

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Family planning clients at a Tertiary hospital in Niger Delta, Nigeria: Where they on any contraceptive method prior to first visit?

10.30574/msarr.2021.1.3.0018 ◽

2021 ◽

Vol 1 (3) ◽

pp. 022-029

Author(s):

Nonye-Enyidah Esther ◽

Enyidah Nonyenim ◽

Jumbo A

Keyword(s):

Family Planning ◽

Contraceptive Method ◽

Contraceptive Use ◽

University Teaching ◽

Contraceptive Device ◽

Modern Contraceptive ◽

State University ◽

Family Planning Clinic ◽

Contraceptive Methods ◽

Age Range

Background: Maternal and child morbidity and mortality in developing countries have been shown to be reduced by effective use of contraceptive methods. Contraceptive use also improves the lives of women and children. Experience with previous use of contraceptives may affect the uptake rate of modern contraceptive methods. Aim and objective: To determine the pattern of previous contraceptive usage, uptake rates of the contraceptives, the continuation and discontinuation rates and the sources of prior contraceptives. The socio-demographic characteristics and sources of information on current contraceptive use at the Rivers State University Teaching Hospital during the study period. Methods: This was a retrospective study of clients’ records in family planning clinic at theRivers State University Teaching (RSUTH) over a period of five years. Their cards were retrieved, reviewed; data was extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version25.0 (Armonk, NY). Results: There were 874 contraceptive acceptors attending family planning clinic between 1st January, 2015 and 31st December, 2019 in the centre. Of this number, 566 (64.8%) were using one form of contraceptive method or the other while 308 (35.2%) were not on any form of contraception. Of this 566 women who used contraceptive method prior to their visit to the family planning clinic, intrauterine contraceptive device (IUCD) use accounted for 118 (20.8%), others were barrier method, 107 (18.9%), oral contraceptive pills (OCPs), 95 (16.8%), depot medroxyprogesterone acetate (DMPA), 72 (12.7%), implanon, 40 (7.1%), noristerat, 36 (6.4%), postinor, 28 (5.0%), withdrawal method, 26 (4.6%) and calendar method, 24 (4.2%). Most of the previous contraceptives used came from Government hospital accounting for 44.4%. Most women (72%) obtained their information concerning current contraception from clinical personnel. More than half of the clients (64.1%) were within the age range of 30-39 years and 2 (0.2%) were below 20 years. Age range for the study was 19-51years. Majority of the clients (70.7%) were multipara while 162 (18.5%) were grandmultipara. Modal parity was para 3. The women with formal education were 867 (99.2%). Married women and Christians accounted for843 (96.5%) and 867 (99.2%) respectively. Conclusion: Most clients were in their thirties, married, educated and multiparous. Thirty five percent of the women were not using any form of contraceptive method which is quite alarming and definitely would have led to unwanted pregnancies and possibly induced abortions with its sequalae.

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