scholarly journals Complex Samples Logistic Regression Analysis of Predictors of the Use of Modern Contraceptives Among Married or In-Union Women in Ethiopia.

2020 ◽  
Author(s):  
Senait Cherie Adegeh ◽  
Dereje Tesfaye Zike
Keyword(s):  
Logistic Regression ◽  
Sexual Activity ◽  
Statistical Significance ◽  
Wealth Index ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Wealth Status ◽  
Complex Samples ◽  
Modern Contraceptives ◽  
Working Status

Abstract Background: Modern contraceptive use by currently married Ethiopian women has steadily increased over the last 15 years. The main objective of this study was to identify the magnitude and predictors of current use of modern contraceptives among married or in-union women aged (15-49) in Ethiopia using complex sampling. Methods: The study used data from the 2016 Ethiopia Demographic and Health Survey (EDHS, 2016) dataset. In the study a total number of 7,346 married or in-union women age 15-49 in Ethiopia were included. The current use of modern contraceptives among reproductive-age married or in-union women in Ethiopia, measured as ‘Yes’ (currently using a modern method) and ‘No’(using a folkloric method, traditional method, and no method) is considered as a dependent variable. Complex samples binary logistic regression was performed to examine the importance of each explanatory variables using SPSS version 23, and statistical significance was attached at p=0.05. Results: The study found that age 40–44 years (AOR = 2.064), wealth index Middle (AOR = 1.553); Rich (AOR =1.71), working status yes (AOR = 1.279), and sexual activity in the last 4 weeks active in the last 4 weeks (AOR=3.614) were highly significantly associated with current use of modern contraceptive. Conclusion: The variables age, religion, residence, region, wealth status, husband desire for children, women's working status, sexual activity in the last 4 weeks, and total number of children ever born were statistically significant predictors for the current use of modern contraceptives among married or in union women in Ethiopia.

scholarly journals Modern Contraceptive Utilization and Its Associated Factors among Indigenous and Nonindigenous Married Women of Reproductive Age Group in Jigjiga Town, Eastern Ethiopia, 2018

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Hagos Degefa Hidru ◽  
Tariku Dingeta ◽  
Bezatu Menigiste ◽  
Berhe Etsay ◽  
Haftay Gebremedhin ◽  
...  
Keyword(s):  
Associated Factors ◽  
Statistical Significance ◽  
Married Women ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Age Group ◽  
Eastern Ethiopia ◽  
Modern Contraceptives ◽  
Contraceptive Utilization ◽  
Reproductive Age Group

Background. The use of birth control and its promotion has potential benefits of reducing poverty, maternal, and child mortality. However, there is limited evidence regarding modern contraceptive utilization among indigenous and nonindigenous married women of the reproductive age group in Ethiopia. Therefore, this study aimed to assess the magnitude of modern contraceptive utilization and its associated factors among indigenous and nonindigenous married women in Eastern Ethiopia. Methodology. A community based comparative cross-sectional study design was conducted among married women of the reproductive age group from February 01 to March 01/2018 in Jigjiga town, Eastern Ethiopia. A total of 1004 married women were selected using a simple random sampling method. The collected data were entered into EpiData software version 3.1 and exported to SPSS version 22.0 for analysis. Bivariable and multivariable logistic regression analyses were used to identify the associated factors. Statistical significance was declared using 95% confidence interval and p value of less than 0.05. Result. A total of 987 study participants were included in the study with a response rate of 98.3%. The overall prevalence of modern contraceptive utilization among married reproductive age group women was found to be 19.9% (95% CI (17.4%-22.3%) with 26.5% and 11.4% for nonindigenous and indigenous women, respectively. Primary level of education (AOR 0.84; 95% CI (0.15-0.85) p 0.0001) and Somali in ethnicity (AOR 0.75; 95% CI (0.15-0.94) p 0.03) were associated factors among indigenous group, while age group 30-34 years (AOR 1.56; 95% CI (1.31-9.52) p 0.02) and being a housewife in occupation (AOR 0.49; 95% CI (0.42-0.96) p 0.04) were the associated factors among the nonindigenous group. Conclusion. Overall utilization of modern contraceptives was approximately one-fifth, with markedly lower use among indigenous participants. One-third of nonindigenous and less than one-seventh of indigenous were utilizing modern contraceptive methods. There is a need to further explore and understand the factors across indigenous and nonindigenous women for the use of modern contraceptives; hence, a longitudinal study is desirable.

A Multilevel Analysis of Predictors of Modern Contraceptive Use among Reproductive Age Women in Sierra Leone: Insight from Demographic and Health Surveys.

2019 ◽  
Author(s):  
Pascal Agbadi ◽  
Eunice Tagoe ◽  
Agyemang Florence Akosua ◽  
Seth Owusu
Keyword(s):  
Logistic Regression ◽  
Sierra Leone ◽  
Health Surveys ◽  
Contraceptive Use ◽  
Reproductive Age ◽  
Demographic And Health Surveys ◽  
Modern Contraceptive ◽  
Reproductive Age Women ◽  
Modern Contraceptives ◽  
Modern Contraceptive Use

Background: Variations in the effect of predictors of Sierra Leone women’s use of modern contraceptive from one community to another is unknown. The identified gap was addressed using multilevel logistic regression models.Methods: Pooled 2008 and 2013 Sierra Leone Demographic and Health Surveys datasets were used. Single level logistic regression analyses were conducted on 24,032 women, and multilevel logistic regression models were performed on 23,329 women. Statistical significance was pegged at p≤0.01 and p≤0.05.Results: About 22.1% of the reproductive age women ever used a modern contraceptive. The best-fitted model indicated that the effects of individual, household, and geo-residential level factors on the use of modern contraceptives among Sierra Leone Women vary from one community to another. The woman’s age, marital status, educational qualification, listening to the radio, recent sexual activity, household wealth, place of residence, and region of residence were the statistically significant predictors of modern contraceptive use among reproductive-age Sierra Leone women.Conclusion: The study provided in-depth insight into the significant factors that account for the variability in women use of contraceptives in Sierra Leone. The study underscored the need for community-based intervention programs to address the low use of modern contraceptives among Sierra Leone women.

scholarly journals Overweight and obesity among women of reproductive age in Mali: what are the determinants?

2020 ◽  
Author(s):  
Abdul-Aziz Seidu ◽  
Bright Opoku Ahinkorah ◽  
Ebenezer Agbaglo ◽  
Albert Apotele Nyaaba
Keyword(s):  
Statistical Significance ◽  
Binary Logistic Regression ◽  
Overweight And Obesity ◽  
Reproductive Age ◽  
Negative Effects ◽  
Wealth Status ◽  
Middle Income ◽  
Middle Income Countries ◽  
Region Of Residence ◽  
Public Health Promotion

Abstract Background Existing evidence suggests that there has been a surge of overweight and obesity in low- and middle-income countries around the world. In this study we investigated the prevalence and factors associated with overweight and obesity among women in Mali. Methods We conducted the study among 5198 women using the 2018 Mali Demographic and Health Survey data. We used binary logistic regression for the analysis and pegged statistical significance at p<0.05. Results The prevalence of overweight and obesity was 26.9%. The likelihood of overweight and obesity was high among women 40–44 y of age (adjusted odds ratio [AOR] 5.94 [confidence interval {CI} 4.10 to 8.60]), those who were widowed/divorced/separated (AOR 1.59 [CI 1.04 to 2.43]), those with secondary education (AOR 1.41 [CI 1.13 to 1.75]), richest women (AOR 3.61 [CI 2.63 to 4.95]), those who watched television at least once a week (AOR 1.28 [CI 1.07 to 1.52]) and those who lived in the Kidal region (AOR 10.71 [CI 7.05 to 16.25]). Conversely, the likelihood of overweight and obesity was low among women who belonged to other religions compared with Muslims (AOR 0.63 [CI 0.43 to 0.92]). Conclusions This study found a predominance of overweight and obesity among women in Mali. The study showed that age, marital status, education, religion, region of residence, wealth status and frequency of watching television are associated with overweight and obesity among women in Mali. It is therefore critical for public health promotion programs in Mali to sensitize people to the negative effects associated with overweight and obesity. This implies that policies aimed at controlling overweight and obesity in Mali must take these factors into consideration.

scholarly journals Association between food insecurity and anemia among women of reproductive age

PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e1945 ◽  
Author(s):  
Bishwajit Ghose ◽  
Shangfeng Tang ◽  
Sanni Yaya ◽  
Zhanchun Feng
Keyword(s):  
Logistic Regression ◽  
Food Insecurity ◽  
Hemoglobin Concentration ◽  
Reproductive Age ◽  
Household Food Insecurity ◽  
Women Of Reproductive Age ◽  
Cross Sectional Survey ◽  
Wealth Status ◽  
Cross Sectional ◽  
Household Food

Background:Food insecurity and hidden hunger (micronutrient deficiency) affect about two billion people globally. Household food insecurity (HFI) has been shown to be associated with one or multiple micronutrient (MMN) deficiencies among women and children. Chronic food insecurity leads to various deficiency disorders, among which anemia stands out as the most prevalent one. As a high malnutrition prevalent country, Bangladesh has one of the highest rates of anemia among all Asian countries. In this study, we wanted to investigate for any association exists between HFI and anemia among women of reproductive age in Bangladesh.Methodology:Information about demographics, socioeconomic and anemia status on 5,666 married women ageing between 13 and 40 years were collected from a nationally representative cross-sectional survey Bangladesh Demographic and Health Survey (BDHS 2011). Food security was measured by the Household Food Insecurity Access Scale (HFIAS). Capillary hemoglobin concentration (Hb) measured by HemoCue® was used as the biomarker of anemia. Data were analysed using cross-tabulation, chi-square tests and multiple logistic regression methods.Results:Anemia prevalence was 41.7%. Logistic regression showed statistically significant association with anemia and type of residency (p = 0.459; OR = 0.953, 95%CI = 0.840–1.082), wealth status (Poorest: p < 0.001; OR = 1.369, 95%CI = 1.176–1.594; and average: p = 0.030; 95%CI = 1.017–1.398), educational attainment (p < 0.001; OR = 1.276, 95%CI = 1.132–1.439) and household food insecurity (p < 0.001; 95%CI = 1.348–1.830). Women who reported food insecurity were about 1.6 times more likely to suffer from anemia compared to their food secure counterparts.Conclusion:HFI is a significant predictor of anemia among women of reproductive age in Bangladesh. Programs targeting HFI could prove beneficial for anemia reduction strategies. Gender aspects of food and nutrition insecurity should be taken into consideration in designing national anemia prevention frameworks.

Determinants of Modern Contraceptive Methods Use in Piple, Chitwan of Nepal

2019 ◽  
Vol 9 (3) ◽  
pp. 22-28
Author(s):  
Rajani Shah ◽  
Dinesh Kumar Malla
Keyword(s):  
Family Planning ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Younger Women ◽  
Modern Contraceptives ◽  
Living Children

 Background: Family planning contributes in preventing maternal and child mortality and empowers women. For the past ten years contraceptive prevalence rate has remained stagnant in Nepal. This study aimed at iden­tifying the use and factors associated with modern contraceptive methods in Piple, Chitwan, Nepal. Methods: It was a cross-sectional study. Piple village development com­mittee was selected purposively, in which two wards were randomly se­lected. Married women of reproductive age (n=332) of each household were interviewed. Descriptive, bivariate and multivariate analysis were performed. Results: About half (49%) of the respondents had used a modern contra­ceptive method. Women in the age groups 25-39 years [aOR: 2.39; 95% CI: 1.16 - 4.92] and 40-49 years [aOR: 4.67; 95% CI: 1.71 - 12.70] were more likely to use modern contraceptives compared to the women in the age group 15-24 years. Similarly, women having 3 or more living children [aOR: 2.98; 95% CI: 1.19 - 7.50] were more likely to use the modern contracep­tives than women with upto two children. Women whose husbands would approve of using the contraceptives [aOR: 11.33; 95% CI: 3.93-32.62] were more likely to use the methods than those who got or perceived no ap­proval from husband. Conclusions: Information and service on modern contraceptive methods should be focused to younger women. Involvement of husbands in family planning program would contribute to use of modern contraceptives by women.

scholarly journals Ethnic Disparities in Contraceptive Use and its Impact on Family Planning Program in Nepal

2012 ◽  
Vol 6 (2) ◽  
pp. 14-19 ◽  
Author(s):  
MK Mishra
Keyword(s):  
Logistic Regression ◽  
Family Planning ◽  
Ethnic Groups ◽  
Contraceptive Use ◽  
Family Planning Program ◽  
Reproductive Age ◽  
Multilevel Logistic Regression ◽  
Planning Program ◽  
Modern Contraceptives ◽  
The Impact

Aims: Regardless of three decades of implementation of family planning program in Nepal, need of family planning services is largely unmet. Systematic studies, evaluating the impact of family planning program on several ethnic groups of Nepal has not been carried out in large scale. This study sheds light on the investigation of, whether the use of contraceptives varies among different ethnic groups in Nepal and what are the predictors of contraceptive variance in ethnic groups in Nepal. Methods: The study is based on data collected from Nepal Demographic Health Survey (NDHS) 2006. Multilevel logistic regression analyses of 10793 married women of reproductive age nested within 264 clusters from the surveys were considered as the sample size. Individual, household, and program variables were set and a multilevel logistic regression model was fitted to analyse the variables, using GLLAMM command in STATA-9. Results: Multilevel logistic regression analysis indicated that Muslims, Dalits and Terai Madheshi women were significantly less likely to use modern contraceptives compared to the Brahmins and Chhetries (Higher Castes). Women who were exposed to family planning information on radio were more likely to use modern contraceptives than women not exposed to radio information (OR=1.22, P> 0.01). An odd of using contraceptives by Newars was (OR 1.09, P>0.05), the highest among all ethnic groups. Exposure of women to family planning messages through health facilities, family planning workers and means of communication, increased the odds of using modern contraceptives. However, impact of the family planning information on contraceptive use varied among ethnicity. Conclusions: Special attention needs to be paid, in particular to the ethnicity, while formulating family planning policies in Nepal, for better success rate of family planning intervention programs. NJOG 2011 Nov-Dec; 6 (2): 14-19 DOI: http://dx.doi.org/10.3126/njog.v6i2.6750

Access to Information on Family Planning and Use of Modern Contraceptives Among Married Igbo Women in Southeast, Nigeria

2019 ◽  
Vol 39 (4) ◽  
pp. 233-243 ◽  
Author(s):  
Mojisola M. Oluwasanu ◽  
Yetunde O. John-Akinola ◽  
Adeyimika T. Desmennu ◽  
Opeyemi Oladunni ◽  
Ayo S. Adebowale
Keyword(s):  
Family Planning ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Access To Information ◽  
Public Health Programs ◽  
Sex Preference ◽  
Modern Contraceptives ◽  
Confounding Variables ◽  
Health Survey Data ◽  
The Relationship

This study was conducted among married Igbo women in Nigeria who have the lowest median birth interval coupled with a culture of sex preference and low use of modern contraceptives. We examined the relationship between access to information on family planning and sex preference on the use of modern contraceptive (MC). The 2013 Nigeria Demographic and Health Survey data were used. The data of 1,661 women of reproductive age were analyzed in this study. Access to information on family planning was low, and almost half (48.6%) of the women had a score of zero. Controlling for possible confounding variables, the data show that women who have good (odds ratio [ OR]= 3.92; CI [2.28, 6.75], p < .001) and poor ( OR = 2.56; CI [1.85, 3.56], p < .001) access to information on family planning were more likely to use MC than those with no access to information on family planning. Sex preference showed no relationship with the use of MC. Families where husbands want more children than their wives inhibit ( OR = 0.62, CI [0.42, 0.90], p < .05) the use of MC compared with those families where husbands and wives fertility desire is the same. Public health programs by government and donors should intensify interventions to increase access to family planning information to promote the use of MC among married Igbo women.

scholarly journals Geographic distribution and socio-economic determinants of women's nutritional status in Mali households

2012 ◽  
Vol 16 (9) ◽  
pp. 1575-1585 ◽  
Author(s):  
Constance A Gewa ◽  
Timothy F Leslie ◽  
Lisa R Pawloski
Keyword(s):  
Urban Areas ◽  
System Analysis ◽  
Wealth Index ◽  
Household Wealth ◽  
Iodized Salt ◽  
Reproductive Age ◽  
Cluster Sampling ◽  
Modern Contraceptive ◽  
Geographic Variations ◽  
North East

AbstractObjectiveMali is one of the poorest countries in Africa, with 72 % of its population surviving on less than $US 1·00 per day. Health and demographic indicators are bleak. With few exceptions, studies related to the health of women in Mali have largely been under-represented. In addition, in recent years a new type of malnutrition stemming from weight gain and obesity has been observed throughout Africa. The present study aimed to (i) describe geographic and health variations of women of reproductive age, (ii) describe geographic variations of household salt iodine levels and (iii) investigate potential factors associated with women's anthropometric status and use of adequately iodized salt among households in Mali.DesignDemographic and Health Survey data, multistage-stratified cluster sampling methodology.SettingRural and urban areas of Mali.SubjectsNon-pregnant women (n 6015) between the ages of 19 and 44 years.ResultsNineteen per cent of the women were overweight or obese while 11 % were underweight. Seventy-eight per cent of the households utilized adequately iodized salt. Underweight women were more prevalent in southern Mali, while obesity was more frequent in the north-east and within the major urban areas. Households located within the southern parts of Mali were more likely to utilize adequately iodized salt. Education, age, modern contraceptive use, breast-feeding status at time of the survey and household wealth index were significantly associated with the women's BMI or households’ use of adequately iodized salt.ConclusionsThe combined use of statistical and geographic system analysis contributes to improve targeting of interventions among vulnerable populations.

scholarly journals Decision Making Autonomy and Maternal Healthcare Utilization among Nigerian Women

2019 ◽  
Vol 8 (1) ◽  
pp. 11-18 ◽  
Author(s):  
Phillips Edomwonyi Obasohan ◽  
Paul Gana ◽  
Mahmud A. Mustapha ◽  
Ahmed Egbako Umar ◽  
Audu Makada ◽  
...  
Keyword(s):  
Decision Making ◽  
Factor Analysis ◽  
Logistic Regression ◽  
Healthcare Utilization ◽  
Strong Relationship ◽  
Reproductive Age ◽  
Care Utilization ◽  
Wealth Status ◽  
Cross Sectional ◽  
Nigerian Women

Background and Objectives: Low assess to ante-natal care (ANC) services continue to pose a major public health challenge leading to high maternal mortality rates in developing countries. Non-utilization of ANC services among about a quarter of Nigerian women of reproductive age remains a major concern in the actualization of Sustainable Development Goals. Considering the complexity of healthcare utilization in Nigeria, the relationship between a particular health care utilization pattern and women autonomy has not been fully examined. This study examines the patterns of women autonomy and their relationships with ANC utilization in Nigeria. Methods: This was a cross-sectional analysis of the 2013 nationally representative data from the Nigerian Demographic and Health Survey (NDHS). Factor analysis/score were used to construct women autonomy index, while chi-square and logistic regression were used to establish the relationships between the response and exposure variables. Results: There is a strong relationship between women decision making autonomy status and ANC services among Nigeria women. The odds of utilizing ANC services among women with more decision making autonomy were significantly 3.79 higher than among women with low decision-making autonomy. The use of ANC increases as age, education and wealth status of respondents increase. Conclusions and Global Health Implications: These results indicate that women autonomy is undoubtedly a major determinant of ANC utilization in Nigeria. Key words: Autonomy, Antenatal Care, Logistic Regression Analysis; Factor analysis   Copyright © 2019 Obasohan et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.affect economic and health promotion.

scholarly journals Prevalence of modern contraceptive utilization and associated factors among women of reproductive age from 36-49 years in Ethiopia

2019 ◽  
Author(s):  
Dereje Zena Asrat ◽  
Anemaw Asrat Achamyeleh ◽  
Agumas Fentahun Ayalew
Keyword(s):  
Odds Ratio ◽  
Associated Factors ◽  
Adjusted Odds Ratio ◽  
Statistical Significance ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Women Of Reproductive Age ◽  
Number Of Children ◽  
Contraceptive Services ◽  
Contraceptive Utilization

Abstract Background: One of the major problems in developing countries is the increasing growth of population which in fact is a serious threat for the global community. Modern Contraceptive use allows people to attain their desired number of children and determine the spacing of pregnancies. The main objective of this study is to assess the Prevalence of modern contraceptive utilization and associated factors among women of reproductive age from 36-49 years in Ethiopia. Methodology: A community based, cross-sectional study was employed from January 1 to June 30, 2016, among women of reproductive age from 36-49 years in all regions of Ethiopia. A multi-stage sampling procedure was used to select 3260 study participants. A pretested structured questionnaire was used to collect data, and data collectors who had completed high school were involved in the data collection process. A bivariate, multivariable logistic regression model was fit and statistical significance was determined with odds ratios and 95 % confidence level. Before preceding data analysis, the necessary assumptions for the application of multiple logistic regressions was checked by Hosmer and Lemeshow Test through forward LR method. Result: The overall modern contraceptive prevalence rate was found to be 17%. Being wealthy (Adjusted Odds Ratio=4.120 95%CI (2.853, 5.949), higher educated (Adjusted Odds Ratio =3.329, 95%CI (2.065, 5.368) and having more numbers of living children (Adjusted Odds Ratio =1.714, 95% (1.328, 2.212) was significantly associated with use of modern contraceptive methods. Conclusion: The utilization of modern contraceptive method was low. Contraceptive utilization was associated with some socio-economic and socio-demographic factors like age, educational status, women wealth index and number of children. Therefore, expanding contraceptive services confers substantial benefits on women, their families and society. All stakeholders, including the Ethiopian government and the private sector, should increase their investment in modern contraceptive services Keywords: modern Contraceptives use, Associated Factors and Women

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