Factors associated with decision-making power of married women to use family planning in sub-Saharan Africa: a multilevel analysis of demographic health surveys.
Decision-making power
Family planning
Sub-Saharan Africa
Women
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
26 04 2022
26 04 2022
Historique:
received:
27
01
2021
accepted:
12
04
2022
entrez:
27
4
2022
pubmed:
28
4
2022
medline:
29
4
2022
Statut:
epublish
Résumé
In sub-Saharan Africa, there are several socio-economic and cultural factors which affect women's ability to make decision regarding their own health including the use of contraceptives. Therefore, the main aim of this study was to determine factors associated with decision-making power of married women to use family planning service (contraceptives) in sub-Saharan Africa. The appended, most recent demographic and health survey datasets of 35 sub-Saharan countries were used. A total weighted sample of 83,882 women were included in the study. Both bivariable and multivariable multilevel logistic regression were done to determine the associated factors of decision-making power of married women to use family planning service in sub-Saharan countries. The Odds Ratio (OR) with a 95% Confidence Interval (CI) was calculated for those potential variables included in the final model. Married women with primary education (AOR = 1.24; CI:1.16,1.32), secondary education (AOR = 1.31; CI:1.22,1.41), higher education (AOR = 1.36; CI:1.20,1.53), media exposure (AOR = 1.08; CI: 1.03, 1.13), currently working (AOR = 1.27; CI: 1.20, 1.33), 1-3 antenatal care visits (AOR = 1.12; CI:1.05,1.20), ≥ 4 ANC visits (AOR = 1.14;CI:1.07,1.21), informed about family planning (AOR = 1.09; CI: 1.04, 1.15), having less than 3 children (AOR = 1.12; CI: 1.02, 1.23) and 3-5 children (AOR = 1.08; CI: 1.01, 1.16) had higher odds of decision-making power to use family planning. Mothers who are 15-19 (AOR = 0.61; CI: 0.52, 0.72), 20-24 (AOR = 0.69; CI: 0.60, 0.79), 25-29 (AOR = 0.74; CI: 0.66, 0.84), and 30-34 years of age (AOR = 0.82; CI: 0.73, 0.92) had reduced odds off decision-making power to use family planning as compared to their counterparts. Age, women's level of education, occupation of women and their husbands, wealth index, media exposure, ANC visit, fertility preference, husband's desire in terms of number of children, region and information about family planning were factors associated with decision-making power to use family planning among married women.
Sections du résumé
BACKGROUND
In sub-Saharan Africa, there are several socio-economic and cultural factors which affect women's ability to make decision regarding their own health including the use of contraceptives. Therefore, the main aim of this study was to determine factors associated with decision-making power of married women to use family planning service (contraceptives) in sub-Saharan Africa.
METHODS
The appended, most recent demographic and health survey datasets of 35 sub-Saharan countries were used. A total weighted sample of 83,882 women were included in the study. Both bivariable and multivariable multilevel logistic regression were done to determine the associated factors of decision-making power of married women to use family planning service in sub-Saharan countries. The Odds Ratio (OR) with a 95% Confidence Interval (CI) was calculated for those potential variables included in the final model.
RESULTS
Married women with primary education (AOR = 1.24; CI:1.16,1.32), secondary education (AOR = 1.31; CI:1.22,1.41), higher education (AOR = 1.36; CI:1.20,1.53), media exposure (AOR = 1.08; CI: 1.03, 1.13), currently working (AOR = 1.27; CI: 1.20, 1.33), 1-3 antenatal care visits (AOR = 1.12; CI:1.05,1.20), ≥ 4 ANC visits (AOR = 1.14;CI:1.07,1.21), informed about family planning (AOR = 1.09; CI: 1.04, 1.15), having less than 3 children (AOR = 1.12; CI: 1.02, 1.23) and 3-5 children (AOR = 1.08; CI: 1.01, 1.16) had higher odds of decision-making power to use family planning. Mothers who are 15-19 (AOR = 0.61; CI: 0.52, 0.72), 20-24 (AOR = 0.69; CI: 0.60, 0.79), 25-29 (AOR = 0.74; CI: 0.66, 0.84), and 30-34 years of age (AOR = 0.82; CI: 0.73, 0.92) had reduced odds off decision-making power to use family planning as compared to their counterparts.
CONCLUSION
Age, women's level of education, occupation of women and their husbands, wealth index, media exposure, ANC visit, fertility preference, husband's desire in terms of number of children, region and information about family planning were factors associated with decision-making power to use family planning among married women.
Identifiants
pubmed: 35473613
doi: 10.1186/s12889-022-13251-4
pii: 10.1186/s12889-022-13251-4
pmc: PMC9044612
doi:
Substances chimiques
Contraceptive Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
837Informations de copyright
© 2022. The Author(s).
Références
BMC Womens Health. 2016 Mar 08;16:12
pubmed: 26952021
Health Serv Res Manag Epidemiol. 2020 May 08;7:2333392820924565
pubmed: 32426421
J Biosoc Sci. 2018 Jan;50(1):70-85
pubmed: 28183370
Glob Public Health. 2012;7(9):995-1008
pubmed: 22866910
PLoS One. 2013 Apr 23;8(4):e61335
pubmed: 23637815
Reprod Health. 2010 Jul 15;7:15
pubmed: 20630107
Open Access J Contracept. 2020 Jun 18;11:43-52
pubmed: 32607014
Med J Armed Forces India. 2014 Jul;70(3):253-6
pubmed: 25378779
Int J Reprod Med. 2016;2016:6569514
pubmed: 28116348
Health Policy Plan. 2013 Mar;28(2):176-84
pubmed: 22522771
J Biosoc Sci. 2010 May;42(3):307-23
pubmed: 20078903
Int J Gynaecol Obstet. 2005 Apr;89 Suppl 1:S7-24
pubmed: 15820369
Afr J Prim Health Care Fam Med. 2018 Oct 11;10(1):e1-e7
pubmed: 30326719
Stud Fam Plann. 2014 Jun;45(2):151-69
pubmed: 24931073
Open Access J Contracept. 2020 Feb 07;11:15-23
pubmed: 32104111
Int Perspect Sex Reprod Health. 2012 Mar;38(1):23-33
pubmed: 22481146
Womens Health Issues. 2012 Mar;22(2):e171-80
pubmed: 21968029
BMJ Open. 2020 Feb 4;10(2):e034321
pubmed: 32024791
BMC Womens Health. 2014 Jul 03;14:79
pubmed: 24990689
Contraception. 2008 Jul;78(1):73-8
pubmed: 18555821
Int J Family Med. 2017;2017:9389072
pubmed: 28367329
Sex Reprod Healthc. 2017 Dec;14:40-47
pubmed: 29195633
Stud Fam Plann. 2010 Dec;41(4):241-50
pubmed: 21465725
Int Fam Plan Perspect. 2005 Sep;31(3):131-9
pubmed: 16263530
Soc Sci Med. 2006 May;62(9):2313-26
pubmed: 16307836
Asia Pac J Public Health. 2009 Apr;21(2):137-43
pubmed: 19190000
J Obstet Gynaecol Can. 2009 Dec;31(12):1149-58
pubmed: 20085681
Reprod Health. 2015 Apr 23;12:36
pubmed: 25902830
Int J Womens Health. 2016 Jun 07;8:191-202
pubmed: 27354830
BMC Public Health. 2011 May 19;11:342
pubmed: 21595897