Long-acting reversible contraceptives utilization and its determinants among married Yemeni women of childbearing age who no longer want children.
Journal
Medicine
ISSN: 1536-5964
Titre abrégé: Medicine (Baltimore)
Pays: United States
ID NLM: 2985248R
Informations de publication
Date de publication:
07 Oct 2022
07 Oct 2022
Historique:
entrez:
12
10
2022
pubmed:
13
10
2022
medline:
14
10
2022
Statut:
ppublish
Résumé
Some contraceptive methods, such as long-acting and permanent methods, are more effective than others in preventing conception and are key predictors of fertility in a community. This study aimed to determine which factors were linked to married women of childbearing age who no longer desired children using long-acting reversible contraceptives (LARCs) in Yemen. We used a population-based secondary dataset from Yemen's National Health and Demographic Survey (YNHDS), conducted in 2013. The study analyzed a weighted sample of 5149 currently married women aged 15 to 49 years who had no plans to have children. Logistic regression analyses were used to investigate the parameters linked to the present use of LARCs. The final model's specifications were evaluated using a goodness-of-fit test. An alpha threshold of 5% was used to determine statistical significance. Of the total sample, 45.3% (95% CI: 43.3-47.4) were using contraception. LARCs were used by 21.8% (95% CI: 19.6-24.1) of current contraceptive users, with the majority (63.8%) opting for short-acting reversible contraceptives (SARCs). In the adjusted analysis, maternal education, husbands' fertility intention, place of residence, governorate, and wealth groups were all linked to the usage of LARCs. According to the findings, women whose spouses sought more children, for example, were more likely to use LARCs than those who shared their partners' fertility intentions (AOR = 1.44; 95% CI: 1.07-1.94; P = .015). In this study, married women of reproductive age who had no intention of having children infrequently used contraception and long-acting methods. Improving women's education and socioeconomic status could contribute to increasing their use of LARCs.
Identifiants
pubmed: 36221385
doi: 10.1097/MD.0000000000030717
pii: 00005792-202210070-00062
pmc: PMC9542764
doi:
Substances chimiques
Contraceptive Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e30717Informations de copyright
Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.
Déclaration de conflit d'intérêts
The authors have no funding and conflicts of interest to disclose.
Références
United Nations Department of Economic and Social Affairs. World fertility and family planning 2020: highlights (ST/ESA/SER.A/440). New York; 2020. Available at: https://www.un.org/en/development/desa/population/publications/pdf/family/World_Fertility_and_Family_Planning_2020_Highlights.pdf . [Access date July 19, 2021].
Bearak J, Popinchalk A, Ganatra B, et al. Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990–2019. Lancet Glob Heal. 2020;8:e1152–61.
Sedgh G, Hussain R. Reasons for contraceptive nonuse among women having unmet need for contraception in developing countries. Stud Fam Plann. 2014;45:151–69.
Bradley SEK, Polis CB, Bankole A, et al. Global contraceptive failure rates: who is most at risk? Stud Fam Plann. 2019;50:3–24.
Trussell J. Contraceptive failure in the United States. Contraception. 2011;83:397–404.
Rose SB, Lawton BA. Impact of long-acting reversible contraception on return for repeat abortion. Am J Obstet Gynecol. 2012;206:37.e1–6.
Winner B, Peipert JF, Zhao Q, et al. Effectiveness of long-acting reversible contraception. N Engl J Med. 2012;366:1998–2007.
Peipert JF, Zhao Q, Allsworth JE, et al. Continuation and satisfaction of reversible contraception. Obstet Gynecol. 2011;117:1105–13.
United Nations Department of Economic and Social Affairs Population Division. Contraceptive use by method 2019: data booklet (ST/ESA/SER.A/435). 2019. Available at: https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/files/documents/2020/Jan/un_2019_contraceptiveusebymethod_databooklet.pdf . [Access date August 2, 2021].
Mehrass AA-KO, Ahmed IA, Ali AD, et al. Early marriage and less education as independent predictors for high fertility in Yemen. Ann Med Health Sci Res. 2017;7:251–5.
Ministry of Public Health and Population (MOPHP), Central Statistical Organization (CSO) [Yemen], Pan Arab Program for Family Health (PAPFAM), ICF International. Yemen National Health and Demographic Survey 2013. Rockville, Maryland, USA; 2015. Available at: https://dhsprogram.com/pubs/pdf/FR296/FR296.pdf . [Access date June 30, 2019].
Pillai VK, Sunil TS. Contraceptive use in Yemen: a component analysis. World Health Popul. 2007;9:65–78.
Sunil TS, Pillai VK. Age at marriage, contraceptive use and abortion in Yemen, 1991-1997. Can Stud Popul. 2004;31:83–107.
Ahinkorah BO, Budu E, Aboagye RG, et al. Factors associated with modern contraceptive use among women with no fertility intention in sub-Saharan Africa: evidence from cross-sectional surveys of 29 countries. Contracept Reprod Med. 2021;6:22.
Bolarinwa OA, Nwagbara UI, Okyere J, et al. Prevalence and predictors of long-acting reversible contraceptive use among sexually active women in 26 sub-Saharan African countries. Int Health. 2021;09.
Bhandari R, Pokhrel KN, Gabrielle N, et al. Long acting reversible contraception use and associated factors among married women of reproductive age in Nepal. PLoS One. 2019;14:e0214590.
Islam AZ. Factors affecting modern contraceptive use among fecund young women in Bangladesh: does couples’ joint participation in household decision making matter? Reprod Health. 2018;15:112.
Kistiana S, Gayatri M, Sari DP. Determinants of modern contraceptive use among young married women (Age 15-24) in Indonesia. Glob J Health Sci. 2020;12:37.
Bashir S, Guzzo K. Women’s education, spousal agreement on future fertility intentions, and contraceptive use in Pakistan. Stud Fam Plann. 2021;52:281–98.
von Lengerke T, Gohl D, Babitsch B. Re-revisiting the behavioral model of health care utilization by Andersen: a review on theoretical advances and perspectives. Janssen C, Swart E, von Lengerke T. eds. In: Health Care Utilization in Germany. New York, NY: Springer, 2014.
Babitsch B, Gohl D, von LT. Re-revisiting Andersen’s behavioral model of health services use: a systematic review of studies from 1998–2011. GMS Psycho Soc Med. 2012;9:1–15.
Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995;36:1–10.
Croft TN, Aileen MMJ, Courtney AK. Guide to DHS statistics. 2018. Available at: https://dhsprogram.com/data/Guide-to-DHS-Statistics/index.cfm [access date October 21, 2021].
Archer KJ, Lemeshow S. Goodness-of-fit test for a logistic regression model fitted using survey sample data. Stata J. 2006;6:97–105.
Stonehill A, Bishu SG, Taddese HB. Factors associated with long-acting and short-acting reversible contraceptive use in Ethiopia: an analysis of the 2016 Demographic and Health Survey. Eur J Contracept Reprod Heal Care. 2020;25:350–8.
Mohammed A, Woldeyohannes D, Feleke A, et al. Determinants of modern contraceptive utilization among married women of reproductive age group in North Shoa Zone, Amhara Region, Ethiopia. Reprod Health. 2014;11:13.
Wilson-Williams L, Stephenson R, Juvekar S, et al. Domestic violence and contraceptive use in a rural Indian village. Violence Against Women. 2008;14:1181–98.
Withers M, Kano M, Pinatih GNI. Desire for more children, contraceptive use and unmet need for family planning in a remote area of Bali, Indonesia. J Biosoc Sci. 2010;42:549–62.
Taye A, Woldie M, Sinaga M. Predictors of long acting reversible contraceptive use among married women visiting health facilities in Jimma Town. J Womens Heal Care. 2015;04:1–7.
Anant M, Sinha K, Agrawal A. Are myths surrounding long-acting reversible contraception the reason for a huge unmet need for spacing pregnancies? J Fam Med Prim Care. 2021;10:4431.
Mare KU, Abrha E, Mohammed Yesuf E, et al. Factors affecting utilization of long-acting reversible contraceptives among sexually active reproductive-age women in the pastoral community of Northeast Ethiopia: a community-based cross-sectional study. . Women’s Heal. 2022;18:174550572211165.
Laksono AD, Rohmah N, Megatsari H. Barriers for multiparous women to using long-term contraceptive methods in Southeast Asia: case study in Philippines and Indonesia. BMC Public Health. 2022;22:1425.
Mensch BS, Chuang EK, Melnikas AJ, et al. Evidence for causal links between education and maternal and child health: systematic review. Trop Med Int Heal. 2019;24:504–22.
Pace LE, Dusetzina SB, Mark Fendrick A, et al. The impact of out-of-pocket costs on the use of intrauterine contraception among women with employer-sponsored insurance. Med Care. 2013;51:959–63.
Gariepy AM, Simon EJ, Patel DA, et al. The impact of out-of-pocket expense on IUD utilization among women with private insurance. Contraception. 2011;84:e39–42.
Lotke PS. Increasing use of long-acting reversible contraception to decrease unplanned pregnancy. Obstet Gynecol Clin North Am. 2015;42:557–67.
Kibira SPS, Karp C, Wood SN, et al. Covert use of contraception in three sub-Saharan African countries: a qualitative exploration of motivations and challenges. BMC Public Health. 2020;20:865.
Tang JH, Dominik R, Re S, et al. Characteristics associated with interest in long-acting reversible contraception in a postpartum population. Contraception. 2013;88:52–7.
Adedini SA, Omisakin OA, Somefun OD. Trends, patterns and determinants of long-acting reversible methods of contraception among women in sub-Saharan Africa. PLoS One. 2019;14:e0217574.
Das M, Anand A, Hossain B, et al. Inequalities in short-acting reversible, long-acting reversible and permanent contraception use among currently married women in India. BMC Public Health. 2022;22:1264.
Qirbi N, Ismail SA. Health system functionality in a low-income country in the midst of conflict: the case of Yemen. Health Policy Plan. 2017;32:911–22.
Tappis H, Elaraby S, Elnakib S, et al. Reproductive, maternal, newborn and child health service delivery during conflict in Yemen: a case study. Confl Health. 2020;14:30.
Berghof Foundation. Mapping of Local Governance in Yemeni Governorates. Berlin: Berghof Foundation Operations GmbH; 2020.
Tsui AO, Cardona C, Srivatsan V, et al. Is client reporting on contraceptive use always accurate? Measuring consistency and change with a multicountry study. Stud Fam Plann. 2021;52:361–82.