Prevalence and factors associated with the intention to use contraception among women of reproductive age who are not already using a contraceptive method in Liberia: findings from a secondary analysis of the 2019-2020 Liberia Demographic Health Survey.
Health policy
PUBLIC HEALTH
REPRODUCTIVE MEDICINE
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
06 10 2023
06 10 2023
Historique:
medline:
10
10
2023
pubmed:
7
10
2023
entrez:
6
10
2023
Statut:
epublish
Résumé
Contraception constitutes a vital aspect of sexual and reproductive healthcare. However, the high prevalence of non-use has become a great public health concern globally. This study examined the intention to use contraceptives and its associated factors among women of reproductive age who were not using any method in Liberia. A cross-sectional population-based study was conducted. We used data from the 2019-2020 Liberia Demographic and Health Survey. The research framework used the theory of planned behaviour to identify the factors that influence women's intention to use contraception. The study analysed a weighted sample of 4504 women aged 15-49 who were not currently using any form of contraception. The outcome variable was the intention to use a contraceptive method. A binary logistic regression was used to identify factors associated with the intention to use contraceptives in Stata V.13.0. Of the 4504 women, 39.42% intended to use contraception. Contraception intention was significantly lower in married women than in never married women (adjusted OR (aOR) 0.78; 95% CI 0.62 to 0.98). Additionally, women aged 25-34 (aOR 0.434; 95% CI 0.339 to 0.556) and 35-49 (aOR 0.120; 95% CI 0.088 to 0.163) had a reduced intent to use contraceptives than those aged 15-24. However, women with at least one child, those with prior contraception experience and those who had their first sexual encounter at the age of 13 or older were more likely to intend to use contraception. Notably, Muslim and wealthy women displayed a lower likelihood of intending to use contraception. These findings highlight that attitudes, subjective norms and perceived behavioural control significantly influence women's intentions to use contraception. Understanding and addressing these factors are crucial for promoting effective contraceptive use among women, facilitating informed reproductive choices.
Identifiants
pubmed: 37802625
pii: bmjopen-2023-072282
doi: 10.1136/bmjopen-2023-072282
pmc: PMC10565247
doi:
Substances chimiques
Contraceptive Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e072282Informations de copyright
© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Health Psychol Open. 2020 Dec 4;7(2):2055102920975975
pubmed: 33329897
BMJ Open. 2020 Sep 25;10(9):e041103
pubmed: 32978208
Open Access J Contracept. 2022 Feb 15;13:17-28
pubmed: 35210875
Open Access J Contracept. 2020 Jun 24;11:53-67
pubmed: 32612400
PLoS One. 2020 Mar 10;15(3):e0229916
pubmed: 32155181
Women Health. 2016;56(1):1-22
pubmed: 26212154
BMC Womens Health. 2014 Mar 07;14(1):40
pubmed: 24602452
Malawi Med J. 2022 Mar;34(1):43-48
pubmed: 37265831
PLOS Glob Public Health. 2022 Aug 15;2(8):e0000545
pubmed: 36962757
J Health Psychol. 2014 Dec;19(12):1564-75
pubmed: 23928989
BMC Womens Health. 2018 Sep 25;18(1):157
pubmed: 30253759
PLoS One. 2020 Apr 16;15(4):e0231630
pubmed: 32298333
AIDS Behav. 2016 Dec;20(12):2834-2844
pubmed: 26860535
Afr J Reprod Health. 2019 Dec;23(4):63-74
pubmed: 32227741
Contracept Reprod Med. 2017 Feb 02;2:10
pubmed: 29201415
J Health Popul Nutr. 2017 Jan 7;36(1):1
pubmed: 28061805
Lancet. 2018 Jun 30;391(10140):2642-2692
pubmed: 29753597
Reprod Health. 2019 Mar 4;16(1):26
pubmed: 30832695
Violence Vict. 2009;24(3):351-63
pubmed: 19634361
Contraception. 2010 Jun;81(6):460-1
pubmed: 20472111
BMC Womens Health. 2020 Mar 26;20(1):61
pubmed: 32216823
Health Educ Res. 2009 Aug;24(4):575-85
pubmed: 19047649
Lancet. 2014 Apr 12;383(9925):1333-1354
pubmed: 24263249
Glob Health Sci Pract. 2019 Sep 26;7(3):418-434
pubmed: 31558598
Sex Reprod Healthc. 2019 Oct;21:26-32
pubmed: 31395230
Niger Postgrad Med J. 2018 Jul-Sep;25(3):143-148
pubmed: 30264764
Int J Nurs Stud. 2014 Apr;51(4):572-81
pubmed: 24054068
Lancet. 2012 Jul 14;380(9837):111-25
pubmed: 22784531
Glob J Health Sci. 2013 Jul 22;5(5):181-92
pubmed: 23985120
BMC Public Health. 2020 Jun 5;20(1):865
pubmed: 32503485
PLoS One. 2019 Jul 16;14(7):e0219617
pubmed: 31310641
Front Public Health. 2023 Aug 01;11:1110112
pubmed: 37593724
Reprod Health. 2018 Jan 05;15(1):1
pubmed: 29304829
Int J Reprod Med. 2021 Aug 20;2021:5580490
pubmed: 34462718
Reprod Health. 2022 Jun 13;19(Suppl 1):76
pubmed: 35698078
Eur J Contracept Reprod Health Care. 2019 Apr;24(2):161-165
pubmed: 30920324
Stud Fam Plann. 1996 Sep-Oct;27(5):239-50
pubmed: 8923652
BMJ Open. 2020 Mar 31;10(3):e030980
pubmed: 32234737
Reprod Health. 2021 Feb 9;18(1):33
pubmed: 33563304
Reprod Health. 2019 Jun 25;16(1):89
pubmed: 31238960
BMC Womens Health. 2019 Jun 20;19(1):82
pubmed: 31221144
Int J Environ Res Public Health. 2020 Sep 27;17(19):
pubmed: 32992556
J Womens Health (Larchmt). 2012 Jan;21(1):73-9
pubmed: 21992618
Arch Public Health. 2021 Jun 21;79(1):109
pubmed: 34154673
BMC Public Health. 2023 Feb 6;23(1):257
pubmed: 36747157
Afr J Reprod Health. 2014 Jun;18(2):58-67
pubmed: 25022142
Popul Dev Rev. 2017 May;43(Suppl Suppl 1):166-191
pubmed: 29081552
BMC Womens Health. 2018 Jul 3;18(1):118
pubmed: 29970089