Rural–Urban Differentials of Long-Acting Contraceptive Method Utilization Among Reproductive-Age Women in Amhara Region, Ethiopia: Further Analysis of the 2016 EDHS
Kindu Yinges Wondie,1 Marta Berta Badi,2 Animut Tagele Tamiru3 1Department of Clinical Midwifery, School of Midwifery, University of Gondar, Gondar, Amhara Regional State, Ethiopia; 2Department of Women’s and Family Health, School of Midwifery, University of Gondar, Gondar, Amhara Regional...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2020-08-01
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| Series: | Open Access Journal of Contraception |
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| Online Access: | https://www.dovepress.com/ruralndashurban-differentials-of-long-acting-contraceptive-method-util-peer-reviewed-article-OAJC |
| _version_ | 1818389101116653568 |
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| author | Wondie KY Badi MB Tamiru AT |
| author_facet | Wondie KY Badi MB Tamiru AT |
| author_sort | Wondie KY |
| collection | DOAJ |
| description | Kindu Yinges Wondie,1 Marta Berta Badi,2 Animut Tagele Tamiru3 1Department of Clinical Midwifery, School of Midwifery, University of Gondar, Gondar, Amhara Regional State, Ethiopia; 2Department of Women’s and Family Health, School of Midwifery, University of Gondar, Gondar, Amhara Regional State, Ethiopia; 3Department of General Midwifery, School of Midwifery, University of Gondar, Gondar, Amhara Regional State, EthiopiaCorrespondence: Animut Tagele Tamiru Email animuut@gmail.comBackground: The sharp fertility drop-off in the Amhara region between 2000 and 2011 was due to an increase in modern contraceptive utilization of rural women. However, long-acting contraceptive method utilization was higher among urban than rural women. Therefore, this study aimed to assess rural–urban differentials of long-acting contraceptive method utilization and the contributing factors among reproductive-age women in the Amhara region: analysis of the 2016 EDHS.Methods: The 2016 EDHS data were used. A weighted sample of 2188 (1675 rural and 513 urban) fecund reproductive-age women was used, and a mixed-effects logistic regression model was fitted. Multivariable logistic regression analysis at a P-value < 0.05 and adjusted odds ratio with a 95% confidence interval were used to declare significant associations.Results: The overall long-acting contraceptive method use was 13.3% (95% CI=11.6– 15.8), and it was 14.8% (95% CI=12.4– 17.2) among rural and 8.3% (95% CI=4.5– 12.4) among urban women. Among urban women, the odds of long-acting contraceptive method use was higher for women living with a partner (AOR=6.83; 95% CI=1.23– 37.84), married women (AOR=5.21; 95% CI=1.95– 13.89), women living in a male-headed household (AOR=5.29; 95% CI=1.26– 22.38), and women whose partner wanted fewer children (AOR=11; 95% CI=3.46– 16.2). Among rural women, the odds of long-acting contraceptive use was higher for women in the richest wealth index (AOR=6.69; 95% CI=3.02– 14.83), married women (AOR=30.26; 95% CI=8.81– 42.9), women with good knowledge of LACMs (AOR=1.75; 95% CI=1.25– 2.46), and women who had no correct knowledge of their ovulatory cycle (AOR=1.93; 95% CI=1.16– 3.19).Conclusion: Long-acting contraceptive method use was lower than the national target. LACM use was 8.3% (95% CI=4.5– 12.4) among urban and 14.8% (95% CI=12.4– 17.2) among rural women. Overall, marital status, educational level, the total number of children, knowledge of LACMs, and correct knowledge of the ovulatory cycle were significantly associated with LACM use.Keywords: Amhara region, comparative cross-sectional study, long-acting contraceptive methods |
| first_indexed | 2024-12-14T04:36:22Z |
| format | Article |
| id | doaj.art-43cc90b9f32b4704b2362772815889ee |
| institution | Directory Open Access Journal |
| issn | 1179-1527 |
| language | English |
| last_indexed | 2024-12-14T04:36:22Z |
| publishDate | 2020-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Open Access Journal of Contraception |
| spelling | doaj.art-43cc90b9f32b4704b2362772815889ee2022-12-21T23:16:56ZengDove Medical PressOpen Access Journal of Contraception1179-15272020-08-01Volume 11778955954Rural–Urban Differentials of Long-Acting Contraceptive Method Utilization Among Reproductive-Age Women in Amhara Region, Ethiopia: Further Analysis of the 2016 EDHSWondie KYBadi MBTamiru ATKindu Yinges Wondie,1 Marta Berta Badi,2 Animut Tagele Tamiru3 1Department of Clinical Midwifery, School of Midwifery, University of Gondar, Gondar, Amhara Regional State, Ethiopia; 2Department of Women’s and Family Health, School of Midwifery, University of Gondar, Gondar, Amhara Regional State, Ethiopia; 3Department of General Midwifery, School of Midwifery, University of Gondar, Gondar, Amhara Regional State, EthiopiaCorrespondence: Animut Tagele Tamiru Email animuut@gmail.comBackground: The sharp fertility drop-off in the Amhara region between 2000 and 2011 was due to an increase in modern contraceptive utilization of rural women. However, long-acting contraceptive method utilization was higher among urban than rural women. Therefore, this study aimed to assess rural–urban differentials of long-acting contraceptive method utilization and the contributing factors among reproductive-age women in the Amhara region: analysis of the 2016 EDHS.Methods: The 2016 EDHS data were used. A weighted sample of 2188 (1675 rural and 513 urban) fecund reproductive-age women was used, and a mixed-effects logistic regression model was fitted. Multivariable logistic regression analysis at a P-value < 0.05 and adjusted odds ratio with a 95% confidence interval were used to declare significant associations.Results: The overall long-acting contraceptive method use was 13.3% (95% CI=11.6– 15.8), and it was 14.8% (95% CI=12.4– 17.2) among rural and 8.3% (95% CI=4.5– 12.4) among urban women. Among urban women, the odds of long-acting contraceptive method use was higher for women living with a partner (AOR=6.83; 95% CI=1.23– 37.84), married women (AOR=5.21; 95% CI=1.95– 13.89), women living in a male-headed household (AOR=5.29; 95% CI=1.26– 22.38), and women whose partner wanted fewer children (AOR=11; 95% CI=3.46– 16.2). Among rural women, the odds of long-acting contraceptive use was higher for women in the richest wealth index (AOR=6.69; 95% CI=3.02– 14.83), married women (AOR=30.26; 95% CI=8.81– 42.9), women with good knowledge of LACMs (AOR=1.75; 95% CI=1.25– 2.46), and women who had no correct knowledge of their ovulatory cycle (AOR=1.93; 95% CI=1.16– 3.19).Conclusion: Long-acting contraceptive method use was lower than the national target. LACM use was 8.3% (95% CI=4.5– 12.4) among urban and 14.8% (95% CI=12.4– 17.2) among rural women. Overall, marital status, educational level, the total number of children, knowledge of LACMs, and correct knowledge of the ovulatory cycle were significantly associated with LACM use.Keywords: Amhara region, comparative cross-sectional study, long-acting contraceptive methodshttps://www.dovepress.com/ruralndashurban-differentials-of-long-acting-contraceptive-method-util-peer-reviewed-article-OAJCamhara regioncomparative cross-sectional studylong-acting contraceptive methods |
| spellingShingle | Wondie KY Badi MB Tamiru AT Rural–Urban Differentials of Long-Acting Contraceptive Method Utilization Among Reproductive-Age Women in Amhara Region, Ethiopia: Further Analysis of the 2016 EDHS Open Access Journal of Contraception amhara region comparative cross-sectional study long-acting contraceptive methods |
| title | Rural–Urban Differentials of Long-Acting Contraceptive Method Utilization Among Reproductive-Age Women in Amhara Region, Ethiopia: Further Analysis of the 2016 EDHS |
| title_full | Rural–Urban Differentials of Long-Acting Contraceptive Method Utilization Among Reproductive-Age Women in Amhara Region, Ethiopia: Further Analysis of the 2016 EDHS |
| title_fullStr | Rural–Urban Differentials of Long-Acting Contraceptive Method Utilization Among Reproductive-Age Women in Amhara Region, Ethiopia: Further Analysis of the 2016 EDHS |
| title_full_unstemmed | Rural–Urban Differentials of Long-Acting Contraceptive Method Utilization Among Reproductive-Age Women in Amhara Region, Ethiopia: Further Analysis of the 2016 EDHS |
| title_short | Rural–Urban Differentials of Long-Acting Contraceptive Method Utilization Among Reproductive-Age Women in Amhara Region, Ethiopia: Further Analysis of the 2016 EDHS |
| title_sort | rural ndash urban differentials of long acting contraceptive method utilization among reproductive age women in amhara region ethiopia further analysis of the 2016 edhs |
| topic | amhara region comparative cross-sectional study long-acting contraceptive methods |
| url | https://www.dovepress.com/ruralndashurban-differentials-of-long-acting-contraceptive-method-util-peer-reviewed-article-OAJC |
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