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
Introduction: In Ethiopia, only one in ten reproductive-age women use long-acting reversible contraceptives. Evidence on the utilization of these methods and associated factors among sexually active reproductive-age women in the pastoral area of Northeast Ethiopia is limited. Thus, this study aimed...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-08-01
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| Series: | Women's Health |
| Online Access: | https://doi.org/10.1177/17455057221116514 |
| _version_ | 1798041981290545152 |
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| author | Kusse Urmale Mare Ezana Abrha Ebrahim Mohammed Yesuf Setognal Birara Aychiluhm Abay Woday Tadesse Simeon Meskele Leyto Kebede Gemeda Sabo Getahun Fentaw Mulaw Osman Ahmed Mohammed Oumer Abdulkadir Ebrahim |
| author_facet | Kusse Urmale Mare Ezana Abrha Ebrahim Mohammed Yesuf Setognal Birara Aychiluhm Abay Woday Tadesse Simeon Meskele Leyto Kebede Gemeda Sabo Getahun Fentaw Mulaw Osman Ahmed Mohammed Oumer Abdulkadir Ebrahim |
| author_sort | Kusse Urmale Mare |
| collection | DOAJ |
| description | Introduction: In Ethiopia, only one in ten reproductive-age women use long-acting reversible contraceptives. Evidence on the utilization of these methods and associated factors among sexually active reproductive-age women in the pastoral area of Northeast Ethiopia is limited. Thus, this study aimed to assess the utilization of long-acting reversible contraceptives and associated factors among sexually active reproductive-age women in the pastoral community of Northeast Ethiopia. Methods: A community-based cross-sectional study was conducted from 1 to 30 April 2021 among 572 reproductive-age women selected by a systematic random sampling method. Data were collected using a structured interviewer-administered questionnaire and entered into Epi-info version 7 and then finally exported to Stata version 16 for further analysis. Bivariable and multivariable binary logistic regression analyses were done to identify factors affecting the utilization of long-acting reversible contraceptives. Odds ratio with the corresponding 95% confidence interval were computed and the statistical significance of the explanatory variables was declared at p -value < 0.05. Results: Overall, the utilization of long-acting reversible contraceptives was (24.3%; 95% confidence interval = 20.9%–28.0%). It was also revealed that being Orthodox (adjusted odds ratio = 4.10; 95% confidence interval = 2.20–7.65) and Protestant (adjusted odds ratio = 7.86; 95% confidence interval = 1.26–18.97) religion followers, attending higher education (adjusted odds ratio = 3.31; 95% confidence interval = 1.37–7.98), and having a husband who attended higher education (adjusted odds ratio = 4.37; 95% confidence interval = 1.98–9.67) were associated with an increased odds of using long-acting reversible contraceptive methods. Besides, having a good (adjusted odds ratio = 6.69; 95% confidence interval = 2.64–16.95) and moderate (adjusted odds ratio = 3.03; 95% confidence interval = 1.06–8.56) knowledge, and positive attitude (adjusted odds ratio = 3.65; 95% confidence interval = 1.90–7.01) toward long-acting reversible contraceptives were also associated with the utilization of these methods. Conclusion: Less than one-fourth of sexually active reproductive-age women in the study area were using long-acting reversible contraceptives. Thus, improving women’s and husbands’ education and women’s knowledge and attitude toward long-acting reversible contraceptives is important to scale up the uptake of these contraceptive methods. |
| first_indexed | 2024-04-11T22:30:08Z |
| format | Article |
| id | doaj.art-450d6362f34841e4b03149649c571b06 |
| institution | Directory Open Access Journal |
| issn | 1745-5065 |
| language | English |
| last_indexed | 2024-04-11T22:30:08Z |
| publishDate | 2022-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Women's Health |
| spelling | doaj.art-450d6362f34841e4b03149649c571b062022-12-22T03:59:31ZengSAGE PublishingWomen's Health1745-50652022-08-011810.1177/17455057221116514Factors 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 studyKusse Urmale Mare0Ezana Abrha1Ebrahim Mohammed Yesuf2Setognal Birara Aychiluhm3Abay Woday Tadesse4Simeon Meskele Leyto5Kebede Gemeda Sabo6Getahun Fentaw Mulaw7Osman Ahmed Mohammed8Oumer Abdulkadir Ebrahim9Department of Nursing, College of Medicine and Health Sciences, Samara University, Samara, EthiopiaDepartment of Public Health, College of Medicine and Health Sciences, Samara University, Samara, EthiopiaDepartment of Public Health, College of Medicine and Health Sciences, Samara University, Samara, EthiopiaDepartment of Public Health, College of Medicine and Health Sciences, Samara University, Samara, EthiopiaDepartment of Public Health, College of Medicine and Health Sciences, Samara University, Samara, EthiopiaDepartment of Anatomy, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, EthiopiaDepartment of Nursing, College of Medicine and Health Sciences, Samara University, Samara, EthiopiaSchool of Public Health, Woldia University, Woldia, EthiopiaDepartment of Nursing, College of Medicine and Health Sciences, Samara University, Samara, EthiopiaDepartment of Public Health, College of Medicine and Health Sciences, Samara University, Samara, EthiopiaIntroduction: In Ethiopia, only one in ten reproductive-age women use long-acting reversible contraceptives. Evidence on the utilization of these methods and associated factors among sexually active reproductive-age women in the pastoral area of Northeast Ethiopia is limited. Thus, this study aimed to assess the utilization of long-acting reversible contraceptives and associated factors among sexually active reproductive-age women in the pastoral community of Northeast Ethiopia. Methods: A community-based cross-sectional study was conducted from 1 to 30 April 2021 among 572 reproductive-age women selected by a systematic random sampling method. Data were collected using a structured interviewer-administered questionnaire and entered into Epi-info version 7 and then finally exported to Stata version 16 for further analysis. Bivariable and multivariable binary logistic regression analyses were done to identify factors affecting the utilization of long-acting reversible contraceptives. Odds ratio with the corresponding 95% confidence interval were computed and the statistical significance of the explanatory variables was declared at p -value < 0.05. Results: Overall, the utilization of long-acting reversible contraceptives was (24.3%; 95% confidence interval = 20.9%–28.0%). It was also revealed that being Orthodox (adjusted odds ratio = 4.10; 95% confidence interval = 2.20–7.65) and Protestant (adjusted odds ratio = 7.86; 95% confidence interval = 1.26–18.97) religion followers, attending higher education (adjusted odds ratio = 3.31; 95% confidence interval = 1.37–7.98), and having a husband who attended higher education (adjusted odds ratio = 4.37; 95% confidence interval = 1.98–9.67) were associated with an increased odds of using long-acting reversible contraceptive methods. Besides, having a good (adjusted odds ratio = 6.69; 95% confidence interval = 2.64–16.95) and moderate (adjusted odds ratio = 3.03; 95% confidence interval = 1.06–8.56) knowledge, and positive attitude (adjusted odds ratio = 3.65; 95% confidence interval = 1.90–7.01) toward long-acting reversible contraceptives were also associated with the utilization of these methods. Conclusion: Less than one-fourth of sexually active reproductive-age women in the study area were using long-acting reversible contraceptives. Thus, improving women’s and husbands’ education and women’s knowledge and attitude toward long-acting reversible contraceptives is important to scale up the uptake of these contraceptive methods.https://doi.org/10.1177/17455057221116514 |
| spellingShingle | Kusse Urmale Mare Ezana Abrha Ebrahim Mohammed Yesuf Setognal Birara Aychiluhm Abay Woday Tadesse Simeon Meskele Leyto Kebede Gemeda Sabo Getahun Fentaw Mulaw Osman Ahmed Mohammed Oumer Abdulkadir Ebrahim 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 Health |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | https://doi.org/10.1177/17455057221116514 |
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