Unmet need for contraception among married adolescent girls and young women in Haramaya Health and demographic surveillance system, Eastern Ethiopia
BackgroundThe prevalence of unmet need for contraception is the highest in low- and middle-income countries (LMIC). Contraceptive use among young married or unmarried women is lower than that among older women in developing countries. Previous studies generalized the findings to all women of reprodu...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Global Women's Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fgwh.2022.999860/full |
| _version_ | 1797984364431147008 |
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| author | Saba Hailu Nega Assefa Tariku Dingeta Chaltu Abdurahman Mewardi Adem |
| author_facet | Saba Hailu Nega Assefa Tariku Dingeta Chaltu Abdurahman Mewardi Adem |
| author_sort | Saba Hailu |
| collection | DOAJ |
| description | BackgroundThe prevalence of unmet need for contraception is the highest in low- and middle-income countries (LMIC). Contraceptive use among young married or unmarried women is lower than that among older women in developing countries. Previous studies generalized the findings to all women of reproductive age and have not investigated psychosocial factors that influence contraceptive use. This study aimed to identify factors associated with unmet need for contraception among young married women in the Haramaya Health and Demographic Surveillance System (HDSS), eastern Ethiopia.MethodologyA cross-sectional, community-based study of young married women aged 15–24 years was conducted. A simple random sampling method was used to select 550 young married women. Data were collected using a pretested structured questionnaire. Using adjusted odds ratio (AOR) with a 95% confidence interval (CI), factors associated with unmet need for contraception were identified using multivariable logistic regression analysis.ResultsThe overall prevalence of unmet need for contraception was 154 (30.3%). Adolescents (15–19) (AOR = 2.05, 95% CI: 1.16–3.62), husbands' negative attitude toward contraception (AOR = 2.1, 95% CI: 1.05–4.46), and no previous use of contraception (AOR = 3.9, 95% CI: 2.29–6.71) were significantly and positively associated with unmet need for contraception. On the contrary, young women with secondary education or higher (AOR = 0.55, 95% CI: 0.28–1.084) were negatively and significantly associated with unmet need for contraception.ConclusionThe prevalence of unmet need for contraception among young women in Haramaya was high. Unmet need was affected by age, husbands' attitude toward contraceptives, the educational status of women, and previous use of contraception. This study underscored the need to improve girls' educational status to empower them in making contraceptive use decisions with their partners. Programs should also engage male partners who are perceived as key decision-makers when it comes to contraceptive use. |
| first_indexed | 2024-04-11T07:01:22Z |
| format | Article |
| id | doaj.art-90829a91b39d454883ebd5b2d58fa7da |
| institution | Directory Open Access Journal |
| issn | 2673-5059 |
| language | English |
| last_indexed | 2024-04-11T07:01:22Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Global Women's Health |
| spelling | doaj.art-90829a91b39d454883ebd5b2d58fa7da2022-12-22T04:38:42ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592022-11-01310.3389/fgwh.2022.999860999860Unmet need for contraception among married adolescent girls and young women in Haramaya Health and demographic surveillance system, Eastern EthiopiaSaba Hailu0Nega Assefa1Tariku Dingeta2Chaltu Abdurahman3Mewardi Adem4School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaDepartment of Public Health, College of Health and Medical Sciences, Dire Dawa University, Dire Dawa, EthiopiaDepartment of Public Health, College of Health and Medical Sciences, Dire Dawa University, Dire Dawa, EthiopiaBackgroundThe prevalence of unmet need for contraception is the highest in low- and middle-income countries (LMIC). Contraceptive use among young married or unmarried women is lower than that among older women in developing countries. Previous studies generalized the findings to all women of reproductive age and have not investigated psychosocial factors that influence contraceptive use. This study aimed to identify factors associated with unmet need for contraception among young married women in the Haramaya Health and Demographic Surveillance System (HDSS), eastern Ethiopia.MethodologyA cross-sectional, community-based study of young married women aged 15–24 years was conducted. A simple random sampling method was used to select 550 young married women. Data were collected using a pretested structured questionnaire. Using adjusted odds ratio (AOR) with a 95% confidence interval (CI), factors associated with unmet need for contraception were identified using multivariable logistic regression analysis.ResultsThe overall prevalence of unmet need for contraception was 154 (30.3%). Adolescents (15–19) (AOR = 2.05, 95% CI: 1.16–3.62), husbands' negative attitude toward contraception (AOR = 2.1, 95% CI: 1.05–4.46), and no previous use of contraception (AOR = 3.9, 95% CI: 2.29–6.71) were significantly and positively associated with unmet need for contraception. On the contrary, young women with secondary education or higher (AOR = 0.55, 95% CI: 0.28–1.084) were negatively and significantly associated with unmet need for contraception.ConclusionThe prevalence of unmet need for contraception among young women in Haramaya was high. Unmet need was affected by age, husbands' attitude toward contraceptives, the educational status of women, and previous use of contraception. This study underscored the need to improve girls' educational status to empower them in making contraceptive use decisions with their partners. Programs should also engage male partners who are perceived as key decision-makers when it comes to contraceptive use.https://www.frontiersin.org/articles/10.3389/fgwh.2022.999860/fullunmet needcontraceptionadolescentsyoung married womenperceived internalized stigma |
| spellingShingle | Saba Hailu Nega Assefa Tariku Dingeta Chaltu Abdurahman Mewardi Adem Unmet need for contraception among married adolescent girls and young women in Haramaya Health and demographic surveillance system, Eastern Ethiopia Frontiers in Global Women's Health unmet need contraception adolescents young married women perceived internalized stigma |
| title | Unmet need for contraception among married adolescent girls and young women in Haramaya Health and demographic surveillance system, Eastern Ethiopia |
| title_full | Unmet need for contraception among married adolescent girls and young women in Haramaya Health and demographic surveillance system, Eastern Ethiopia |
| title_fullStr | Unmet need for contraception among married adolescent girls and young women in Haramaya Health and demographic surveillance system, Eastern Ethiopia |
| title_full_unstemmed | Unmet need for contraception among married adolescent girls and young women in Haramaya Health and demographic surveillance system, Eastern Ethiopia |
| title_short | Unmet need for contraception among married adolescent girls and young women in Haramaya Health and demographic surveillance system, Eastern Ethiopia |
| title_sort | unmet need for contraception among married adolescent girls and young women in haramaya health and demographic surveillance system eastern ethiopia |
| topic | unmet need contraception adolescents young married women perceived internalized stigma |
| url | https://www.frontiersin.org/articles/10.3389/fgwh.2022.999860/full |
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