Prevalence and factors associated with modern contraceptive use among women of reproductive age in 20 African countries: a large population-based study
Objective To assess the prevalence and factors associated with modern contraceptive (CP) use among women of the reproductive age.Design Cross-sectional study.Setting We used data from the Multiple Indicator Cluster Surveys (MICSs) from 20 African countries collected between 2013 and 2018.Participant...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2020-09-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/9/e041103.full |
| _version_ | 1818890809415565312 |
|---|---|
| author | Robert Akparibo Paschal Awingura Apanga Maxwell Tii Kumbeni Emmanuel Awine Ayamga Mark B Ulanja |
| author_facet | Robert Akparibo Paschal Awingura Apanga Maxwell Tii Kumbeni Emmanuel Awine Ayamga Mark B Ulanja |
| author_sort | Robert Akparibo |
| collection | DOAJ |
| description | Objective To assess the prevalence and factors associated with modern contraceptive (CP) use among women of the reproductive age.Design Cross-sectional study.Setting We used data from the Multiple Indicator Cluster Surveys (MICSs) from 20 African countries collected between 2013 and 2018.Participants Data on 1 177 459 women aged 15–49 years old.Methods Multivariable logistic regression was used to identify factors associated with modern CP use, while controlling simultaneously for independent variables, and accounting for clustering, stratification and sample weights from the complex sampling design. We used random effects meta-analysis to pool adjusted estimates across the 20 countries.Results The overall prevalence of modern CP use was 26% and ranged from 6% in Guinea to 62% in Zimbabwe. Overall, injectable (32%) was the most preferred method of CP, followed by oral pill (27%) and implants (16%). Women were more likely to use a modern CP if they: had a primary (adjusted prevalence odds ratios (aPORs): 1.68, 95% CI: 1.47 to 1.91)) or secondary/higher education (aPOR: 2.16, 95% CI: 1.80 to 2.59) compared with women with no formal education; had no delivery in the last 2 years (aPOR: 3.89, 95% CI: 2.76 to 5.47) compared with women who delivered in the last 2 years; were aged 25–34 years (aPOR: 1.33, 95% CI: 1.20 to 1.47) compared with women aged 15–24 years; were of middle-income status (aPOR: 1.25, 95% CI: 1.11 to 1.39) or rich (aPOR: 1.53, 95% CI: 1.27 to 1.84) compared with poor women and had two or more antenatal care visits compared with women without a visit. Perceived domestic violence was not associated with modern CP use (aPOR: 0.98, 95% CI: 0.92 to 1.05).Conclusion Our findings are relevant in a global context, particularly in the African region, and improve our understanding on relevant factors essential to increasing modern CP use. |
| first_indexed | 2024-12-19T17:30:49Z |
| format | Article |
| id | doaj.art-ef7641c64dc44c808f7a8b95c4b4398c |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-12-19T17:30:49Z |
| publishDate | 2020-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-ef7641c64dc44c808f7a8b95c4b4398c2022-12-21T20:12:28ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-041103Prevalence and factors associated with modern contraceptive use among women of reproductive age in 20 African countries: a large population-based studyRobert Akparibo0Paschal Awingura Apanga1Maxwell Tii Kumbeni2Emmanuel Awine Ayamga3Mark B Ulanja4School of Health and Related Research (ScHARR), The University of Sheffield, Sheffield, UKSchool of Community Health Sciences, University of Nevada, Reno, Nevada, USANabdam District Health Directorate, Ghana Health Service, Nangodi, Upper East Region, GhanaNabdam District Health Directorate, Ghana Health Service, Nangodi, Upper East Region, GhanaSchool of Medicine, University of Nevada, Reno, Nevada, USAObjective To assess the prevalence and factors associated with modern contraceptive (CP) use among women of the reproductive age.Design Cross-sectional study.Setting We used data from the Multiple Indicator Cluster Surveys (MICSs) from 20 African countries collected between 2013 and 2018.Participants Data on 1 177 459 women aged 15–49 years old.Methods Multivariable logistic regression was used to identify factors associated with modern CP use, while controlling simultaneously for independent variables, and accounting for clustering, stratification and sample weights from the complex sampling design. We used random effects meta-analysis to pool adjusted estimates across the 20 countries.Results The overall prevalence of modern CP use was 26% and ranged from 6% in Guinea to 62% in Zimbabwe. Overall, injectable (32%) was the most preferred method of CP, followed by oral pill (27%) and implants (16%). Women were more likely to use a modern CP if they: had a primary (adjusted prevalence odds ratios (aPORs): 1.68, 95% CI: 1.47 to 1.91)) or secondary/higher education (aPOR: 2.16, 95% CI: 1.80 to 2.59) compared with women with no formal education; had no delivery in the last 2 years (aPOR: 3.89, 95% CI: 2.76 to 5.47) compared with women who delivered in the last 2 years; were aged 25–34 years (aPOR: 1.33, 95% CI: 1.20 to 1.47) compared with women aged 15–24 years; were of middle-income status (aPOR: 1.25, 95% CI: 1.11 to 1.39) or rich (aPOR: 1.53, 95% CI: 1.27 to 1.84) compared with poor women and had two or more antenatal care visits compared with women without a visit. Perceived domestic violence was not associated with modern CP use (aPOR: 0.98, 95% CI: 0.92 to 1.05).Conclusion Our findings are relevant in a global context, particularly in the African region, and improve our understanding on relevant factors essential to increasing modern CP use.https://bmjopen.bmj.com/content/10/9/e041103.full |
| spellingShingle | Robert Akparibo Paschal Awingura Apanga Maxwell Tii Kumbeni Emmanuel Awine Ayamga Mark B Ulanja Prevalence and factors associated with modern contraceptive use among women of reproductive age in 20 African countries: a large population-based study BMJ Open |
| title | Prevalence and factors associated with modern contraceptive use among women of reproductive age in 20 African countries: a large population-based study |
| title_full | Prevalence and factors associated with modern contraceptive use among women of reproductive age in 20 African countries: a large population-based study |
| title_fullStr | Prevalence and factors associated with modern contraceptive use among women of reproductive age in 20 African countries: a large population-based study |
| title_full_unstemmed | Prevalence and factors associated with modern contraceptive use among women of reproductive age in 20 African countries: a large population-based study |
| title_short | Prevalence and factors associated with modern contraceptive use among women of reproductive age in 20 African countries: a large population-based study |
| title_sort | prevalence and factors associated with modern contraceptive use among women of reproductive age in 20 african countries a large population based study |
| url | https://bmjopen.bmj.com/content/10/9/e041103.full |
| work_keys_str_mv | AT robertakparibo prevalenceandfactorsassociatedwithmoderncontraceptiveuseamongwomenofreproductiveagein20africancountriesalargepopulationbasedstudy AT paschalawinguraapanga prevalenceandfactorsassociatedwithmoderncontraceptiveuseamongwomenofreproductiveagein20africancountriesalargepopulationbasedstudy AT maxwelltiikumbeni prevalenceandfactorsassociatedwithmoderncontraceptiveuseamongwomenofreproductiveagein20africancountriesalargepopulationbasedstudy AT emmanuelawineayamga prevalenceandfactorsassociatedwithmoderncontraceptiveuseamongwomenofreproductiveagein20africancountriesalargepopulationbasedstudy AT markbulanja prevalenceandfactorsassociatedwithmoderncontraceptiveuseamongwomenofreproductiveagein20africancountriesalargepopulationbasedstudy |