Determinants of contraceptive decision making among married women in Sub-Saharan Africa from the recent Demographic and Health Survey data.
Background: Different evidence suggested that couples often disagree about the desirability of pregnancy and the use of contraceptives. Increased women's decision-making on contraceptives is identified as a key solution that can change the prevailing fertility and contraceptive utilization pattern i...
| Publicado en: | BMC Women's Health Vol. 22; no. 1; pp. 1 - 11 |
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| Autores principales: | , , , , , , , |
| Formato: | equations & formulas research tables/charts Journal Article |
| Publicado: |
BioMed Central
2/25/2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=155465814&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155465814 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14726874 1CIP jtl: BMC Women's Health issn: 14726874 maglogo: N pubinfo: dt: 2/25/2022 vid: 22 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 155465814 155465814 NLM35216558 155465814 10.1186/s12905-022-01636-x NLM35216558 155465814 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Determinants of contraceptive decision making among married women in Sub-Saharan Africa from the recent Demographic and Health Survey data. aug: au: Tesfa, Desalegn Tiruneh, Sofonyas Abebaw Azanaw, Melkalem Mamuye Gebremariam, Alemayehu Digssie Engidaw, Melaku Tadege Tiruneh, Mulu Dessalegn, Tsion kefale, Belayneh affil: Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia sug: subj: Social Determinants of Health Evaluation Contraception Decision Making Women's Health Human Africa South of the Sahara Young Adult Adult Middle Age Sociodemographic Factors Surveys Reproductive Health Variable Logistic Regression Correlation Coefficient Relative Risk Confidence Intervals Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years ab: Background: Different evidence suggested that couples often disagree about the desirability of pregnancy and the use of contraceptives. Increased women's decision-making on contraceptives is identified as a key solution that can change the prevailing fertility and contraceptive utilization pattern in SSA. Therefore, this study aimed to determine determinants of contraceptive decision-making among married women in Sub-Saharan Africa.Methods: The data source of this study was the standard demographic and health survey datasets of 33 Sub-Saharan Africa countries. Reproductive age group women aged (15-49 years) currently married who are not pregnant and are current users of contraceptive preceding three years the survey was included from the individual record (IR file) file between 2010 and 2018. Since the outcome variable is composed of polychotomous categorical having multiple-choice, the Multinomial logistic regression (MNLR) model was applied.Results: A total of 76,516 married women were included in this study. Maternal age 20-35 and 36-49 years were more likely to had decision making on contraceptive use in both women-only and joint (women and husband/partner category (referance = husband/partner) (RRR = 1.2; 95% CI = 1.05-1.41, RRR = 1.18; 1.04-1.33 and RRR = 1.38; 95% CI = 1.17-1.61, RRR = 1.27; 1.11-1.47)] respectively. Married women with higher education were more likely to decide by women-only category on contraceptive use (referance = husband/partner) (RRR = 1.26; 95% CI = 1.06-1.49). Women only decision-making to use contraceptives relative to the husband/partner only decreases by a factor of 0.86 (95% CI = 0.80-0.93) among rural than urban residences. Women only or joint decision making to use contraceptives was 1.25 and 1.35 times more likely relative to husband/partner decision making respectively among women who had work than that of had no work. The relative risk of women's decision to use family planning relative to husband increased among couples who had a marital duration of ≥ 10 years (RRR = 1.14; 95% CI = 1.06-1.22). But it has no significant effect on joint decision making. Respondents found in the richest wealth index category increase the relative risk of joint decision-making relative to husband/partner (RRR = 1.33; 95% CI = 1.20-1.47) compared to the poorest category.Conclusions: Decision-making to use contraceptives among married women varies greatly by socio-demographic characteristics. The finding of this study showed that women's age, women educational status, residence, duration of the marriage, family economy, and country income were significantly associated with contraceptive decision-making. Therefore to promote ideal family planning decision making, there is a need to formulate policies and design programs that target women's socio-demographic characteristics and modern contraceptive interventions should be promoted by considering empowering women on decision making. pubtype: Academic Journal doctype: equations & formulas research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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