Contraceptive use among married women who drink alcohol in India: a cross-sectional analysis of NFHS-5 survey.

Background Alcohol consumption among women of reproductive age is a growing concern in India, with significant implications for reproductive health. Despite evidence linking alcohol use to suboptimal contraceptive behaviors, research on the patterns and determinants of contraceptive use remains limi...

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Publicado en:Alcohol & Alcoholism Vol. 60; no. 4; pp. 1 - 11
Autores principales: Ghosh, Abhishek, Verma, Abhishek, Saha, Pradip Kumar, Choudhury, Shinjini
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Jul2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2025
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      pub: Oxford University Press / USA
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        10.1093/alcalc/agaf040
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        atl: Contraceptive use among married women who drink alcohol in India: a cross-sectional analysis of NFHS-5 survey.
      aug:
        au:
          Ghosh, Abhishek
          Verma, Abhishek
          Saha, Pradip Kumar
          Choudhury, Shinjini
        affil: Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, 160012, India
      sug:
        subj:
          Alcohol Drinking
          Contraception Utilization
          Married Women Psychosocial Factors
          Childbearing Age
          Sociodemographic Factors
          Human
          Adolescence
          Adult
          Middle Age
          Female
          India
          Cross Sectional Studies
          Surveys
          Contraception Classification
          World Health Organization
          Drinking Behavior Evaluation
          Health Services Accessibility
          Parity
          Logistic Regression
          Odds Ratio
          Descriptive Statistics
          Confidence Intervals
          Sterilization and Disinfection
          Contraceptives, Oral
          Prevalence
          Geographic Factors
          Family Planning
          Medically Underserved Area
          Family Services
          Chi Square Test
          Secondary Analysis
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: Background Alcohol consumption among women of reproductive age is a growing concern in India, with significant implications for reproductive health. Despite evidence linking alcohol use to suboptimal contraceptive behaviors, research on the patterns and determinants of contraceptive use remains limited. Methods Data from 6626 married women aged 15–49 years who reported alcohol consumption and 468 142 who did not were drawn from the National Family Health Survey-5 (2019–2021). Contraceptive use was classified by the World Health Organization's effectiveness levels. Alcohol consumption was examined by type (homemade, country liquor, Indian Made Foreign Liquor), frequency (daily, weekly, less than weekly), and duration. Covariates included age, education, wealth, residence, parity, and tribal status. Ordinal logistic regression was used to identify predictors of contraceptive use. Results Alcohol use was associated with lower odds of effective contraceptive use (aOR = .86, 95% CI:.82–0.90)—31.18% reported no contraceptive use, while 75.09% used very effective or effective methods, primarily female sterilization (45.44%) and oral contraceptives (19.32%). Homemade alcohol users showed the highest prevalence of effective methods (82.76%), while IMFL consumers reported higher non-use (33.44%). Those who drink daily relied more on effective methods compared to less frequent drinkers. Education and wealth were significant predictors among all women but not in those who drink alcohol. State-wise variations were notable, with low rates of contraceptive use in Meghalaya (18.52%) and high rates in Sikkim (81.72%). Conclusion Integrated family planning and alcohol screening and brief intervention services are needed, especially in underserved regions.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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