Behavioural and contextual factors influencing intention to shift from short- to long-acting reversible contraceptive methods among women in central Ethiopia: a theory of planned behaviour-guided study.
Background: Understanding women's intention to shift from short-acting methods to long-acting reversible contraceptive methods (LARCMs) in diverse settings, including socioeconomic, behavioural and multicultural contexts, is crucial for improving contraceptive utilization. While short-acting methods...
| Publicado en: | Therapeutic Advances in Reproductive Health Vol. 19; pp. 1 - 14 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
12/10/2025
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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=190302478&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190302478 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26334941 N9DZ jtl: Therapeutic Advances in Reproductive Health issn: 26334941 maglogo: N pubinfo: dt: 12/10/2025 vid: 19 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 190302478 190302478 190302478 10.1177/26334941251403086 190302478 ppf: 1 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Behavioural and contextual factors influencing intention to shift from short- to long-acting reversible contraceptive methods among women in central Ethiopia: a theory of planned behaviour-guided study. aug: au: Tesfaye, Yematawork Tamirat, Temesgen Sulamo, Dawit Habtu, Yitagesu Hasen, Habtamu Eiliso, Melesech Kusheta, Samuel affil: Conceptualization, Department of Midwifery, Hossana College of Health Science, Hossana, Ethiopia sug: subj: Contraception Methods Long-Acting Reversible Contraceptives Administration and Dosage Intention Evaluation Women Psychosocial Factors Reproductive Health Health Behavior Hospitals, Public Ajzen's Theory of Planned Behavior Funding Source Ethiopia Human Female Adolescence Adult Childbearing Age Cross Sectional Studies Systematic Random Sample Interviews Structured Questionnaires Coefficient alpha Summated Rating Scaling Multivariate Analysis Confidence Intervals P-Value Data Analysis Software Descriptive Statistics Educational Status Social Norms Confidence Adolescent: 13-18 years Adult: 19-44 years Female ab: Background: Understanding women's intention to shift from short-acting methods to long-acting reversible contraceptive methods (LARCMs) in diverse settings, including socioeconomic, behavioural and multicultural contexts, is crucial for improving contraceptive utilization. While short-acting methods are widely used, shifting to LARCMs remains a challenge in resource-limited settings like Ethiopia. Previous studies in Ethiopia either lack theoretical framework or focus on intention spanning a year with theoretical incoherence. Objective: Guided by the theory of planned behaviour, this study aims to assess the intention to shift from short- to long-acting methods in 6 months and identify associated factors among women attending public health facilities in Hossana Town, Central Ethiopia. Design: A facility-based cross-sectional study was conducted in public health facilities of Hossana town, Central Ethiopia Region. Methods: The 336 reproductive-age women who were using short-acting contraceptive methods were included. The data were collected through face-to-face interviews using a pre-tested structured questionnaire. A generalized linear model (GLM) with a Gamma distribution and log link function was applied to model the positively skewed intention scores. Adjusted exponentiated beta coefficients (Exp(β)) and their corresponding 95% confidence intervals were used to quantify associations and declared statistically significant at p -value < 0.05. Results: The proportion of women who intended to shift from short-acting contraceptives to LARCMs was only 42.3%. In the multivariable GLM, primary education (Exp(β) = 1.10; 95% CI: 1.033–1.170), secondary education (Exp(β) = 1.15; 95% CI: 1.078–1.227), and tertiary education (Exp(β) = 1.19; 95% CI: 1.061–1.329) were significantly associated to shift from short- to LARCMs. Additionally, attitude (Exp(β) = 1.011; 95% CI: 1.007–1.015), subjective norm (Exp(β) = 1.007; 95% CI: 1.001–1.013), and perceived behavioural control (Exp(β) = 1.012; 95% CI: 1.004–1.020) were also positively and significantly associated with the intention to shift. Conclusion: These findings suggest that enhancing educational access, improving service delivery through informed decision-making support, addressing social influences and strengthening psychosocial factors such as attitude and self-confidence could improve the intention for uptake of long-acting contraceptive methods. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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