Determinants of modern contraceptive use among married women of reproductive age: a cross-sectional study in rural Zambia
| Autor: | Kai Zhao, Chrissie Stansie Abaidoo, Tamara Mkandawire, Joseph Lasong, Simon Afewerki Gebremedhin, Yuan Zhang, Huiping Zhang, Sampson Opoku |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Adolescent Cross-sectional study media_common.quotation_subject Total fertility rate Psychological intervention Zambia women of reproductive age Logistic regression Young Adult Contraceptive Agents Pregnancy modern contraceptive use Medicine Humans Marriage Contraception Behavior media_common Middle class Descriptive statistics business.industry General Medicine Middle Aged Contraception Cross-Sectional Studies Family planning Family Planning Services Respondent Africa Female Public Health rural business Demography |
| Zdroj: | BMJ Open BMJ Open, Vol 10, Iss 3 (2020) |
| ISSN: | 2044-6055 |
| Popis: | ObjectiveZambia is among the world’s top 10 countries with higher fertility rate (5.5 births/woman); unmet family planning need for births spacing (14%) and limiting births (7%). Women in rural Zambia (24%) are reported to have unmet need for family planning than those in urban areas (17%). This study was conducted to ascertain factors associated with modern contraceptive use among rural Zambian women.DesignCross-sectional study.SettingRural Zambia.ParticipantsSecondary data of 4903 married or cohabiting rural women (15–49 years) after filtering out the pregnant, urban based and unmarried women from 2013 to 2014 Zambian Demographic and Health Survey (ZDHS) were analysed using SPSS V.22. Multiple logistic regression, Pearson’s χ2and descriptive statistics were performed to examine factors associated with modern contraceptive use.ResultsFactors that were positively associated with contraceptive use were respondent’s education (secondary adjusted ORs (AOR = 1.61, p≤0.002); higher (AOR = 2.39, p≤0.050)), wealth index (middle class, (AOR = 1.35, p≤0.005); rich (AOR = 2.04, p≤0.001) and richest (AOR = 1.95, p≤0.034)), high parity (1–2 (AOR = 5.31, p≤0.001); 3–4 (AOR = 7.06, p≤0.001); 5+ (AOR = 8.02, p≤0.001)), men older than women by ConclusionModern contraceptive use in rural Zambia among currently married women of reproductive age group is relatively low (43%). We recommend that appropriate interventions are instituted to increase contraceptive access and use especially among uneducated older rural Zambian women. |
| Databáze: | OpenAIRE |
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