Wealth-related inequalities in demand for family planning satisfied among married and unmarried adolescent girls and young women in sub-Saharan Africa

Autor: Martin K. Mutua, Yohannes D. Wado, Monica Malata, Caroline W. Kabiru, Elsie Akwara, Dessalegn Y. Melesse, Ndèye Awa Fall, Carolina V. N. Coll, Cheikh Faye, Aluisio J. D. Barros
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Reproductive Health, Vol 18, Iss S1, Pp 1-13 (2021)
Druh dokumentu: article
ISSN: 1742-4755
DOI: 10.1186/s12978-021-01076-0
Popis: Abstract Background The use of modern contraception has increased in much of sub-Saharan Africa (SSA). However, the extent to which changes have occurred across the wealth spectrum among adolescents is not well known. We examine poor-rich gaps in demand for family planning satisfied by modern methods (DFPSm) among sexually active adolescent girls and young women (AGYW) using data from national household surveys. Methods We used recent Demographic and Health Surveys and Multiple Indicator Cluster Surveys to describe levels of wealth-related inequalities in DFPSm among sexually active AGYW using an asset index as an indicator of wealth. Further, we used data from countries with more than one survey conducted from 2000 to assess DFPSm trends. We fitted linear models to estimate annual average rate of change (AARC) by country. We fitted random effects regression models to estimate regional AARC in DFPSm. All analysis were stratified by marital status. Results Overall, there was significant wealth-related disparities in DFPSm in West Africa only (17.8 percentage points (pp)) among married AGYW. The disparities were significant in 5 out of 10 countries in Eastern, 2 out of 6 in Central, and 7 out of 12 in West among married AGYW and in 2 out of 6 in Central and 2 out of 9 in West Africa among unmarried AGYW. Overall, DFPSm among married AGYW increased over time in both poorest (AARC = 1.6%, p
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