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Contraceptive use pattern based on the number and composition of children among married women in sub-Saharan Africa: a multilevel analysis

BACKGROUND: The relationship between composition of children and contraception use has received limited scholarly attention in sub-Saharan Africa. In this study, we examined the relationship between contraceptive methods, the number and composition of children in SSA. METHODS: Data on 21 countries i...

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Autores principales: Teshale, Achamyeleh Birhanu, Wang, Vicky Qi, Biney, Godness Kye, Ameyaw, Edward Kwabena, Adjei, Nicholas Kofi, Yaya, Sanni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10364431/
https://www.ncbi.nlm.nih.gov/pubmed/37488658
http://dx.doi.org/10.1186/s40834-023-00240-0
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author Teshale, Achamyeleh Birhanu
Wang, Vicky Qi
Biney, Godness Kye
Ameyaw, Edward Kwabena
Adjei, Nicholas Kofi
Yaya, Sanni
author_facet Teshale, Achamyeleh Birhanu
Wang, Vicky Qi
Biney, Godness Kye
Ameyaw, Edward Kwabena
Adjei, Nicholas Kofi
Yaya, Sanni
author_sort Teshale, Achamyeleh Birhanu
collection PubMed
description BACKGROUND: The relationship between composition of children and contraception use has received limited scholarly attention in sub-Saharan Africa. In this study, we examined the relationship between contraceptive methods, the number and composition of children in SSA. METHODS: Data on 21 countries in sub-Saharan Africa (SSA) countries that had a Demographic and Health Survey on or before 2015 were analysed. We applied a multilevel multinomial logistic regression model to assess the influence of family composition on contraceptive use. Adjusted relative risk ratio (aRRR) and 95% CI were estimated. The significant level was set at p < 0.05. All the analyses were conducted using weighted data. RESULTS: Women who had one son and two daughters (aRRR = 0.85, CI = 0.75, 0.95), two sons and one daughter (aRRR = 0.81 CI = 0.72, 0.92), one son and three daughters (aRRR = 0.66, CI = 0.54, 0.80), two sons and two daughters (aRRR = 0.59, CI = 0.50, 0.69), and three or more sons (aRRR = 0.75, CI = 0.63, 0.91) were less likely to use temporary modern contraceptive methods. Those with two sons and two daughters were less likely to use traditional methods (aRRR = 0.52, CI = 0.35, 0.78). Women in the older age group (35–49 years) were less likely to use temporary modern methods (aRRR = 0.60; 95%CI; 0.57, 0.63). However, this group of women were more likely to use permanent (sterilization) (aRRR = 1.71; 95%CI; 1.50, 1.91) and traditional methods (aRRR = 1.28; 95%CI; 1.14, 1.43). CONCLUSION: These findings suggest that contraception needs of women vary based on the composition of their children, hence a common approach or intervention will not fit. As a result, contraception interventions ought to be streamlined to meet the needs of different categories of women. The findings can inform policymakers and public health professionals in developing effective strategies to improve contraceptive use in SSA.
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spelling pubmed-103644312023-07-25 Contraceptive use pattern based on the number and composition of children among married women in sub-Saharan Africa: a multilevel analysis Teshale, Achamyeleh Birhanu Wang, Vicky Qi Biney, Godness Kye Ameyaw, Edward Kwabena Adjei, Nicholas Kofi Yaya, Sanni Contracept Reprod Med Research BACKGROUND: The relationship between composition of children and contraception use has received limited scholarly attention in sub-Saharan Africa. In this study, we examined the relationship between contraceptive methods, the number and composition of children in SSA. METHODS: Data on 21 countries in sub-Saharan Africa (SSA) countries that had a Demographic and Health Survey on or before 2015 were analysed. We applied a multilevel multinomial logistic regression model to assess the influence of family composition on contraceptive use. Adjusted relative risk ratio (aRRR) and 95% CI were estimated. The significant level was set at p < 0.05. All the analyses were conducted using weighted data. RESULTS: Women who had one son and two daughters (aRRR = 0.85, CI = 0.75, 0.95), two sons and one daughter (aRRR = 0.81 CI = 0.72, 0.92), one son and three daughters (aRRR = 0.66, CI = 0.54, 0.80), two sons and two daughters (aRRR = 0.59, CI = 0.50, 0.69), and three or more sons (aRRR = 0.75, CI = 0.63, 0.91) were less likely to use temporary modern contraceptive methods. Those with two sons and two daughters were less likely to use traditional methods (aRRR = 0.52, CI = 0.35, 0.78). Women in the older age group (35–49 years) were less likely to use temporary modern methods (aRRR = 0.60; 95%CI; 0.57, 0.63). However, this group of women were more likely to use permanent (sterilization) (aRRR = 1.71; 95%CI; 1.50, 1.91) and traditional methods (aRRR = 1.28; 95%CI; 1.14, 1.43). CONCLUSION: These findings suggest that contraception needs of women vary based on the composition of their children, hence a common approach or intervention will not fit. As a result, contraception interventions ought to be streamlined to meet the needs of different categories of women. The findings can inform policymakers and public health professionals in developing effective strategies to improve contraceptive use in SSA. BioMed Central 2023-07-24 /pmc/articles/PMC10364431/ /pubmed/37488658 http://dx.doi.org/10.1186/s40834-023-00240-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Teshale, Achamyeleh Birhanu
Wang, Vicky Qi
Biney, Godness Kye
Ameyaw, Edward Kwabena
Adjei, Nicholas Kofi
Yaya, Sanni
Contraceptive use pattern based on the number and composition of children among married women in sub-Saharan Africa: a multilevel analysis
title Contraceptive use pattern based on the number and composition of children among married women in sub-Saharan Africa: a multilevel analysis
title_full Contraceptive use pattern based on the number and composition of children among married women in sub-Saharan Africa: a multilevel analysis
title_fullStr Contraceptive use pattern based on the number and composition of children among married women in sub-Saharan Africa: a multilevel analysis
title_full_unstemmed Contraceptive use pattern based on the number and composition of children among married women in sub-Saharan Africa: a multilevel analysis
title_short Contraceptive use pattern based on the number and composition of children among married women in sub-Saharan Africa: a multilevel analysis
title_sort contraceptive use pattern based on the number and composition of children among married women in sub-saharan africa: a multilevel analysis
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10364431/
https://www.ncbi.nlm.nih.gov/pubmed/37488658
http://dx.doi.org/10.1186/s40834-023-00240-0
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