Cargando…
Factors associated with continuation of hormonal contraceptives among married women of reproductive age in Gilgit, Pakistan: a community-based case–control study
OBJECTIVE: This study aimed to determine the factors associated with continuation of hormonal contraceptive methods among married women of Gilgit, Pakistan at least 6 months after their initiation. DESIGN: Unmatched case–control study. SETTING: Community settings of Gilgit, Pakistan from 1 April 202...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10668236/ https://www.ncbi.nlm.nih.gov/pubmed/37996239 http://dx.doi.org/10.1136/bmjopen-2023-075490 |
_version_ | 1785149091169173504 |
---|---|
author | Bibi, Fazila Saleem, Sarah Tikmani, Shiyam S Rozi, Shafquat |
author_facet | Bibi, Fazila Saleem, Sarah Tikmani, Shiyam S Rozi, Shafquat |
author_sort | Bibi, Fazila |
collection | PubMed |
description | OBJECTIVE: This study aimed to determine the factors associated with continuation of hormonal contraceptive methods among married women of Gilgit, Pakistan at least 6 months after their initiation. DESIGN: Unmatched case–control study. SETTING: Community settings of Gilgit, Pakistan from 1 April 2021 to 30 July 2021. PARTICIPANTS: The cases were married women of reproductive age who, at the time of interview, were using a hormonal method of contraception for at least 6 months continuously, and controls were married women of reproductive age who had used a hormonal method in the past and currently were using a non-hormonal method for at least 6 months. PRIMARY AND SECONDARY OUTCOME MEASURES: OR for continuation of hormonal contraceptive. RESULTS: The factors significantly associated with continuous use of hormonal contraceptive methods for our sample from Gilgit were the family planning centre’s distance from home (adjusted OR (AOR) 6.33, 95% CI 3.74 to 10.71), satisfaction with current method used (AOR 3.64, 95% CI 2.06 to 6.44), visits to the family planning centre to avail services (AOR 1.86, 95% CI 1.07 to 3.45) and relatively older age of women (AOR 1.07, 95% CI 1.02 to 1.12). In addition, women with formal education (AOR 0.27, 95% CI 0.12 to 0.6) were less likely to use a modern contraceptive method. CONCLUSION: Continuation of using a hormonal method was associated with easy access to family planning centres, satisfaction with the current method and frequent visits to the family planning centres. Continuation of using a hormonal method was also seen in women with low education status. The importance of the presence of family planning centres near residential areas cannot be emphasised more. This does not only provide easy access to family planning methods, but also reassure women of continuation of modern methods when they face any unpleasant effects while using these. |
format | Online Article Text |
id | pubmed-10668236 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-106682362023-11-23 Factors associated with continuation of hormonal contraceptives among married women of reproductive age in Gilgit, Pakistan: a community-based case–control study Bibi, Fazila Saleem, Sarah Tikmani, Shiyam S Rozi, Shafquat BMJ Open Obstetrics and Gynaecology OBJECTIVE: This study aimed to determine the factors associated with continuation of hormonal contraceptive methods among married women of Gilgit, Pakistan at least 6 months after their initiation. DESIGN: Unmatched case–control study. SETTING: Community settings of Gilgit, Pakistan from 1 April 2021 to 30 July 2021. PARTICIPANTS: The cases were married women of reproductive age who, at the time of interview, were using a hormonal method of contraception for at least 6 months continuously, and controls were married women of reproductive age who had used a hormonal method in the past and currently were using a non-hormonal method for at least 6 months. PRIMARY AND SECONDARY OUTCOME MEASURES: OR for continuation of hormonal contraceptive. RESULTS: The factors significantly associated with continuous use of hormonal contraceptive methods for our sample from Gilgit were the family planning centre’s distance from home (adjusted OR (AOR) 6.33, 95% CI 3.74 to 10.71), satisfaction with current method used (AOR 3.64, 95% CI 2.06 to 6.44), visits to the family planning centre to avail services (AOR 1.86, 95% CI 1.07 to 3.45) and relatively older age of women (AOR 1.07, 95% CI 1.02 to 1.12). In addition, women with formal education (AOR 0.27, 95% CI 0.12 to 0.6) were less likely to use a modern contraceptive method. CONCLUSION: Continuation of using a hormonal method was associated with easy access to family planning centres, satisfaction with the current method and frequent visits to the family planning centres. Continuation of using a hormonal method was also seen in women with low education status. The importance of the presence of family planning centres near residential areas cannot be emphasised more. This does not only provide easy access to family planning methods, but also reassure women of continuation of modern methods when they face any unpleasant effects while using these. BMJ Publishing Group 2023-11-23 /pmc/articles/PMC10668236/ /pubmed/37996239 http://dx.doi.org/10.1136/bmjopen-2023-075490 Text en © World Health Organization 2023. Licensee BMJ. https://creativecommons.org/licenses/by/3.0/igo/This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (CC BY 3.0 IGO (https://creativecommons.org/licenses/by/3.0/igo/) ), which permits use, distribution,and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article’s original URL. |
spellingShingle | Obstetrics and Gynaecology Bibi, Fazila Saleem, Sarah Tikmani, Shiyam S Rozi, Shafquat Factors associated with continuation of hormonal contraceptives among married women of reproductive age in Gilgit, Pakistan: a community-based case–control study |
title | Factors associated with continuation of hormonal contraceptives among married women of reproductive age in Gilgit, Pakistan: a community-based case–control study |
title_full | Factors associated with continuation of hormonal contraceptives among married women of reproductive age in Gilgit, Pakistan: a community-based case–control study |
title_fullStr | Factors associated with continuation of hormonal contraceptives among married women of reproductive age in Gilgit, Pakistan: a community-based case–control study |
title_full_unstemmed | Factors associated with continuation of hormonal contraceptives among married women of reproductive age in Gilgit, Pakistan: a community-based case–control study |
title_short | Factors associated with continuation of hormonal contraceptives among married women of reproductive age in Gilgit, Pakistan: a community-based case–control study |
title_sort | factors associated with continuation of hormonal contraceptives among married women of reproductive age in gilgit, pakistan: a community-based case–control study |
topic | Obstetrics and Gynaecology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10668236/ https://www.ncbi.nlm.nih.gov/pubmed/37996239 http://dx.doi.org/10.1136/bmjopen-2023-075490 |
work_keys_str_mv | AT bibifazila factorsassociatedwithcontinuationofhormonalcontraceptivesamongmarriedwomenofreproductiveageingilgitpakistanacommunitybasedcasecontrolstudy AT saleemsarah factorsassociatedwithcontinuationofhormonalcontraceptivesamongmarriedwomenofreproductiveageingilgitpakistanacommunitybasedcasecontrolstudy AT tikmanishiyams factorsassociatedwithcontinuationofhormonalcontraceptivesamongmarriedwomenofreproductiveageingilgitpakistanacommunitybasedcasecontrolstudy AT rozishafquat factorsassociatedwithcontinuationofhormonalcontraceptivesamongmarriedwomenofreproductiveageingilgitpakistanacommunitybasedcasecontrolstudy |