Cargando…
The social context of adolescent women’s use of modern contraceptives in Zimbabwe: a multilevel analysis
BACKGROUND: Efforts aimed at reducing maternal mortality as per the Millennium Development Goal 5 (MDG 5) include reducing early childbearing through increased adolescent contraceptive use. Despite a substantial attempt to study factors influencing adolescent contraceptive use in Sub-Saharan Africa...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4134336/ https://www.ncbi.nlm.nih.gov/pubmed/25108444 http://dx.doi.org/10.1186/1742-4755-11-64 |
_version_ | 1782330867940589568 |
---|---|
author | Ngome, Enock Odimegwu, Clifford |
author_facet | Ngome, Enock Odimegwu, Clifford |
author_sort | Ngome, Enock |
collection | PubMed |
description | BACKGROUND: Efforts aimed at reducing maternal mortality as per the Millennium Development Goal 5 (MDG 5) include reducing early childbearing through increased adolescent contraceptive use. Despite a substantial attempt to study factors influencing adolescent contraceptive use in Sub-Saharan Africa (SSA), few studies have explored the role of community level characteristics on adolescent modern contraceptive use. This study examines the influence of both individual, household and community variables in influencing adolescent contraceptive use in Zimbabwe. This study posits that community characteristics are more critical predictors of adolescent contraceptive use in Zimbabwe than other individual and household characteristics. METHODS: Data from the 2010/11 Zimbabwe Demographic Health Survey (ZDHS), supplemented by additional data from the Measure DHS consultants were used. A total weighted sample of 457 non-pregnant adolescent women aged 15 to 19 years who had their last sex within 12 months preceding the 2010/11 ZDHS was analysed. Univariate, bivariate and multilevel binary logistic regression analysis were performed using generalized linear mixed models (GLMM). RESULTS: The odds of contraceptive use were higher for adolescent women with one or more children ever born (Odds Ratio (OR), 13.6) and for those ever married (OR, 2.5). Having medium and high access to media also increased the odds of using contraceptives (OR, 1.8; 2.1 respectively). At community level, the odds of modern contraceptive use decreased with an increase in the mean number of children ever borne per woman (OR, 0.071), an increase in the mean number of school years per women (OR, 0.4) and an increase in the proportion of women with at least secondary education (OR, 0.5). It however increased with an increase in the proportion of women experiencing at least one problem accessing health care (OR, 2.0). Individual and community level variables considered successfully explained the variation of adolescent contraceptive use across provinces. CONCLUSIONS: Both individual and community characteristics were important predictors of adolescent contraceptive use in Zimbabwe. Reproductive program interventions aimed at increasing adolescent contraceptive use should take into account both individual and community factors. There is need for further research that examines other community characteristics influences that include political and cultural factors. |
format | Online Article Text |
id | pubmed-4134336 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-41343362014-08-20 The social context of adolescent women’s use of modern contraceptives in Zimbabwe: a multilevel analysis Ngome, Enock Odimegwu, Clifford Reprod Health Research BACKGROUND: Efforts aimed at reducing maternal mortality as per the Millennium Development Goal 5 (MDG 5) include reducing early childbearing through increased adolescent contraceptive use. Despite a substantial attempt to study factors influencing adolescent contraceptive use in Sub-Saharan Africa (SSA), few studies have explored the role of community level characteristics on adolescent modern contraceptive use. This study examines the influence of both individual, household and community variables in influencing adolescent contraceptive use in Zimbabwe. This study posits that community characteristics are more critical predictors of adolescent contraceptive use in Zimbabwe than other individual and household characteristics. METHODS: Data from the 2010/11 Zimbabwe Demographic Health Survey (ZDHS), supplemented by additional data from the Measure DHS consultants were used. A total weighted sample of 457 non-pregnant adolescent women aged 15 to 19 years who had their last sex within 12 months preceding the 2010/11 ZDHS was analysed. Univariate, bivariate and multilevel binary logistic regression analysis were performed using generalized linear mixed models (GLMM). RESULTS: The odds of contraceptive use were higher for adolescent women with one or more children ever born (Odds Ratio (OR), 13.6) and for those ever married (OR, 2.5). Having medium and high access to media also increased the odds of using contraceptives (OR, 1.8; 2.1 respectively). At community level, the odds of modern contraceptive use decreased with an increase in the mean number of children ever borne per woman (OR, 0.071), an increase in the mean number of school years per women (OR, 0.4) and an increase in the proportion of women with at least secondary education (OR, 0.5). It however increased with an increase in the proportion of women experiencing at least one problem accessing health care (OR, 2.0). Individual and community level variables considered successfully explained the variation of adolescent contraceptive use across provinces. CONCLUSIONS: Both individual and community characteristics were important predictors of adolescent contraceptive use in Zimbabwe. Reproductive program interventions aimed at increasing adolescent contraceptive use should take into account both individual and community factors. There is need for further research that examines other community characteristics influences that include political and cultural factors. BioMed Central 2014-08-10 /pmc/articles/PMC4134336/ /pubmed/25108444 http://dx.doi.org/10.1186/1742-4755-11-64 Text en Copyright © 2014 Ngome and Odimegwu; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Ngome, Enock Odimegwu, Clifford The social context of adolescent women’s use of modern contraceptives in Zimbabwe: a multilevel analysis |
title | The social context of adolescent women’s use of modern contraceptives in Zimbabwe: a multilevel analysis |
title_full | The social context of adolescent women’s use of modern contraceptives in Zimbabwe: a multilevel analysis |
title_fullStr | The social context of adolescent women’s use of modern contraceptives in Zimbabwe: a multilevel analysis |
title_full_unstemmed | The social context of adolescent women’s use of modern contraceptives in Zimbabwe: a multilevel analysis |
title_short | The social context of adolescent women’s use of modern contraceptives in Zimbabwe: a multilevel analysis |
title_sort | social context of adolescent women’s use of modern contraceptives in zimbabwe: a multilevel analysis |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4134336/ https://www.ncbi.nlm.nih.gov/pubmed/25108444 http://dx.doi.org/10.1186/1742-4755-11-64 |
work_keys_str_mv | AT ngomeenock thesocialcontextofadolescentwomensuseofmoderncontraceptivesinzimbabweamultilevelanalysis AT odimegwuclifford thesocialcontextofadolescentwomensuseofmoderncontraceptivesinzimbabweamultilevelanalysis AT ngomeenock socialcontextofadolescentwomensuseofmoderncontraceptivesinzimbabweamultilevelanalysis AT odimegwuclifford socialcontextofadolescentwomensuseofmoderncontraceptivesinzimbabweamultilevelanalysis |