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Women's fertility desires and contraceptive behavior in three peri-urban communities in sub Saharan Africa

BACKGROUND: Fertility desires and contraceptive behavior often change over time. This study examined the influence of change in fertility desires on change in modern contraceptive use over time in three peri-urban communities in sub-Saharan Africa. METHODS: This multi-site study includes baseline an...

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Autores principales: OlaOlorun, Funmilola, Seme, Assefa, Otupiri, Easmon, Ogunjuyigbe, Peter, Tsui, Amy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4751729/
https://www.ncbi.nlm.nih.gov/pubmed/26873678
http://dx.doi.org/10.1186/s12978-016-0118-z
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author OlaOlorun, Funmilola
Seme, Assefa
Otupiri, Easmon
Ogunjuyigbe, Peter
Tsui, Amy
author_facet OlaOlorun, Funmilola
Seme, Assefa
Otupiri, Easmon
Ogunjuyigbe, Peter
Tsui, Amy
author_sort OlaOlorun, Funmilola
collection PubMed
description BACKGROUND: Fertility desires and contraceptive behavior often change over time. This study examined the influence of change in fertility desires on change in modern contraceptive use over time in three peri-urban communities in sub-Saharan Africa. METHODS: This multi-site study includes baseline and follow up data from 3 sites in the Family Health and Wealth Study. Following a census in each site, a probability sample of at least 500 households was obtained. Generalized linear models were employed. RESULTS: Modern contraceptive use increased in Ipetumodu, Nigeria (29.4 % to 36.7 %), but declined slightly in Sebeta, Ethiopia (66.9 % to 61.3 %) and Asawase, Ghana (12.6 % to 10.8 %). Across sites, at baseline and follow up, women who wanted no more children reported more contraceptive use, compared with those who wanted more children, and were more likely to shift to being contraceptive users in Ipetumodu [aOR(95 % CI):1.55 (1.07,2.26)]. CONCLUSIONS: Women’s fertility desires influenced their contraceptive behavior, although there were cross-site differences. Changing contraceptive demand and program factors will be important to enable peri-urban women to frame and act on their fertility desires.
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spelling pubmed-47517292016-02-13 Women's fertility desires and contraceptive behavior in three peri-urban communities in sub Saharan Africa OlaOlorun, Funmilola Seme, Assefa Otupiri, Easmon Ogunjuyigbe, Peter Tsui, Amy Reprod Health Research BACKGROUND: Fertility desires and contraceptive behavior often change over time. This study examined the influence of change in fertility desires on change in modern contraceptive use over time in three peri-urban communities in sub-Saharan Africa. METHODS: This multi-site study includes baseline and follow up data from 3 sites in the Family Health and Wealth Study. Following a census in each site, a probability sample of at least 500 households was obtained. Generalized linear models were employed. RESULTS: Modern contraceptive use increased in Ipetumodu, Nigeria (29.4 % to 36.7 %), but declined slightly in Sebeta, Ethiopia (66.9 % to 61.3 %) and Asawase, Ghana (12.6 % to 10.8 %). Across sites, at baseline and follow up, women who wanted no more children reported more contraceptive use, compared with those who wanted more children, and were more likely to shift to being contraceptive users in Ipetumodu [aOR(95 % CI):1.55 (1.07,2.26)]. CONCLUSIONS: Women’s fertility desires influenced their contraceptive behavior, although there were cross-site differences. Changing contraceptive demand and program factors will be important to enable peri-urban women to frame and act on their fertility desires. BioMed Central 2016-02-12 /pmc/articles/PMC4751729/ /pubmed/26873678 http://dx.doi.org/10.1186/s12978-016-0118-z Text en © OlaOlorun et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. 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
OlaOlorun, Funmilola
Seme, Assefa
Otupiri, Easmon
Ogunjuyigbe, Peter
Tsui, Amy
Women's fertility desires and contraceptive behavior in three peri-urban communities in sub Saharan Africa
title Women's fertility desires and contraceptive behavior in three peri-urban communities in sub Saharan Africa
title_full Women's fertility desires and contraceptive behavior in three peri-urban communities in sub Saharan Africa
title_fullStr Women's fertility desires and contraceptive behavior in three peri-urban communities in sub Saharan Africa
title_full_unstemmed Women's fertility desires and contraceptive behavior in three peri-urban communities in sub Saharan Africa
title_short Women's fertility desires and contraceptive behavior in three peri-urban communities in sub Saharan Africa
title_sort women's fertility desires and contraceptive behavior in three peri-urban communities in sub saharan africa
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4751729/
https://www.ncbi.nlm.nih.gov/pubmed/26873678
http://dx.doi.org/10.1186/s12978-016-0118-z
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