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Factors affecting utilization of long-acting reversible contraceptives among sexually active reproductive-age women in the pastoral community of Northeast Ethiopia: A community-based cross-sectional study

INTRODUCTION: In Ethiopia, only one in ten reproductive-age women use long-acting reversible contraceptives. Evidence on the utilization of these methods and associated factors among sexually active reproductive-age women in the pastoral area of Northeast Ethiopia is limited. Thus, this study aimed...

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Autores principales: Mare, Kusse Urmale, Abrha, Ezana, Mohammed Yesuf, Ebrahim, Birara Aychiluhm, Setognal, Tadesse, Abay Woday, Leyto, Simeon Meskele, Sabo, Kebede Gemeda, Mulaw, Getahun Fentaw, Mohammed, Osman Ahmed, Ebrahim, Oumer Abdulkadir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373132/
https://www.ncbi.nlm.nih.gov/pubmed/35946956
http://dx.doi.org/10.1177/17455057221116514
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author Mare, Kusse Urmale
Abrha, Ezana
Mohammed Yesuf, Ebrahim
Birara Aychiluhm, Setognal
Tadesse, Abay Woday
Leyto, Simeon Meskele
Sabo, Kebede Gemeda
Mulaw, Getahun Fentaw
Mohammed, Osman Ahmed
Ebrahim, Oumer Abdulkadir
author_facet Mare, Kusse Urmale
Abrha, Ezana
Mohammed Yesuf, Ebrahim
Birara Aychiluhm, Setognal
Tadesse, Abay Woday
Leyto, Simeon Meskele
Sabo, Kebede Gemeda
Mulaw, Getahun Fentaw
Mohammed, Osman Ahmed
Ebrahim, Oumer Abdulkadir
author_sort Mare, Kusse Urmale
collection PubMed
description INTRODUCTION: In Ethiopia, only one in ten reproductive-age women use long-acting reversible contraceptives. Evidence on the utilization of these methods and associated factors among sexually active reproductive-age women in the pastoral area of Northeast Ethiopia is limited. Thus, this study aimed to assess the utilization of long-acting reversible contraceptives and associated factors among sexually active reproductive-age women in the pastoral community of Northeast Ethiopia. METHODS: A community-based cross-sectional study was conducted from 1 to 30 April 2021 among 572 reproductive-age women selected by a systematic random sampling method. Data were collected using a structured interviewer-administered questionnaire and entered into Epi-info version 7 and then finally exported to Stata version 16 for further analysis. Bivariable and multivariable binary logistic regression analyses were done to identify factors affecting the utilization of long-acting reversible contraceptives. Odds ratio with the corresponding 95% confidence interval were computed and the statistical significance of the explanatory variables was declared at p-value < 0.05. RESULTS: Overall, the utilization of long-acting reversible contraceptives was (24.3%; 95% confidence interval = 20.9%–28.0%). It was also revealed that being Orthodox (adjusted odds ratio = 4.10; 95% confidence interval = 2.20–7.65) and Protestant (adjusted odds ratio = 7.86; 95% confidence interval = 1.26–18.97) religion followers, attending higher education (adjusted odds ratio = 3.31; 95% confidence interval = 1.37–7.98), and having a husband who attended higher education (adjusted odds ratio = 4.37; 95% confidence interval = 1.98–9.67) were associated with an increased odds of using long-acting reversible contraceptive methods. Besides, having a good (adjusted odds ratio = 6.69; 95% confidence interval = 2.64–16.95) and moderate (adjusted odds ratio = 3.03; 95% confidence interval = 1.06–8.56) knowledge, and positive attitude (adjusted odds ratio = 3.65; 95% confidence interval = 1.90–7.01) toward long-acting reversible contraceptives were also associated with the utilization of these methods. CONCLUSION: Less than one-fourth of sexually active reproductive-age women in the study area were using long-acting reversible contraceptives. Thus, improving women’s and husbands’ education and women’s knowledge and attitude toward long-acting reversible contraceptives is important to scale up the uptake of these contraceptive methods.
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spelling pubmed-93731322022-08-13 Factors affecting utilization of long-acting reversible contraceptives among sexually active reproductive-age women in the pastoral community of Northeast Ethiopia: A community-based cross-sectional study Mare, Kusse Urmale Abrha, Ezana Mohammed Yesuf, Ebrahim Birara Aychiluhm, Setognal Tadesse, Abay Woday Leyto, Simeon Meskele Sabo, Kebede Gemeda Mulaw, Getahun Fentaw Mohammed, Osman Ahmed Ebrahim, Oumer Abdulkadir Womens Health (Lond) Original Research Article INTRODUCTION: In Ethiopia, only one in ten reproductive-age women use long-acting reversible contraceptives. Evidence on the utilization of these methods and associated factors among sexually active reproductive-age women in the pastoral area of Northeast Ethiopia is limited. Thus, this study aimed to assess the utilization of long-acting reversible contraceptives and associated factors among sexually active reproductive-age women in the pastoral community of Northeast Ethiopia. METHODS: A community-based cross-sectional study was conducted from 1 to 30 April 2021 among 572 reproductive-age women selected by a systematic random sampling method. Data were collected using a structured interviewer-administered questionnaire and entered into Epi-info version 7 and then finally exported to Stata version 16 for further analysis. Bivariable and multivariable binary logistic regression analyses were done to identify factors affecting the utilization of long-acting reversible contraceptives. Odds ratio with the corresponding 95% confidence interval were computed and the statistical significance of the explanatory variables was declared at p-value < 0.05. RESULTS: Overall, the utilization of long-acting reversible contraceptives was (24.3%; 95% confidence interval = 20.9%–28.0%). It was also revealed that being Orthodox (adjusted odds ratio = 4.10; 95% confidence interval = 2.20–7.65) and Protestant (adjusted odds ratio = 7.86; 95% confidence interval = 1.26–18.97) religion followers, attending higher education (adjusted odds ratio = 3.31; 95% confidence interval = 1.37–7.98), and having a husband who attended higher education (adjusted odds ratio = 4.37; 95% confidence interval = 1.98–9.67) were associated with an increased odds of using long-acting reversible contraceptive methods. Besides, having a good (adjusted odds ratio = 6.69; 95% confidence interval = 2.64–16.95) and moderate (adjusted odds ratio = 3.03; 95% confidence interval = 1.06–8.56) knowledge, and positive attitude (adjusted odds ratio = 3.65; 95% confidence interval = 1.90–7.01) toward long-acting reversible contraceptives were also associated with the utilization of these methods. CONCLUSION: Less than one-fourth of sexually active reproductive-age women in the study area were using long-acting reversible contraceptives. Thus, improving women’s and husbands’ education and women’s knowledge and attitude toward long-acting reversible contraceptives is important to scale up the uptake of these contraceptive methods. SAGE Publications 2022-08-10 /pmc/articles/PMC9373132/ /pubmed/35946956 http://dx.doi.org/10.1177/17455057221116514 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research Article
Mare, Kusse Urmale
Abrha, Ezana
Mohammed Yesuf, Ebrahim
Birara Aychiluhm, Setognal
Tadesse, Abay Woday
Leyto, Simeon Meskele
Sabo, Kebede Gemeda
Mulaw, Getahun Fentaw
Mohammed, Osman Ahmed
Ebrahim, Oumer Abdulkadir
Factors affecting utilization of long-acting reversible contraceptives among sexually active reproductive-age women in the pastoral community of Northeast Ethiopia: A community-based cross-sectional study
title Factors affecting utilization of long-acting reversible contraceptives among sexually active reproductive-age women in the pastoral community of Northeast Ethiopia: A community-based cross-sectional study
title_full Factors affecting utilization of long-acting reversible contraceptives among sexually active reproductive-age women in the pastoral community of Northeast Ethiopia: A community-based cross-sectional study
title_fullStr Factors affecting utilization of long-acting reversible contraceptives among sexually active reproductive-age women in the pastoral community of Northeast Ethiopia: A community-based cross-sectional study
title_full_unstemmed Factors affecting utilization of long-acting reversible contraceptives among sexually active reproductive-age women in the pastoral community of Northeast Ethiopia: A community-based cross-sectional study
title_short Factors affecting utilization of long-acting reversible contraceptives among sexually active reproductive-age women in the pastoral community of Northeast Ethiopia: A community-based cross-sectional study
title_sort factors affecting utilization of long-acting reversible contraceptives among sexually active reproductive-age women in the pastoral community of northeast ethiopia: a community-based cross-sectional study
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373132/
https://www.ncbi.nlm.nih.gov/pubmed/35946956
http://dx.doi.org/10.1177/17455057221116514
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