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Long-Acting Reversible Contraceptive Use by Rural–Urban Residence among Women in Nigeria, 2016–2018

This study examined temporal trends in the association between rural–urban residence and the use of LARCs among women using a method of contraception. A secondary objective was to examine whether the association varied over time. This study was a secondary analysis of data collected by the Performan...

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Autores principales: Ujah, Otobo I., Kirby, Russell S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9602044/
https://www.ncbi.nlm.nih.gov/pubmed/36293601
http://dx.doi.org/10.3390/ijerph192013027
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author Ujah, Otobo I.
Kirby, Russell S.
author_facet Ujah, Otobo I.
Kirby, Russell S.
author_sort Ujah, Otobo I.
collection PubMed
description This study examined temporal trends in the association between rural–urban residence and the use of LARCs among women using a method of contraception. A secondary objective was to examine whether the association varied over time. This study was a secondary analysis of data collected by the Performance Monitoring for Action (PMA) project from Nigeria among women aged 15–49 in 2016 (N= 11,054), 2017 (N= 11,380), and 2018 (N = 11,106). Weighted multivariable logistic regression analyses examined the association between place of residence and the likelihood of LARC (overall and specific type) utilization. Using weighted multivariable logistic regression, we show that, of the 6488 women who were using a method of contraception, the rates of LARC utilization in urban areas were significantly lower than in rural areas (OR = 0.52, 95% CI 0.38–0.73), attributed mainly to the high utilization rates of implants. Women in urban areas were more likely to use intrauterine devices (IUDs) (OR = 1.90, 95% CI 1.09–3.30) compared to those in rural areas. Conversely, the use of implants was significantly lower among women in urban areas (OR = 0.39, 95% CI 0.28–0.54). Adjusting for all predictors, we observed a reduction, albeit not significantly different, in odds in overall LARC, IUD, and implant use in urban compared to rural areas. The use of LARCs increased between 2016 and 2018 and the association between LARC use and place of residence also differed by the PMA survey year. There is a need for programs and policies to close gaps in the disparities in overall and specific LARC utilization rates based on place of residence.
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spelling pubmed-96020442022-10-27 Long-Acting Reversible Contraceptive Use by Rural–Urban Residence among Women in Nigeria, 2016–2018 Ujah, Otobo I. Kirby, Russell S. Int J Environ Res Public Health Article This study examined temporal trends in the association between rural–urban residence and the use of LARCs among women using a method of contraception. A secondary objective was to examine whether the association varied over time. This study was a secondary analysis of data collected by the Performance Monitoring for Action (PMA) project from Nigeria among women aged 15–49 in 2016 (N= 11,054), 2017 (N= 11,380), and 2018 (N = 11,106). Weighted multivariable logistic regression analyses examined the association between place of residence and the likelihood of LARC (overall and specific type) utilization. Using weighted multivariable logistic regression, we show that, of the 6488 women who were using a method of contraception, the rates of LARC utilization in urban areas were significantly lower than in rural areas (OR = 0.52, 95% CI 0.38–0.73), attributed mainly to the high utilization rates of implants. Women in urban areas were more likely to use intrauterine devices (IUDs) (OR = 1.90, 95% CI 1.09–3.30) compared to those in rural areas. Conversely, the use of implants was significantly lower among women in urban areas (OR = 0.39, 95% CI 0.28–0.54). Adjusting for all predictors, we observed a reduction, albeit not significantly different, in odds in overall LARC, IUD, and implant use in urban compared to rural areas. The use of LARCs increased between 2016 and 2018 and the association between LARC use and place of residence also differed by the PMA survey year. There is a need for programs and policies to close gaps in the disparities in overall and specific LARC utilization rates based on place of residence. MDPI 2022-10-11 /pmc/articles/PMC9602044/ /pubmed/36293601 http://dx.doi.org/10.3390/ijerph192013027 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ujah, Otobo I.
Kirby, Russell S.
Long-Acting Reversible Contraceptive Use by Rural–Urban Residence among Women in Nigeria, 2016–2018
title Long-Acting Reversible Contraceptive Use by Rural–Urban Residence among Women in Nigeria, 2016–2018
title_full Long-Acting Reversible Contraceptive Use by Rural–Urban Residence among Women in Nigeria, 2016–2018
title_fullStr Long-Acting Reversible Contraceptive Use by Rural–Urban Residence among Women in Nigeria, 2016–2018
title_full_unstemmed Long-Acting Reversible Contraceptive Use by Rural–Urban Residence among Women in Nigeria, 2016–2018
title_short Long-Acting Reversible Contraceptive Use by Rural–Urban Residence among Women in Nigeria, 2016–2018
title_sort long-acting reversible contraceptive use by rural–urban residence among women in nigeria, 2016–2018
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9602044/
https://www.ncbi.nlm.nih.gov/pubmed/36293601
http://dx.doi.org/10.3390/ijerph192013027
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