Abstract
BackgroundFactors influencing contraceptive use and non-use among women of advanced reproductive age have been insufficiently researched in Nigeria. This study examines factors influencing contraceptive use and non-use among women of advanced reproductive age in Nigeria.MethodsSecondary data were pooled and extracted from 2008 and 2013 Nigeria Demographic and Health Surveys (NDHS). The weighted sample size was 14,450 women of advanced reproductive age. The dependent variable was current contraceptive use. The explanatory variables were selected socio-demographic characteristics and three control variables. Analyses were performed using Stata version 12. Multinomial logistic regression was applied in four models.ResultsMajority of the respondents are not using any method of contraceptive; the expected risk of using modern contraceptive relative to traditional method reduces by a factor of 0.676 for multiparous women (rrr = 0.676; CI: 0.464–0.985); the expected risk of using modern contraceptive relative to traditional method reduces by a factor of 0.611 for women who want more children (rrr = 0.611; CI: 0.493–0.757); the relative risk for using modern contraceptive relative to traditional method increases by a factor of 1.637 as maternal education reaches secondary education (rrr = 1.637; CI: 1.173–2.285); the relative risk for using modern contraceptive relative to traditional method increases by a factor of 1.726 for women in richest households (rrr = 1.726; CI: 1.038–2.871); and the expected risk of using modern contraceptive relative to traditional method increases by a factor of 1.250 for southern women (rrr = 1.250; CI: 1.200–1.818).ConclusionsSocio-demographic characteristics exert more influence on non-use than modern contraceptive use. The scope, content and coverage of existing BCC messages should be extended to cover the contraceptive needs and challenges of women of advanced reproductive age in the country.
Highlights
Factors influencing contraceptive use and non-use among women of advanced reproductive age have been insufficiently researched in Nigeria
In two recent studies in Nigeria and Tanzania, a number of factors accounting for childbearing in advanced reproductive age were examined, but there were no specific attention on the dynamics of contraceptive use or non-use among women of advanced reproductive age [14, 15]
A recent Nigerian study focused on contraceptive use among women of advanced reproductive age, household decisionmaking power was the sole explanatory variable examined, and non-use was not investigated in the study [17]
Summary
Factors influencing contraceptive use and non-use among women of advanced reproductive age have been insufficiently researched in Nigeria. This study examines factors influencing contraceptive use and non-use among women of advanced reproductive age in Nigeria. Contraceptive prevalence rate is low in the country with high unmet need for family planning among sexually active women [18] This might affect the contraceptive behaviour of women of advanced reproductive age. The specific objective of the study was to examine factors influencing contraceptive use and non-use among women of advanced reproductive age in Nigeria. The study was guided by the research question: what are the socio-demographic characteristics influencing use or non-use of contraceptive among women of advanced reproductive age in Nigeria?
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