Patterns Of Contraceptive Use Research Articles

Prevalence and pattern of contraceptive uptake among adolescents in an internally displaced camp, North Central, Nigeria.

Internally displaced Persons are marginally sidelined in many areas of life, reproductive health issues inclusive. There is a need to know the prevalence and pattern of contraceptive use among this vulnerable group of people. This study determined the prevalence and pattern of contraceptive uptake among internally displaced adolescents in North-Central Camp, Abuja, Nigeria. A descriptive cross-sectional study, among 403 adolescents using semi-structured questionnaires. The mean age of the respondents was 19.53±6.4 years and 21.34±7.34 years at first birth. Awareness about FP was high, (483, 95.0%), however, only 169 (41.9%) ever used a family planning method, while 82 (20.3%) were current users, 72 (42.6%) of the 169 ever users admitted to have used pills, while 44 (53.7%) of the 82 current users were using condom only. One third, 160 (39.7%), were pregnant, while 78 (19.4%) of those pregnant were unintentional, therefore the unintended pregnancy rate was 19.4%. Bivariate analysis revealed that respondents' use of contraceptive was significantly related to religion (<0.001), ethnic group (<0.001), marital status (<0.001), family type (<0.001), and educational attainment (<0.001). While respondents' knowledge of contraceptive was significantly associated with age (P<0.00000001), educational level (P<0.002), and ethnic group (P<0.001). The prevalence of contraceptive use among respondents was 20.3%, while 41.9% ever used a method. Pill was the major Family planning method ever used, while condom was mostly used by the current users.

Assessment of App-Based Versus Conventional Survey Modalities for Reproductive Health Research in India, South Africa, and the United States: Comparative Cross-Sectional Study.

There is a widely acknowledged global need for more research on reproductive health (including contraception, menstrual health, sexuality, and maternal morbidities) and its impact on overall well-being. However, several factors-notably, high costs, considerable effort, and the sensitivity of these topics-impede the collection of the necessary data, especially in less accessible and lower-income populations. The burgeoning ownership of smartphones and growing use of menstrual tracking apps (MTAs) may present an opportunity to conduct reproductive health research with fewer impediments than those associated with conventional survey methods. The main objective was to ascertain the feasibility, potential usefulness, and limitations of conducting reproductive health research using a mainstream MTA. In each of the 3 countries, we evaluated questionnaire responses from (1) current users of an MTA (Clue) and (2) participants surveyed using conventional survey modalities (in-person interviews, SMS text messaging, and web-based questionnaires). We compared these responses with published data collected from large nationally representative benchmark samples (the United States Census and the Demographic and Health Surveys for South Africa and India). Given a sufficiently large user base, app-distributed surveys were able to quickly capture large samples on par with other methods and at low cost, with the additional advantage of being able to deploy remotely and simultaneously across countries. In each country, neither the app nor the conventional modality sample emerged as a consistently closer match to the distributions of the demographic attributes and the patterns of contraceptive use reported for the respective benchmark sample. Despite efforts to obtain representative samples, the conventional modality samples sometimes over- and other times underrepresented some subgroups (eg, underrepresentation of married persons in the United States and overrepresentation of rural residents in India). In all 3 countries, app users were younger, more educated, more likely to be urban residents, and more likely to use nonhormonal rather than hormonal contraceptive methods compared with the respective national benchmark. App users, compared with the conventional modality samples, consistently reported being more comfortable discussing their menstrual periods with other persons (eg, family, friends, and health care providers), suggesting that MTA users may be more likely to respond truthfully to questions on sensitive or taboo health topics. The app samples' consistency across countries regarding users' demographic profiles, contraceptive choices, and personal attitudes toward menstruation supports the validity of making cross-country comparisons of survey findings for a given app's users. MTAs such as Clue can provide a quick, scalable, and cost-effective method for collecting health data, including on sensitive topics, across a wide variety of settings and countries. With expanding global access to technology and the increasing use of these tools, consumer MTAs can be a viable survey modality to strengthen reproductive health research.

Contraceptive Behavior Dynamics and Unintended Pregnancy: A Latent Transition Analysis.

The average U.S. woman wants to have two children; to do so, she will spend about three years pregnant, postpartum, or trying to become pregnant, and three decades trying to avoid pregnancy. However, few studies have examined individual patterns of contraceptive use over time. These trajectories are important to understand given the high rate of unintended pregnancy and how little we know about the complex relationship between contraceptive use, pregnancy intention, and patterns of reproductive behavior. We use data from the 2015-2017 National Survey of Family Growth to examine reproductive behavior and pregnancies across three years of calendar data. We identify seven behavior typologies, their prevalence, how women transition between them, and how pregnancies affect transitions. At any given time, half of women are reliably using contraception. A small proportion belong to a high pregnancy risk profile of transient contraceptive users, but some transition to using condoms or other methods consistently. An unintended pregnancy may initiate a transition into stable contraceptive use for some women, although that is primarily condom use. These findings have important implications for the ways contraception fits into women's lives and how that behavior interacts with relationships, sex, and life stage trajectories.

Pregnancies in the United States by Desire for Pregnancy: Estimates for 2009, 2011, 2013, and 2015.

We examine whether changes in U.S. pregnancy, birth, and abortion rates between 2009 and 2015 reflect underlying change in the incidence of pregnancies classified by retrospectively reported pregnancy desires: pregnancies reported as having occurred at about the right time, later than wanted, too soon, or not wanted at all, and those for which individuals expressed other feelings, including uncertainty, ambivalence, or indifference. We calculate the proportionate distributions of these pregnancies and rates among U.S. women aged 15-44, as well as change over time, overall and among age groups. Characterization of desires for a past pregnancy shifted in a number of ways between 2009 and 2015, and changes across age groups were not uniform. Rates of pregnancies reported as occurring later than wanted increased among older women, while rates of pregnancies reported as occurring too soon decreased among all women. These findings shed light on previous research documenting an increasing age at first birth, increasing rates of pregnancy and childbearing among the oldest age groups, and changes in patterns of contraceptive use, particularly among young women. Our analysis explores limitations and challenges of two major sources of data on pregnancies in the United States and their measures of retrospectively reported pregnancy desires.

Patterns of contraceptive use through later reproductive years: A cohort study of Australian women with chronic disease.

Pregnancies among women with chronic disease are associated with poor maternal and fetal outcomes. There is a need to understand how women use or don't use contraception across their reproductive years to better inform the development of preconception care strategies to reduce high risk unintended pregnancies, including among women of older reproductive age. However, there is a lack of high-quality longitudinal evidence to inform such strategies. We examined patterns of contraceptive use among a population-based cohort of reproductive aged women and investigated how chronic disease influenced contraceptive use over time. Contraceptive patterns from 8,030 women of reproductive age from the Australian Longitudinal Study on Women's Health (1973-78 cohort), who were at potential risk of an unintended pregnancy were identified using latent transition analysis. Multinomial mixed-effect logistic regression models were used to evaluate the relationship between contraceptive combinations and chronic disease. Contraception non-use increased between 2006 and 2018 but was similar between women with and without chronic disease (13.6% vs. 12.7% among women aged 40-45 years in 2018). When specific contraceptive use patterns were examined over time, differences were found for women with autoinflammatory diseases only. These women had increased odds of using condom and natural methods (OR = 1.20, 95% CI = 1.00, 1.44), and sterilisation and other methods (OR = 1.61, 95% CI = 1.08, 2.39) or no contraception (OR = 1.32, 95% CI = 1.04, 1.66), compared to women without chronic disease using short-acting methods and condoms. Potential gaps in the provision of appropriate contraceptive access and care exist for women with chronic disease, particularly for women diagnosed with autoinflammatory conditions. Development of national guidelines as well as a clear coordinated contraceptive strategy that begins in adolescence and is regularly reviewed during care management through their main reproductive years and into perimenopause is required to increase support for, and agency among, women with chronic disease.

Reproductive Health of Women with Epilepsy in India: An Observational Study

Abstract Objectives Women with epilepsy (WWE) have special reproductive health needs. We compare menstrual disorders, obstetric outcomes, and patterns of contraceptive use among WWE in the reproductive age group to those without epilepsy. Methods Sixty WWE between the ages of 18 and 45 years were randomly selected from a hospital database, and 60 controls in the same age group were recruited from among their families or close contacts. A questionnaire adapted from the National Family Health Survey 5 (NFHS-5) was administered to collect data on menstrual patterns, obstetric outcomes, fertility preferences, and contraceptive use. Descriptive statistics were used. Graphical and cross-tabulations were used for comparisons. All statistics were performed on STATA version 14.2 (StataCorp, Texas, United States). Results The demographic characteristics including mean age, education, and occupational status were comparable. Dysmenorrhea requiring use of pain killers was more common among WWE (odds ratio [OR]: 3.01; 95% confidence interval [CI]: 1.11–8.72); other menstrual disorders were equally frequent. Spontaneous fetal loss was seen in 25 (21.9%) of 114 pregnancies in WWE and 22 (17.9%) of 123 among control women. Demand for family planning was satisfied in 21 (65.6%) of 32 eligible WWE and 23 (62.2%) of 37 controls with the most common method being female sterilization. WWE knew fewer methods of contraception compared with controls (median: 2; interquartile range [IQR]: 1.2 vs. 4; IQR: 2.5; p &lt; 0.0001). Conclusion WWE had more dysmenorrhea and less knowledge of contraceptive methods compared with controls. Abnormal uterine bleeding, contraceptive use, and spontaneous fetal loss were similar in both groups.

Women’s experience of unintended pregnancy and changes in contraceptive methods: evidence from a nationally representative survey

BackgroundIneffective or no use of contraception following an unintended pregnancy contributes to a subsequent unintended pregnancy. This study aimed to determine whether women’s experiences of unintended pregnancies affect changing their contraceptive using patterns.MethodsWe analysed the 2017/2018 Bangladesh Demographic and Health Survey data. The contraceptive switching pattern was computed by comparing women’s contraceptives using data before and after pregnancy. Women were categorised into the following three groups, depending on their patterns of contraceptive use before and after pregnancy: no change, if there were no change in contraceptive using pattern; switched to higher effective contraceptives, if changed from pre-pregnancy less effective contraceptives to post-pregnancy more effective contraceptives; switched to less effective contraceptives, if changed from pre-pregnancy more effective contraceptives to post-pregnancy less effective contraceptives. Women’s intention in the most recent pregnancy was our primary explanatory variable, classified as wanted, mistimed and unwanted. Multinomial multilevel logistics regression was used to determine the association between women’s intention in the most recent pregnancy and women’s contraceptive methods switching patterns from before to after pregnancy.ResultsAround 20% of the most recent pregnancies that ended with a live birth were unintended at conception. No contraceptive use was reported by 37% of women before their pregnancies which decreased to 24% after pregnancies. Overall, around 54% of women who reported no contraceptive use before pregnancy used modern contraceptives after pregnancy. The rate was higher among women who experienced unwanted pregnancy (73.4%) than mistimed (58.8%) and wanted (53.4%) pregnancy. Experience of mistimed pregnancy was associated with a higher likelihood of no contraceptive change (aOR, 1.84, 95% CI 1.41–2.39) and switching to less effective contraceptives (aOR, 1.58, 95% CI 1.10–2.26) than switching to more effective contraceptives. However, unwanted pregnancy was not associated with any significant change in contraceptives use from before to after pregnancy.ConclusionExperience of unintended pregnancy did not change women’s contraception using patterns, which indicates the risk of repeat unintended pregnancies and associated adverse consequences, including maternal and child morbidity and mortality. Policies to ensure access to and use of modern contraceptives among women facing unwanted or mistimed pregnancies are recommended.

Effects of oral contraceptive pill on female health

Oral contraceptives, also known as birth control tablets/pills, are medicines that stop pregnancy. About 75% of married women who use contraception in the research location (Purba Medinipur district) reported they prefer the combined hormonal pill with oestrogen and progesterone. Thirty women were chosen at random to participate in the study. Of the 50% who routinely used contraceptive pills and 50% never used them or occasionally did so. Her male partner likely uses a condom when necessary. The hormone progesterone is responsible for preventing conception, whereas the oestrogen component regulates menstrual blood loss. An questionnaire survey is used in one-on-one interviews. Statistics used in the study were descriptive. To examine the data, an unpaired ‘t’ test was employed. In order to provide effective contraception using oral contraceptives, this study investigates the adverse effects of oral contraceptive pills. It highlights the significance of better care coordination among occupational therapist. According to this study, one of the most common oral contraceptive regimens decreases women's quality of life while not affecting depressive symptoms. However, ovarian and menstrual issues and increased bone mineral density are very noticeable in women in their forties and significantly impact their behaviour. Younger women are more receptive to oral contraceptives' positive benefits on acne. It has been shown that birth control pill side effects can include complications including cystic acne, anxiety or irritability, sore breasts, weight gain, or some trouble conceiving after discontinuing the pill. The study makes predictions about the menstrual flow type, dysmenorrhea, blood pressure, waist-hip ratio, and pattern of contraceptive use. Consuming oral contraceptives is linked to some symptoms, including breast soreness, weight gain, missing periods, vaginal discharge, alterations in vision with contact lenses, and irregular or spotty bleeding.

Pattern of contraceptive use among reproductive-aged women with diabetes and/or hypertension: findings from Bangladesh Demographic and Health Survey

BackgroundThe prevalence of chronic conditions such as diabetes and hypertension is increasing among reproductive-aged women in Bangladesh. However, the pattern of contraceptive use among this population remains unknown. We, therefore, explored the pattern of contraceptive use among reproductive-aged women with diabetes and/or hypertension in Bangladesh.MethodsWe extracted and analysed data of 3,947 women from the 2017/18 Bangladesh Demographic and Health Survey. Women’s pattern of contraceptive use was our outcome variable. We first classified the contraceptive using status as no method use, traditional method use (periodic abstinence, withdrawal, other traditional) and modern method use (pill, intra-uterine device, injections, male condom, female sterilization, male sterilization). We later classified these as (i) no contraceptive use vs any contraceptive use, (ii) traditional method or no use vs modern method use, (iii) traditional method vs modern method use. The explanatory variables were diagnosis of diabetes only, hypertension only or both diabetes and hypertension. The multilevel Poisson regression with robust variance was used to explore the associations.ResultsThe overall prevalence of contraceptive use was 68.0% (95% CI 66.3–69.7). The corresponding prevalences were 69.4% (95% CI 61.8–76.1) in women with diabetes only, 67.3% (95% CI 63.5–70.9) with hypertension only, and 62.0% (95% CI 52.8–70.4) in women having both diabetes and hypertension. The prevalence of modern methods of contraceptive use was lower (46.4%, 95% CI 37.4–55.6) and traditional methods use was higher (16.6%, 95% CI 13.8–16.8) in women who had both diabetes and hypertension than in women who did not have these conditions. The fully adjusted regression model showed that the prevalence of traditional method use was 31% (Prevalence ratio: 1.31, 95% CI 1.02–2.01) higher in women having both diabetes and hypertension compared with their counterparts who had none of these conditions.ConclusionIn Bangladesh, women with both diabetes and hypertension were more likely to use traditional contraception methods. These women are likely to experience increased risks of unwanted pregnancies and associated adverse maternal and child health outcomes. Targeted policies and programs should be undertaken to promote modern contraceptive use among women living with both chronic conditions.

Pattern of Contraceptive Use among the Married Couple of Rural Community in Cumilla District

Background: Bangladesh has experienced a sevenfold increase in its contraceptive prevalence rate (CPR) in less than forty years from 8% in 1975 to 62% in 2014.Contraceptive practice acceptable moderately in society is said to be associated with socio-economic status, education and other factors. Population stabilization and a gradual lowering of population growth is the basic aim behind contraceptive practice. The population rate of Bangladesh in December, 2018 was 2.01%. The population density is 1252 per km2. Maximum of the population increased in the rural area, because they were not properly used the contraceptive methods. They seldom used contraceptive methods which influenced to increase the population. The purpose of the study is to examine the pattern of contraceptive use among the married couples of the rural area in Bangladesh. The objectives of the study is to determine the extent of awareness regarding contraception among the married persons, to estimate the perception of couples using contraceptive methods, identify the reasons for their adoption &amp; non-adoption and to assess needs of contraceptive methods in rural area. Materials and&#x0D; Methods: It was a descriptive type of cross sectional study, which was carried out in some selected villages at Laksham, Cumilla. Study populations were married women in reproductive age and married man. Purposive sampling was done. Sample size was 333. The number was identified on the basis of assumption. Pretested questionnaire and checklist were used for data collection.&#x0D; Result: It was found that the age range of the respondents were 16 to 70 years, among the 333 respondents 34.2%were 20 to 29 years of age group, 86% were female &amp;14% male.42.6% respondents were educated up to primary level. Majority of the respondents had 10,000 to 20,000 monthly family income. Among 333 respondents majority 28.5% had 3 children. 65.46% of the respondents were house wife, 80.5% respondents were using different types of contraceptive methods, 62.5% were using OCP, 3% IUCD, 3.9% barrier method or condom, 1.5% were in terminal method. 46.8% discontinue their previous contraceptive methods, 11.1% suffered from irregular period and 5.1% weight gain. 68.5% respondents were satisfied with their current contraceptive method, 36% felt need to adopt the contraceptive methods, 18.6% motivated by health workers, 25.2% influenced by the family members and 0.9% by the media. The number of children directly dependent on the educational qualification and monthly family income and are statistically significant (at p&lt;0.05 and p&lt;0.00).&#x0D; Conclusion: Although success of the family planning program in Bangladesh has been widely acclaimed, many challenges still remain. Inter-spousal communication, counseling can ensure the most appropriate contraceptive methods for couples.&#x0D; Central Medical College Journal Vol 5 No 1 Jan 2021 PP 35-40

Knowledge, uptake and patterns of contraception use among in-school adolescents in three South African townships: Baseline findings from the Girls Achieve Power (GAP Year) Trial

Background: South African adolescents experience barriers to sexual and reproductive health (SRH) knowledge and uptake. This study provides insight into contraceptive and other SRH service knowledge, perceptions, and uptake among adolescents in high HIV prevalence settings. Methods: A baseline cross sectional survey was conducted among 3432 grade 8’s enrolled into the Girls Achieve Power (GAP Year) trial from 26 public high schools across three South African townships (Soweto, Thembisa and Khayelitsha) (2017 - 2018). An interviewer-led survey collected information on SRH knowledge and perceptions; an audio computer-assisted self-interviewing technique gathered SRH service uptake. Descriptive analysis indicates frequency distribution of socio-demographics and knowledge, uptake and perceptions of SRH services. Chi-square test tested for associations between age and sex and selected variables that measure SRH knowledge and uptake. Results: In total, 2383 learners, completed both survey components. Of these, 63.1% (n=1504) were female and 81.4% (n=1938) aged 12-14. Almost a fifth (18.3%, n=436) had ever had sex and less than 1% had accessed SRH services in the last year. Of the 157 females who had ever had sex, 50.9% had ever used contraception. Of those who had sex in the last three months, 59.0% reported using a contraceptive method. Condom use was inconsistent: almost all females said they had not used or could not remember if a condom was used at last sex. Conclusion: This paper contributes to the evidence strengthening learner SRH education, including the national Integrated School Health Programme. Key themes include the need for age-appropriate, differentiated comprehensive sexuality education (CSE) for the range of ages found in the same grade in South African schools. Education on different contraceptive methods, informed decision-making, and emergency contraception is key. School-based interventions should embrace integrated HIV, STI, and pregnancy prevention messages. Closer links with health services need to be constantly fostered and reinforced.

Patterns of contraceptive use among young Australian women with chronic disease: findings from a prospective cohort study

BackgroundGiven chronic disease is increasing among young women and unintended pregnancies among these women are associated with poor maternal and fetal outcomes, these women would benefit from effective preconception care. However, there is a lack of understanding of how these women use or don’t use contraception to inform such interventions. This study examined patterns of contraceptive use among an Australian cohort of young women and investigated the influence of chronic disease on contraceptive use over time.MethodsUsing data from 15,244 young women from the Australian Longitudinal Study on Women’s Health (born 1989–1995), latent transition analysis was performed to identify distinct contraceptive patterns among women who were at risk of an unintended pregnancy. Multinomial mixed-effect models were used to evaluate the relationship between contraceptive combinations and chronic disease.ResultsContraceptive use for women with cardiac and autoinflammatory diseases differed to women without chronic disease over the observation period. Compared to women without chronic disease using the pill, women with cardiac disease had double the odds of using ‘other’ contraception and condoms (OR = 2.20, 95% CI 1.34, 3.59) and a modest increase in the odds of using the combined oral contraceptive pill and condoms (OR = 1.39, 95% CI 1.03, 1.89). Compared to women without chronic disease who used the pill, women with autoinflammatory disease had increased odds of using LARC and condoms (OR = 1.58, 95% CI 1.04, 2.41), using ‘other’ contraception and condoms (OR = 1.69, 95% CI 1.11, 2.57), and using the combined oral contraceptive pill and condoms (OR = 1.38, 95% CI 1.09, 1.75). No differences in contraceptive patterns over the observation period were found for women with asthma or diabetes when compared to women without chronic disease.ConclusionThe findings identified a need for effective contraceptive counselling as part of routine chronic disease care and improved communication between health care providers and women with chronic disease to improve young women’s contraceptive knowledge and agency in contraceptive choice, particularly for those with cardiac or autoinflammatory conditions. This may be the key to reducing high-risk unintended pregnancies among this vulnerable population.

Levels, patterns and determinants of using reversible contraceptives for limiting family planning in India: evidence from National Family Health Survey, 2015\u201316

BackgroundDemand for family planning is predominantly for birth limiting rather than birth spacing in India. Despite several family planning programmes in India, the use of reversible contraception for limiting family planning has been stagnant and largely depends on female sterilization. Though many researchers have examined patterns and determinants of using modern contraception for total family planning, studies on patterns and determinants of contraceptive use for birth limiting are limited in India. This paper examines the patterns of contraceptive use for liming demand and its determinants in India.MethodsThe National Family Health Survey-4, 2015–16 data was used. Bivariate chi-square significant test and multivariate binary logistic regression model used to accomplish the study objectives.ResultsMajority of women (86.5%) satisfied limiting demand (SLD) in India; the SLD was found significantly low among the women’s age 15–19 years (53.1%) and parity 0 (42%). The satisfied limiting demand by modern reversible contraception (mrSLD) was found significantly high in age group 15–19 years (49.1%), Muslims (30.6%) and North-east region (45.4%). The satisfied limiting demand by traditional contraception (tSLD) was almost three times higher in North-east region (26.1%) than national average of India (8.7%). The women’s years of schooling, wealth status, religion and presence of son child found to be significant determinants of mrSLD. The likelihood of tSLD was found significantly high among the women who had no son child (AOR = 1.41; 95% CI:1.34, 1.48), Muslim (AOR = 1.78; 95% CI:1.70, 1.87). A considerable regional variability in levels of SLD, mrSLD and tSLD was found in India.ConclusionPublic investment in family planning is required to promote and provide subsidized modern reversible contraception (MRC) services, especially to women from North-east region, Muslim, Scheduled tribe, poor household and who had no son child. Improving the quality and availability of MRC services in public health centre will be helpful to increase SLD among the above mentioned women. Besides, the promotion of MRC will be supportive to overcome the issues of sterilization regrets in India.

Pattern of contraceptive use, determinants and fertility intentions among tribal women in Kerala, India: a cross-sectional study

ObjectivesTo assess the pattern of contraceptive use and its determinants, knowledge regarding contraceptives including oral contraceptive pills and fertility intentions among tribal women in the reproductive age group.DesignCommunity-based cross-sectional study.SettingCommunity...

HUBUNGAN PENGETAHUAN DAN PENDIDIKAN AKSEPTOR KB TERHADAP PENGGUNAAN ALAT KONTRASEPSI IUD DI UPTD PUSKESMAS WOLO KECAMATAN WOLO KABUPATEN KOLAKA

The percentage of contraceptive users in Indonesia who use contraceptive methods reaches 61.4%. The largest pattern of contraceptive use is injections at 31.6%, pills at 13.2%, IUDs at 4.8%, implants at 6.8%, condoms at 1.3%, MOW at 0.3%, MOP at 0, 2%. Based on BKKBN data from Bone Regency, South Sulawesi Province, the number of active IUD type family planning participants is 5.5%. At the Biru Community Health Center, data was obtained on family planning acceptors in December 2015, namely, as many as 2517 injectable family planning acceptors, 945 implant birth control acceptors, 1624 pill birth control acceptors, and 779 IUD contraceptive acceptor. The use of IUD contraception is still very far from the target set at 80%. For this reason, the aim of this research is to determine the relationship between knowledge and education of family planning acceptors and the use of IUD contraception.The type of research used is quantitative. The research design used in this study used an analytical survey with a cross-sectional time approach.

Patterns of Contraceptive Use and Associated Sociodemographic Factors in India: A Cross-Sectional Study of Young Married Women Ages 15–24 Years

We assessed the patterns of contraceptive usage and associated sociodemographic correlates in India using data from the National Family Health Survey (NFHS)–4, comprising 76,747 young, currently married (ages 15–24), nonpregnant women. A multinomial logistic regression model was used to examine the factors associated with contraceptive use. Results indicate that education and household wealth had a positive association with modern contraceptives. Being rural residents, being socially marginalized, and living in large households decreased the likelihood of modern contraceptive use. Findings suggest that an enhancement in girls’ education, financial support, and family-planning awareness could increase contraceptive use.

An intersectional analysis of contraceptive types chosen among sexual minority women: A nationally representative study

ObjectiveThe purpose of this study is to use an intersectional approach in which race, insurance, care setting, and disclosure of sexual orientation to a provider are used to assess patterns of contraceptive use in sexual minority women. Study designThis study analyzes cross-sectional data from the 2011–2019 National Survey of Family Growth (NSFG). Sexual orientation of 21,075 respondents’ data was used to investigate contraceptive use in sexual minority women, specifically lesbian and bisexual women, as compared to heterosexual women, controlling for variables such as race, age, and socioeconomic factors. ResultsBlack and Hispanic lesbian women (adjusted odds ratio [aOR] = 0.39 confidence interval [CI] 0.20–0.76 and aOR = 0.44 CI 0.23–0.82, respectively) and Hispanic and Other Race bisexual women use hormonal contraceptive methods less than their White lesbian and bisexual peers (aOR = 0.45 CI 0.29–0.69 and aOR = 0.43 CI 0.20–0.94). Care setting was not correlated with long-acting reversible contraceptive methods (LARC; such as intra-uterine device, hormonal implants) or prescription-based hormonal methods (such as oral contraceptive pills, injectables, vaginal rings, and patches) in lesbian women (aOR = 2.92 CI 0.60–14.2 and aOR = 1.43 CI 0.47–4.38, respectively) or bisexual women (aOR = 0.90 CI 0.48–1.58 and aOR = 0.83 CI 0.37–1.86), but it was for straight women (aOR = 1.28 CI 1.03–1.59 and aOR = 0.68 CI 0.53–0.86). Similarly, insurance status did not correlate with contraceptive patterns in sexual minority women. Importantly, adjusting for nationally representative data did not impact the results; in other words, the odds ratios after adjusting yielded the same results as before adjustment. ConclusionsInsurance and care setting are important determinants of straight women's contraceptive use patterns with fewer effects seen among sexual minority women. These findings support previous work and indicate that known advantages of insurance coverage or use of public clinics may not positively impact sexual minority women as much as they do straight women. Provider awareness of sexual identity and sexual orientation is important for adequate contraceptive care. ImplicationsWhile prior research has presented findings on sexual minority women contraceptive use, to our knowledge there are limited studies that address the social and demographic implications for contraceptive use in this population.

Contraception before and after induced abortion: Trajectories of women in selected urban-poor settlements of Accra, Ghana.

This paper examined women's pre- and post-induced abortion contraceptive use and predictors of post-abortion modern contraceptive uptake in selected poor settlements of Accra, Ghana. Data from a cross-sectional study of 251 women aged 16-44 years were used. Patterns of contraceptive use were analysed descriptively while the predictors of modern contraceptive use in the month following induced abortion were examined using a binary logistic regression model. Majority of women (60%) were not using any method of contraception when they became pregnant before their abortion. Just over 30% of these women switched to using any method in the month immediately after abortion (22% modern and 9% traditional). Women who had became pregnant while using a modern method before their abortion had higher odds of using a modern method post-abortion than women who had not been using any method of contraception when they became pregnant. Following induced abortion, many women remained at potential risk of future unintended pregnancy. Our findings suggest the need for improved contraceptive counselling for women who seek abortion services, both during post-abortion care for facility-based abortions or at the time of obtaining medication abortion pills for those who are self-managing their abortion.

Pattern and Determinant of Contraceptive Use among Women in Indonesia from 2007 to 2017: Evidence from Demographic and Health Survey

Background: Modern contraceptives are proven as the most effective birth control methods. However, it was a change in the pattern of modern method use in Indonesia to traditional. Objectives: This study investigated the pattern of contraceptive use and its determinant in Indonesia between 2007 and 2017. Methods: The study employed data from the Indonesian Demographic and Health Survey (IDHS) 2007, 2012, and 2017. Eligible participants included all women aged 15–49 who were married/living together with a partner. The dependent variable was contraceptive method use categorized as long-term, short-term, and traditional. Weighted pooled logistic regression analysis was applied to determine the shifting patterns of the independent variables related to contraceptive use over time. Results: The trend of contraceptive use in Indonesia has shifted over the three periods of the IDHS. During the three survey periods, contraceptive use was still dominated by short-term contraception, although over the last five years, the proportion has shown a decline of around 9%. Traditional contraceptive adoption followed the same patterns as long-acting reversible contraception (LARC), although having a smaller prevalence. Education level was significantly unassociated with the use of the traditional method at the beginning of the observation. However, more educated and knowledgeable women about contraceptive methods were more likely to use traditional contraceptives, switched from long-acting use following the next five and ten years. Long-term methods were no longer significantly more common among women in Java and Bali after five and ten years; the likelihood of using traditional methods in Java and Bali was growing. Conclusion: This study showed that contraceptive use and determinants were always dynamic over time. Therefore, family planning strategies and policies should adapt accordingly. Giving an understanding of contraceptive methods' benefits and risks through adequate method information is encouraged to prevent contraceptive dropout or switch to less-effective methods.

DATA MINING PEMBENTUKAN POLA PENGGUNAAN ALAT KONTRASEPSI DENGAN METODE ASSOCIATION RULE

Continuous use of contraceptives is a factor influencing the success of the family planning program. As is well known, contraceptives are not necessarily suitable for everyone's condition, therefore women must be able to determine what contraception is suitable for themselves. The problem is that many women find it difficult to decide what contraceptive method to use, apart from a lack of knowledge and information, there is no concept / pattern for choosing a contraceptive device. The purpose of this study is to find patterns of contraceptive use using the Data Mining Association Rule method. The results of the performance of the Apriori Algorithm produce a combination pattern that describes the set of frequent item sets with the highest confidence value, namely 90% In the Rule, if the injectable contraceptive device is 3 months, then the mother's age is 17-35 years. The pattern that is formed is the result of concept formulation, so that this pattern can be used as a reference for prospective acceptors in determining the choice of contraceptives suitable for use.