Journal of Molecular Studies and Medicine Research |
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RESEARCH ARTICLE:
Factors affecting contraceptive use among married women of reproductive age in Bangladesh
Gulam Muhammed Al Kibria (1), Shakir Hossen (2), Rifath Ara Alam Barsha (2), Atia Sharmeen (3), Sujit Kumar Paul (4) and S. M. Iftekhar Uddin (1)
1 Dept. of International Health, Johns Hopkins University, Baltimore, MD-21205, USA
2 ProjAHNMo- Johns Hopkins University-Bangladesh, Dept. of Paediatrics, Sylhet M. A. G. Osmani Medical College Hospital, Bangladesh
3 Shimantik, Sylhet, Bangladesh
4 National Institute of Preventive and Social Medicine, ProjAHNMo- Johns Hopkins University, Bangladesh, Dept. of Paediatrics, Sylhet M. A. G. Osmani Medical College Hospital, Bangladesh
J. Mole. Stud. Medici. Res. Volume 02, Issue 01, pp. 70-79 | Available online: 14 November 2016
DOI: 10.18801/jmsmr.020116.09
Factors affecting contraceptive use among married women of reproductive age in Bangladesh
Gulam Muhammed Al Kibria (1), Shakir Hossen (2), Rifath Ara Alam Barsha (2), Atia Sharmeen (3), Sujit Kumar Paul (4) and S. M. Iftekhar Uddin (1)
1 Dept. of International Health, Johns Hopkins University, Baltimore, MD-21205, USA
2 ProjAHNMo- Johns Hopkins University-Bangladesh, Dept. of Paediatrics, Sylhet M. A. G. Osmani Medical College Hospital, Bangladesh
3 Shimantik, Sylhet, Bangladesh
4 National Institute of Preventive and Social Medicine, ProjAHNMo- Johns Hopkins University, Bangladesh, Dept. of Paediatrics, Sylhet M. A. G. Osmani Medical College Hospital, Bangladesh
J. Mole. Stud. Medici. Res. Volume 02, Issue 01, pp. 70-79 | Available online: 14 November 2016
DOI: 10.18801/jmsmr.020116.09
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Title: Factors affecting contraceptive use among married women of reproductive age in Bangladesh
Abstract:
Background: Contraceptive prevalence rate is low in Bangladesh. It needs to increase contraceptive prevalence rate in order to achieve the health related targets of Sustainable Development Goals (SDGs) by reducing pregnancy and pregnancy related outcomes. Aim of this study is to observe the factors which affect contraceptive use among Bangladeshi women. The hypothesis is that contextual factors along with individual and fertility related factors contribute to the use of contraceptives.
Materials and Methods: Bangladesh Demographic and Health Survey (BDHS) of 2014 is the seventh DHS undertaken from June to December, 2014. 18,245 ever-married women were identified and 17,863 were interviewed. Finally, 12,042 women were eligible for analysis after excluding pregnant women, women who were not married, with hysterectomy, postpartum amenorrheic, infertile or subfecund and sexually inactive. Main outcome measure was current use of contraception by married non-pregnant women.
Results: Contraceptive prevalence rate was 81.27%. Logistic regression was applied to calculate odds ratios (OR), 95% confidence interval (CI) and P value. Contraceptive use was affected by contextual factors along with individual and fertility related factors. Visits by a family planning worker (FPW) within the previous six months had the biggest impact on contraceptive use (the adjusted OR, 2.06; 95% CI, 1.61-2.64; p<0.001). Education level (adjusted OR, 1.67; 95% CI, 1.10-2.37; p<0.05 in the group with higher education) and number of children who are alive were also positively associated with contraceptive use (p<0.001). Contraceptive use was lower among Muslims (adjusted OR, non-Muslims vs. Muslims, 1.68; 95% CI, 1.27-2.22; p<0.001), desire for a son (adjusted OR, 0.69; 95% CI, 0.59-0.79; p<0.001), living in rural area (adjusted OR of rural vs. urban, 0.7; 95% CI, 0.59-0.84; p<0.001) and Sylhet Division (adjusted OR of Sylhet vs. Barisal, 0.54; 95% CI, 0.40-0.71; p<0.001).
Conclusion: Providing service through FPW, increasing the education level of women, intervention in rural areas and in Sylhet division, targeting Muslim population and women with higher age could increase the use of contraceptives among Bangladeshi women.
Key Words: Contraceptive, Married-women and Bangladesh
Abstract:
Background: Contraceptive prevalence rate is low in Bangladesh. It needs to increase contraceptive prevalence rate in order to achieve the health related targets of Sustainable Development Goals (SDGs) by reducing pregnancy and pregnancy related outcomes. Aim of this study is to observe the factors which affect contraceptive use among Bangladeshi women. The hypothesis is that contextual factors along with individual and fertility related factors contribute to the use of contraceptives.
Materials and Methods: Bangladesh Demographic and Health Survey (BDHS) of 2014 is the seventh DHS undertaken from June to December, 2014. 18,245 ever-married women were identified and 17,863 were interviewed. Finally, 12,042 women were eligible for analysis after excluding pregnant women, women who were not married, with hysterectomy, postpartum amenorrheic, infertile or subfecund and sexually inactive. Main outcome measure was current use of contraception by married non-pregnant women.
Results: Contraceptive prevalence rate was 81.27%. Logistic regression was applied to calculate odds ratios (OR), 95% confidence interval (CI) and P value. Contraceptive use was affected by contextual factors along with individual and fertility related factors. Visits by a family planning worker (FPW) within the previous six months had the biggest impact on contraceptive use (the adjusted OR, 2.06; 95% CI, 1.61-2.64; p<0.001). Education level (adjusted OR, 1.67; 95% CI, 1.10-2.37; p<0.05 in the group with higher education) and number of children who are alive were also positively associated with contraceptive use (p<0.001). Contraceptive use was lower among Muslims (adjusted OR, non-Muslims vs. Muslims, 1.68; 95% CI, 1.27-2.22; p<0.001), desire for a son (adjusted OR, 0.69; 95% CI, 0.59-0.79; p<0.001), living in rural area (adjusted OR of rural vs. urban, 0.7; 95% CI, 0.59-0.84; p<0.001) and Sylhet Division (adjusted OR of Sylhet vs. Barisal, 0.54; 95% CI, 0.40-0.71; p<0.001).
Conclusion: Providing service through FPW, increasing the education level of women, intervention in rural areas and in Sylhet division, targeting Muslim population and women with higher age could increase the use of contraceptives among Bangladeshi women.
Key Words: Contraceptive, Married-women and Bangladesh
APA (American Psychological Association)
Kibria, G. M. A., Hossen, S., Barsha, R. A. A., Sharmeen, A., Paul, S. K. & Uddin, S. M. I. (2016). Factors affecting contraceptive use among married women of reproductive age in Bangladesh. Journal of Molecular Studies and Medicine Research, 02(01), 70-79.
MLA (Modern Language Association)
Kibria, G. M. A., Hossen, S., Barsha, R. A. A., Sharmeen, A., Paul, S. K. & Uddin, S. M. I. ''Factors affecting contraceptive use among married women of reproductive age in Bangladesh''. Journal of Molecular Studies and Medicine Research, 02.01.(2016), 70-79.
Chicago/Turabian
Kibria, G. M. A., Hossen, S., Barsha, R. A. A., Sharmeen, A., Paul, S. K. & Uddin, S. M. I. ''Factors affecting contraceptive use among married women of reproductive age in Bangladesh''. Journal of Molecular Studies and Medicine Research, 02, no. 01.(2016), 70-79.
Kibria, G. M. A., Hossen, S., Barsha, R. A. A., Sharmeen, A., Paul, S. K. & Uddin, S. M. I. (2016). Factors affecting contraceptive use among married women of reproductive age in Bangladesh. Journal of Molecular Studies and Medicine Research, 02(01), 70-79.
MLA (Modern Language Association)
Kibria, G. M. A., Hossen, S., Barsha, R. A. A., Sharmeen, A., Paul, S. K. & Uddin, S. M. I. ''Factors affecting contraceptive use among married women of reproductive age in Bangladesh''. Journal of Molecular Studies and Medicine Research, 02.01.(2016), 70-79.
Chicago/Turabian
Kibria, G. M. A., Hossen, S., Barsha, R. A. A., Sharmeen, A., Paul, S. K. & Uddin, S. M. I. ''Factors affecting contraceptive use among married women of reproductive age in Bangladesh''. Journal of Molecular Studies and Medicine Research, 02, no. 01.(2016), 70-79.
- Achana, F. S., Bawah, A. A., Jackson, E. F., Welaga, P., Awine, T., Asuo-Mante, E., Oduro, A., Awoonor-Williams, J. K. & Phillips, J. F. (2015). Spatial and socio-demographic determinants of contraceptive use in the upper east region of ghana. Reprod. Health, 12, 29,015-0018. https:/doi.org/10.1186/s12978-015-0017-8
- Ahmed, S., Li, Q., Liu, L. & Tsui, A. O. (2012). Maternal deaths averted by contraceptive use: An analysis of 172 countries. The Lancet, 380(9837), 111-25. https:/doi.org/10.1016/S0140-6736(12)60478-4
- Aremu, O. (2013). The influence of socioeconomic status on women's preferences for modern contraceptive providers in Nigeria: A multilevel choice modeling. Patient Prefer Adherence, 7, 1213. https:/doi.org/10.2147/PPA.S51852, PMid:24353406 PMCid:PMC3862587
- Begum, H. (1997). Issues related to the implementation of reproductive technology in islamic societies: Report from Bangladesh. Bioethics, 11(3-4), 341-7. https:/doi.org/10.1111/1467-8519.00074
- Chola, L., McGee, S., Tugendhaft, A., Buchmann, E. & Hofman, K. (2015). Scaling up family planning to reduce maternal and child mortality: The potential costs and benefits of modern contraceptive use in South Africa. PLoS One, 10(6): e0130077. PMid:26076482, PMCid:PMC4468244
- Cleland, J., Conde-Agudelo, A., Peterson, H., Ross, J. & Tsui, A. (2016). Contraception and health. The Lancet, 380(9837), 149-56. https:/doi.org/10.1016/S0140-6736(12)60609-6
- Dias, J. G., de Oliveira, I. T. (2015). Multilevel effects of wealth on women's contraceptive use in Mozambique. PLoS One, 10(3): e0121758. https:/doi.org/10.1371/journal.pone.0121758, PMid:25786228 PMCid:PMC4364712
- El Arifeen, S., Hill, K., Ahsan, K. Z., Jamil, K., Nahar, Q. & Streatfield, P. K. (2014). Maternal mortality in Bangladesh: A countdown to 2015 country case study. Lancet, 384(9951), 1366-74. https:/doi.org/10.1016/S0140-6736(14)60955-7
- Gereltuya, A., Falkingham, J. & Brown, J. (2007). Determinants of current contraceptive use and method choice in Mongolia. J. Biosoc. Sci. 39(6), 801-17. https:/doi.org/10.1017/S0021932007002003, PMid:17445329
- Goni, A., Rahman, M. (2012). The impact of education and media on contraceptive use in Bangladesh: A multivariate analysis. Int. J. Nurs. Pract. 18(6), 565-73. https:/doi.org/10.1111/ijn.12013, PMid:23181958
- Islam, M. A., Islam, M. R. & Banowary, B. (2009). Sex preference as a determinant of contraceptive use in matrilineal societies: A study on the garo of Bangladesh. Eur. J. Contracept. Reprod. Health Care, 14(4), 301-6. https:/doi.org/10.1080/13625180903033460, PMid:19629855
- Islam, S., Islam, M. A. & Padmadas, S. S. (2010). High fertility regions in Bangladesh: A marriage cohort analysis. J Biosoc Sci. 42(6), 705-19. https:/doi.org/10.1017/S0021932010000428
- Jacobsen, B. K. & Lund, E. (1990). Level of education, use of oral contraceptives and reproductive factors: The Tromso study. Int J Epidemiol. 19(4), 967-70. https:/doi.org/10.1093/ije/19.4.967, PMid:2084029
- Jain, R. & Muralidhar, S. (2011). Contraceptive methods: Needs, options and utilization. J Obstet Gynaecol India, 61(6), 626-34. https:/doi.org/10.1007/s13224-011-0107-7, PMid:23204678 PMCid:PMC3307935
- Kamal, S. M & Islam, M. A. (2010). Contraceptive use: Socioeconomic correlates and method choices in rural Bangladesh. Asia Pac J Public Health. 22(4), 436-50. https:/doi.org/10.1177/1010539510370780, PMid:20659903
- Kamal, S. M. (2015). Socioeconomic factors associated with contraceptive use and method choice in urban slums of Bangladesh. Asia Pac. J. Public Health, 27(2), 2661-76. https:/doi.org/10.1177/1010539511421194, PMid:21914707
- Khan, H. T. (1997). A hierarchical model of contraceptive use in urban and rural Bangladesh. Contraception, 55(2), 91-6. https:/doi.org/10.1016/S0010-7824(96)00278-8
- Khan, M. A. (2003). Factors associated with oral contraceptive discontinuation in rural Bangladesh. Health Policy Plan. 18(1), 101-8. https:/doi.org/10.1093/heapol/18.1.101. PMid:12582113
- Kost, K., Forrest, J. D. & Harlap, S. (1991). Comparing the health risks and benefits of contraceptive choices. Fam. Plann. Perspect. 23(2), 54-61. https:/doi.org/10.2307/2135450, PMid:2060612
- Laskar, M. S., Mahbub, M. H., Yokoyama, K., Inoue, M. & Harada, N. (2006). Factors associated with contraceptive practices of married women in Bangladesh with respect to their employment status. Eur. J. Contracept. Reprod. Health Care, 11(3), 27. https:/doi.org/10.1080/13625180600759854, PMid:17056454
- Lethbridge, D. J. (1990). Use of contraceptives by women of upper socioeconomic status. Health Care Women Int. 11(3), 305-18. https:/doi.org/10.1080/07399339009515900, PMid:2391287
- Mannan, H. R. (2002). Factors in contraceptive method choice in Bangladesh: Goals, competence, evaluation and access. Contraception, 65(5), 357-64. https:/doi.org/10.1016/S0010-7824(01)00303-1,
- Mbizvo, M. T. & Phillips, S. J. (2014). Family planning: Choices and challenges for developing countries. Best Pract Res Clin Obstet Gynaecol, 28(6), 931-43. https:/doi.org/10.1016/j.bpobgyn.2014.04.014, PMid:24957693
- National Institute of Population Research and Training (NIPORT) (2016). Mitra and Associates and ICF International. Bangladesh Demographic and Health Survey 2014. Dhaka, Bangladesh.
- Razzaque, A., Streatfield, P. K. & Evans, A. (2007). Family size and children's education in Matlab, Bangladesh. J. Biosoc. Sci. 39(2), 245-56. https:/doi.org/10.1017/S0021932006001398, PMid:16686965
- Saha, U. R. & Van Soest, A. (2013). Contraceptive use, birth spacing, and child survival in Matlab, Bangladesh. Stud. Fam. Plann. 44(1), 45-66. https:/doi.org/10.1111/j.1728-4465.2013.00343.x, PMid:23512873
- Sahu, B. & Hutter, I. (2012). 'Lived Islam' in India and Bangladesh: Negotiating religion to realise reproductive aspirations. Cult. Health Sex. 14(5), 521-35. https:/doi.org/10.1080/13691058.2012.672652, PMid:22468853
- Stover, J. & Ross, J. (2010). How increased contraceptive use has reduced maternal mortality. Matern Child Health J. 14(5), 687-95. https:/doi.org/10.1007/s10995-009-0505-y, PMid:19644742
- Ullah, M. S. & Chakraborty, N. (1994). The use of modern and traditional methods of fertility control in Bangladesh: A multivariate analysis. Contraception, 50(4), 363-72. https:/doi.org/10.1007/s10995-009-0505-y
- Vu, L. T., Oh, J., Bui, Q. T & Le, A. T. (2016). Use of modern contraceptives among married women in Vietnam: A multilevel analysis using the multiple indicator cluster survey (2011) and the Vietnam population and housing census (2009). Glob Health Action, 9, 295. https:/doi.org/10.3402/gha.v9.29574, PMid:26950565 PMCid:PMC4780115
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© Kibria et al. (2016). This article published by Journal BiNET is freely available for anyone to read, share, download, print, permitted for unrestricted use and build upon, provided that the original author(s) and publisher are given due credit. All Published articles are distributed under the Creative Commons Attribution 4.0 International License.