Socio-Economic Determinants of Contraceptive Use among Married Women in the Addis Urban Health and Demographic Surveillance System (Addis-HDSS) in Ethiopia.

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES
Hanna Yemane Berhane, Semira Abdelmenan, Firehiwot Workneh, Dagmawit Tewahido, Tigest Shifraw, Kalkidan Yibeltal, Workagegnhu Tarekegn, Nebiyou Fasil, Dongqing Wang, Uttara Partap, Wafaie Fawzi, Meaza Demissie, Alemayehu Worku, Yemane Berhane
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引用次数: 0

Abstract

Background: Contraceptives are essential for protecting women's sexual and reproductive health, as well as for reducing maternal and infant morbidity and mortality. This study aimed to identify socioeconomic factors associated with contraceptive use among married women of childbearing age in Ethiopia.

Methods: We analysed cross-sectional data from 15,499 married women aged 18-49 years, collected as part of the Urban Health and Demographic Surveillance System (HDSS) in Addis Ababa. Trained interviewers conducted face-to-face interviews using structured, pre-tested questionnaires. Bivariable and multivariable logistic regression models were used to calculate adjusted odds ratios (AOR) with 95% confidence intervals (CIs) to assess associations between socioeconomic factors and contraceptive use.

Results: The overall prevalence of contraceptive use among married women was 53.5% (95% CI: 52.7-54.4%). Women with larger family sizes (>6) (AOR: 2.1; 95% CI: 1.5-2.8), excellent self-reported health (AOR: 1.6; 95% CI: 1.3-1.9), and those in households with adequate income to meet basic needs (AOR: 1.29; 95% CI: 1.11-1.48) were more likely to use contraceptives. Women over 40 years old (AOR: 0.21; 95% CI: 0.18-0.25) and those living in female-headed households (AOR: 0.68; 95% CI: 0.61-0.76) had lower odds of using contraception.

Conclusion: About half of urban married women of reproductive age reported using contraceptives. Factors associated with higher contraceptive use included better self-reported health and larger family sizes. Further research is needed to understand the complex dynamics of contraceptive use in low-income urban settings.

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来源期刊
Ethiopian Journal of Health Sciences
Ethiopian Journal of Health Sciences HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
8.30%
发文量
137
审稿时长
12 weeks
期刊介绍: Ethiopian Journal of Health Sciences is a general health science journal addressing clinical medicine, public health and biomedical sciences. Rarely, it covers veterinary medicine
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