Determinants of Modern Contraception Use Among Ever-Married Women in Bangladesh: A Nationwide Cross-Sectional Study

Abstract

Background and Aims

Contraception involves the deliberate prevention of conception through various methods, including mechanical devices, medications, behavioral strategies, or surgical techniques. This study aims to assess the socioeconomic and demographic determinants influencing the adoption of modern contraceptive methods among women.

Methods

A cross-sectional study design was employed, using data from the Bangladesh Demographic and Health Survey (BDHS) 2017–2018. Bivariate analysis was conducted to identify factors associated with contraceptive use, followed by binary logistic regression to evaluate the influence of key socioeconomic and demographic factors.

Results

The study found that ~66.70% of respondents use modern contraceptive methods, predominantly those from urban areas with higher education levels. Conversely, 33.30% of respondents do not use modern contraceptives. Significant determinants of contraceptive use include division, place of residence, education level, husband's education, wealth index, religion, age at first birth, and husband's occupation. Notably, women with higher education are 1.644 times more likely to use modern contraceptives compared to those without education.

Conclusion

Socioeconomic disparities influence contraceptive use, necessitating targeted policies to improve access, particularly in rural and underprivileged communities. Strengthening educational programs and reproductive health services can enhance informed family planning decisions.