Archives of public health = Archives belges de sante publique最新文献

{"title":"Benchmarking public policies to create healthy food environments compared to best practice: the Healthy Food Environment Policy Index in Guatemala.","authors":"Carmen María Sánchez-Nóchez,&nbsp;Manuel Ramirez-Zea,&nbsp;Stefanie Vandevijvere,&nbsp;María Fernanda Kroker-Lobos","doi":"10.1186/s13690-022-00928-w","DOIUrl":"https://doi.org/10.1186/s13690-022-00928-w","url":null,"abstract":"<p><strong>Background: </strong>Benchmarking the implementation of healthy food environment public policies against international best practices may accelerate the government response to prevent obesity and non-communicable diseases (NCDs) in the countries. The aim of the study was to determine the extent of food environment policy implementation in Guatemala and to identify and prioritize actions for the government to accelerate their implementation.</p><p><strong>Methods: </strong>The INFORMAS Healthy Food Environment Policy Index (Food-EPI from the International Network for Food and Obesity/NCDs Research, Monitoring and Action Support) was used. Evidence of implementation for 50 good practice indicators within the seven food policies and six infrastructure support domains was compiled, and subsequently validated by Guatemalan government officials. A national civil society expert panel on public health and nutrition performed an online assessment of the implementation of healthy food environment policies against best international practices. The level of agreement among evaluators was measured using the Gwet second order agreement coefficient (AC2). The expert panel recommended actions for each indicator during on-site workshops and those actions were prioritized by importance and achievability.</p><p><strong>Results: </strong>The expert panel rated implementation at zero for 26% of the indicators, very low for 28% of indicators, low for 42%, and medium for 4% of indicators (none were rated high). Indicators at medium implementation were related to the use of evidence for developing policies and ingredient list/nutrition information panels on packaged foods. Seventy-seven actions were recommended prioritizing the top 10 for immediate action. The Gwet AC2 was 0.73 (95% CI 0.67-0.80), indicating a good concordance among experts.</p><p><strong>Conclusions: </strong>In the Food-EPI of Guatemala, almost all indicators of good practice had a low or less level of implementation. The expert panel proposed 12 priority actions to accelerate policy implementation to tackle obesity and NCDs in the country.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"174"},"PeriodicalIF":3.3,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9295498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40520386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor on \"Geotemporospatial and causal inferential epidemiological overview and survey of USA cannabis, cannabidiol and cannabinoid genotoxicity expressed in cancer incidence 2003-2017, parts 1-3\".","authors":"Frank Yizhao Chen,&nbsp;Michael Barnes,&nbsp;Evan Cole Lewis","doi":"10.1186/s13690-022-00932-0","DOIUrl":"https://doi.org/10.1186/s13690-022-00932-0","url":null,"abstract":"<p><p>We would like to thank authors Reece and Hulse (2022) for their three-part article titled \"Geotemporospatial and causal inferential epidemiological overview and survey of USA cannabis, cannabidiol and cannabinoid genotoxicity expressed in cancer incidence 2003-2017\", in which the authors infer that cannabis use has a causal role in the development of various cancer types. While the authors use reputable datasets and a well-established epidemiological methodology, the authors' conclusion of a causal association is limited due to biases inherent in ecological epidemiological studies. Though the researchers attempt to overcome these biases through validation and statistical manipulations, their approaches are insufficient to create conditions suitable for causal inferencing upon examination. There are also concerns in the practical and conceptual application of the studies' dataset that further question the validity of the authors' inferences. Further research exploring the potential benefits and harm of cannabinoids in the context of cancer must be performed before a distinct relationship can be defined.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"172"},"PeriodicalIF":3.3,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9295352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40603372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family support and transport cost: understanding health service among older people from the perspective of social-ecological model.","authors":"Bocong Yuan,&nbsp;Tong Zhang,&nbsp;Jiannan Li","doi":"10.1186/s13690-022-00923-1","DOIUrl":"https://doi.org/10.1186/s13690-022-00923-1","url":null,"abstract":"<p><strong>Background: </strong>This study is to investigate the interaction of family support, transport cost (ex-post), and disabilities on health service seeking behavior among older people from the perspective of social ecological model.</p><p><strong>Method: </strong>We conduct a series of regressions including the Poisson model and Multiple logit model. The Heckman two-stage procedure is also conducted to check the robustness.</p><p><strong>Results: </strong>Given that health care resources are generally concentrated in densely populated urban areas, access to services of higher-class health care facilities is found associated with higher transport cost (ex-post). Family support could also promote the access to higher-class health care facilities. Although disability may impede such access, this effect may be mitigated by paying higher transport cost (ex-post).</p><p><strong>Conclusions: </strong>Alleviating transport deprivation and promoting family support are critical for access to better healthcare services among older people with disabilities.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"173"},"PeriodicalIF":3.3,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9295433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40603371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Smoking and drinking behavior, knowledge, and attitudes among urban and rural public-school students in Efate Island, Vanuatu: a comparative study.","authors":"Emi Nakaseko,&nbsp;Sayaka Kotera,&nbsp;Minato Nakazawa","doi":"10.1186/s13690-022-00929-9","DOIUrl":"https://doi.org/10.1186/s13690-022-00929-9","url":null,"abstract":"<p><strong>Background: </strong>Underage smoking and drinking are public health issues in Vanuatu. This study aims to describe the behavior, knowledge, attitudes, and perceptions of parents, siblings, and peers regarding smoking and drinking among urban and rural public-school students in Vanuatu.</p><p><strong>Methods: </strong>This cross-sectional study included 358 students (urban, 217; rural, 141; aged 12-14 years) from the public schools in Efate Island, Vanuatu. Data were collected using self-administered questionnaires. Chi-square and Mann-Whitney U tests were used to determine the rural-urban differences.</p><p><strong>Results: </strong>Urban students showed a higher prevalence of ever smoking (13.5%), ever drinking (16.9%), intention to smoke (11.1%), and intention to drink (14.0%) compared to rural students (10.3%, 8.3%, 5.8%, and 9.5%, respectively); although a significant difference was only observed in the prevalence of ever drinking. Urban students were more likely to be aware of the health hazards of substance use and showed higher self-efficacy to refuse tobacco and alcohol compared to rural students. Parents in rural areas were less likely to talk about the health hazards of substance use with their children and were more likely to offer tobacco or alcohol to them compared to parents in urban areas.</p><p><strong>Conclusions: </strong>The results provide evidence of rural-urban differences in the behavior, attitude, knowledge, and perceptions of parental behavior regarding smoking and drinking. The findings suggest that issues related to underage smoking and drinking differ between urban and rural students. Future intervention programs for reducing underage smoking and drinking should be adapted in recognition of urban and rural differences.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"170"},"PeriodicalIF":3.3,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9290220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40610037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burden of female breast cancer in the Middle East and North Africa region, 1990-2019.","authors":"Saeid Safiri,&nbsp;Maryam Noori,&nbsp;Seyed Aria Nejadghaderi,&nbsp;Mark J M Sullman,&nbsp;Nicola Luigi Bragazzi,&nbsp;Amir Almasi-Hashiani,&nbsp;Mohammad Ali Mansournia,&nbsp;Ali-Asghar Kolahi","doi":"10.1186/s13690-022-00918-y","DOIUrl":"https://doi.org/10.1186/s13690-022-00918-y","url":null,"abstract":"<p><strong>Background: </strong>There is no region-specific publication investigating the attributable burden of breast cancer, particularly among females. This article reported the burden of female breast cancer in the Middle East and North Africa (MENA) region, and its attributable risk factors between 1990 and 2019, by age, sex, and socio-demographic index (SDI).</p><p><strong>Methods: </strong>Publicly available data on the incidence, death and disability-adjusted life years (DALY) were retrieved from the Global Burden of Disease (GBD) 2019 study for the 21 countries and territories in MENA, between 1990 and 2019, along with 95% uncertainty intervals (UIs). The relationship between the burden of female breast cancer, in terms of DALYs, and the SDI were also assessed using Smoothing Spline models.</p><p><strong>Results: </strong>In 2019, the regional age-standardised incidence and death rates of female breast cancer were 37.5 and 15.2 per 100,000, which represent a 90.9 and 24.0% increase since 1990, respectively. In addition, in 2019 the regional age-standardised DALY rate was 472.7 per 100,000, which was 19.5% higher than in 1990. In 2019, the death rate increased steadily with advancing age, while the DALY rate increased steeply with age and reached its peak in the 70-74 age group. There was a positive association between SDI and the burden of breast cancer over the period 1990 to 2019. Moreover, in 2019 high fasting plasma glucose (6.9%) contributed to the largest proportion of attributable DALYs for female breast cancer in the MENA region.</p><p><strong>Conclusions: </strong>There was a significant increase in the incidence rate of female breast cancer in MENA over the past three decades, although the death and DALY rates were both largely unchanged. Preventive programs targeting the major risk factors should be implemented in the region.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"168"},"PeriodicalIF":3.3,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40584325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of birth order on length of hospitalization for pediatric traumatic brain injury: an analysis of the 1987 Finnish birth cohort.","authors":"Mazin Omer,&nbsp;Jussi P Posti,&nbsp;Mika Gissler,&nbsp;Marko Merikukka,&nbsp;Ildiko Hoffmann,&nbsp;Till Bärnighausen,&nbsp;Michael Lowery Wilson","doi":"10.1186/s13690-022-00919-x","DOIUrl":"https://doi.org/10.1186/s13690-022-00919-x","url":null,"abstract":"<p><strong>Purpose: </strong>This study examines the relationship between birth order and length of hospitalization due to pediatric traumatic brain injury (TBI).</p><p><strong>Methods: </strong>We prospectively followed 59,469 Finnish newborns from 1987 until age 18 years. Data on first diagnosis of TBI was recorded within the 1987 Finnish Birth Cohort (FBC). Hospitalization period was divided into two categories: 2 days or less and more than 2 days. The latter was considered in this study as longer hospitalization.</p><p><strong>Results: </strong>Compared with first born siblings, later born siblings had an increased risk of a longer hospitalization for TBI (12.7% of fourth or higher born birth children diagnosed with TBI were hospitalized for 2 or more days, 11.3% of first born, 10.4% of third born and 9.0% of second born). Fourth or higher born children were more likely to experience a repeat TBI; 13.4% of fourth or higher born children diagnosed with TBI had 2-3 TBIs during the study period compared to 9% of third born, 7.8% of second born and 8.8% of the first born. Injuries in the traffic environment and falls were the most common contributors to pediatric TBI and occurred most frequently in the fourth or higher birth category; 29.3% of TBIs among fourth or higher birth order were due to transport accidents and 21% were due to falls.</p><p><strong>Conclusions: </strong>This study revealed a significant increase in risk for longer hospitalization due to TBI among later born children within the same sibling group. The study provides epidemiological evidence on birth order as it relates to TBI, and its potential to help to explain some of the statistical variability in pediatric TBI hospitalization over time in this population.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"167"},"PeriodicalIF":3.3,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40587004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Level of health literacy in Latvia and Lithuania: a population-based study.","authors":"Ieva Gatulytė,&nbsp;Valērija Verdiņa,&nbsp;Zane Vārpiņa,&nbsp;Ágnes Lublóy","doi":"10.1186/s13690-022-00886-3","DOIUrl":"https://doi.org/10.1186/s13690-022-00886-3","url":null,"abstract":"<p><strong>Background: </strong>Measuring and understanding the level of health literacy serves as a starting point for developing various policies in health care. The consequences of weak health literacy competencies are severe; they result in riskier health behaviour, poorer health status, more frequent emergency visits and hospitalizations. This research has three aims: i) measure the level of health literacy in the populations of Latvia and Lithuania; ii) investigate which demographic and socioeconomic determinants are associated with it; and iii) discuss the means of improving its current level.</p><p><strong>Methods: </strong>We employ a validated survey tool, the 47-item European Health Literacy Questionnaire (HLS-EU-Q). In addition to the 47 questions in the domains of health care, disease prevention, and health promotion, the participants' demographic and socioeconomic characteristics are assessed. Face-to-face paper-assisted surveys are conducted with randomly selected residents from Latvia and Lithuania. The level of health literacy is measured by the health literacy index. Spearman correlation analyses and multiple regressions models are employed for investigating the association between the health literacy level and its determinants. The survey tool is complemented with in-depth interviews with six healthcare industry experts in order to assess the most promising ways to improve the level of health literacy.</p><p><strong>Results: </strong>The stratified random sampling with quota elements assured a representative sample in terms of gender, urban/rural distribution and regions. In Latvia, 79% of the population possesses weak health literacy competencies. In Lithuania, 73% of the population can be characterized with inadequate or problematic level of health literacy. The most important determinants of the health literacy level include age, financial situation, social status, and ethnicity. In particular, elderly (aged 76 and over) and the Latvian-speaking population are less health literate, while those having better financial situation and higher social status are more health literate. The three most promising ways to improve the level of health literacy, as suggested by the healthcare industry experts, include health education in schools, provision of structured health-related information in Latvian and Lithuanian, and guidelines for the most common health problems.</p><p><strong>Conclusions: </strong>The proportion of population with inadequate or problematic level of health literacy is higher in Latvia and Lithuania than in several other European countries. There is an urgent need to develop policies to improve it.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"166"},"PeriodicalIF":3.3,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40497079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioeconomic inequality in public satisfaction with the healthcare system in China: a quantile regression analysis.","authors":"XinXin Peng,&nbsp;Jing Hua Zhang","doi":"10.1186/s13690-022-00925-z","DOIUrl":"https://doi.org/10.1186/s13690-022-00925-z","url":null,"abstract":"<p><strong>Background: </strong>As China pursues better social equality and improvement in public services (healthcare), public satisfaction has been considered as a key performance indicator. There is a great need to better understand the disparities and inequalities in the public satisfaction with its healthcare system.</p><p><strong>Methods: </strong>Based on Chinese General Social Survey (CGSS) 2015 ( a set of nationally representative survey data, the most recent wave containing information about public satisfaction with the healthcare system), this study utilizes the quantile regression method to analyze how the public satisfaction at high or low quantile of the score distribution varies according to the socio-economic status and healthcare system performance indicators, especially in rural areas.</p><p><strong>Results: </strong>This study found that, at the highest percentile, better Self-Reported-Health (SRH) is associated significantly with a lower satisfaction score (coefficient -4.10, P < 0.01). High socioeconomic status (especially \"above average\" group) has higher satisfaction scores at both mean (coefficient 3.74, P<0.01) and median (coefficient 3.83, P<0.01). This effect is also significant across the lower quantiles of the satisfaction levels. West and Middle region (the less developed regions) tended to be more satisfied, whereas those in Northeast reported a large negative effect (coefficient -7.07, P < 0.01) at the median. While rural residents generally reported higher levels of satisfaction, rural residents' preference regarding hospital beds and primary care access seems generally to be opposite to that of urban residents.</p><p><strong>Conclusion: </strong>Our findings suggest that the ongoing healthcare reform needs to integrate more preventive care to meet the healthy residents' expectation and demands. More attention should be guided to the vulnerable healthcare system in the Northeast region, which has a stagnant local economy. Outcome-based quality care is especially preferred in rural healthcare, in addition to improvement of utilization and access. In addition, the \"pro-rich\" inequality is an ongoing concern about the system.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"165"},"PeriodicalIF":3.3,"publicationDate":"2022-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9264578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40483569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with early initiation of breastfeeding among children less than 24 months old: the 2019 Ethiopian mini demographic and health survey.","authors":"Tadele Abate Lucha,&nbsp;Admassu Ketsela Mengistu","doi":"10.1186/s13690-022-00920-4","DOIUrl":"https://doi.org/10.1186/s13690-022-00920-4","url":null,"abstract":"<p><strong>Background: </strong>The world Health Organization recommended that all mothers be supported to initiate breastfeeding as soon as possible after birth, within the first hour. This study examined the determinants of early initiation of breastfeeding in Ethiopia by using data from the 2019 Ethiopia Mini Demographic and Health Survey.</p><p><strong>Methods: </strong>The data for this study was extracted from the 2019 Ethiopia Mini Demographic and Health Survey. A total of 1948 children aged less than 24 months at the time of the survey were included for analysis from the nine regional states and two city administrations. The analysis was carried out in STATA Version 14.2 software using survey commands to account for the complex sample design and apply sampling weights. A manual backward stepwise elimination approach was applied.</p><p><strong>Result: </strong>The prevalence of early initiation of breastfeeding in Ethiopia was noted to be 75.2% [95% CI (71.9, 78.5%)]. In the multivariable analysis, mothers who had vaginal deliveries [AOR = 3.02 (95% CI: 1.55, 5.88)] had 3 times higher odds practicing early initiation of breastfeeding compared to mothers who had a cesarian section. Mothers aged between 35 and 49 years [AOR = 2.40, 95% CI: 1.20, 4.49] had 2.4 times higher odds of practicing early initiation of breastfeeding compared to mothers aged below 20 years. In addition, early initiation of breastfeeding was also associated with the region where mothers resided, in particular mothers in Amhara and Somali region, had lower odds of practicing early initiation of breastfeeding as compared with mothers residing in Tigray region.</p><p><strong>Conclusion: </strong>Early initiation of breastfeeding in Ethiopia was found to be significantly associated with mode of delivery, mother's age, and region. As a result, raising awareness about early initiation of breastfeeding is especially important for mothers who have had a cesarean section, which could be accomplished with the help of the health extension workforce.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"164"},"PeriodicalIF":3.3,"publicationDate":"2022-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9258214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40567490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with non-use of modern contraceptives among sexually active women in Ethiopia: a multi-level mixed effect analysis of 2016 Ethiopian Demographic and Health Survey.","authors":"Solomon Sisay Mulugeta,&nbsp;Setegn Muche Fenta,&nbsp;Kenaw Derebe Fentaw,&nbsp;Hailegebrael Birhan Biresaw","doi":"10.1186/s13690-022-00922-2","DOIUrl":"https://doi.org/10.1186/s13690-022-00922-2","url":null,"abstract":"<p><strong>Background: </strong>Appropriate contraceptive use prevents unintended pregnancy, protects the health of mother and child, and promotes women's well-being. Use of modern Family planning in Ethiopia was still very low. The purpose of this study was to assess the factors that are associated with non-use of modern family planning services among women of reproductive age.</p><p><strong>Method: </strong>A nationally representative 2016 EDHS women data were used for analysis. A total of 15,683 women in the reproductive age group were included in this study. Descriptive and multilevel multivariable binary logistic regression models were used to summarize descriptive data and measure statistical association between the dependent and the individual and community level variable, respectively. Adjusted Odds Ratio (AOR) and confidence interval were respectively used to measure association and its statistical significance.</p><p><strong>Result: </strong>Among women in the reproductive age group 79.49% (95% CI: 78.85%, 80.12%) did not use a modern contraceptive method. Women age between 25-34 years (AOR = 0.54, 95% CI: 0.47-0.61) and age between 34-49 year (AOR = 0.62, 95% CI: 0.55-0.71), having primary educated women (AOR = 0.0.77, 95% CI: 0.68-0.87),secondary and above educational (AOR = 0.88, CI: 0.75-1.03), Secondary and above-educated husband (AOR = 0.84, 95% CI: 0.72-0.96), rich women (AOR = 0.74,95%CI:0.65-0.85), health facility delivery (AOR = 0.84, 95%CI: 0.73-0.0.98), being watching TV (AOR = 0.74, 95% CI: 0.65-0.85), having 1-2 living children (AOR = 0.21, 95% CI: 0.19-0.23) are less likely to not use contraception were identified. Furthermore, Muslim women (AOR = 1.43, 95% CI: 1.23-1.62), women living in rural area (AOR = 3.43; 95% CI: 2.72-4.32), and ANC visit 1.25(1.07-1.47) were more likely to not use contraception. Further, Women in Afar, Somali, Gambela, Harari, and Dire Dawa were less likely to use modern contraception methods than women in Tigray, but Amhara region had a lower rate of non-use.</p><p><strong>Conclusion: </strong>Family planning interventions should target younger women, women living in rural areas, the poor, and Muslim women. Moreover, initiatives to empower women associated to family planning programs would be beneficial in increasing contraceptive uptake among sexually active women in Ethiopia.</p>","PeriodicalId":365748,"journal":{"name":"Archives of public health = Archives belges de sante publique","volume":" ","pages":"163"},"PeriodicalIF":3.3,"publicationDate":"2022-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9258219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40576318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}