Contraception and reproductive medicine最新文献

{"title":"Spatial modelling of the shared impact of sexual health knowledge and modern contraceptive use among women with disabilities in Africa.","authors":"Obasanjo Afolabi Bolarinwa, Clifford Odimegwu, Aliu Mohammed, Ezra Gayawan","doi":"10.1186/s40834-025-00349-4","DOIUrl":"10.1186/s40834-025-00349-4","url":null,"abstract":"<p><strong>Background: </strong>Women with disabilities remain highly vulnerable to sexual and reproductive health problems, particularly in sub-Saharan Africa (SSA), where their sexual and reproductive rights, such as access to sexual health information and contraception, are often neglected. This study investigated the spatial patterns of the shared impact of sexual health knowledge and modern contraceptive use among women with disabilities in Africa.</p><p><strong>Methods: </strong>We used the most recent Demographic and Health Survey (DHS) data involving 16,157 women with disabilities from ten African countries for this study. The data were analysed using both spatial and Bayesian inference to account for the shared component model patterns between sexual health knowledge and modern contraceptive use among women with disabilities while accounting for factors unique to each outcome. Bayesian inference via the Integrated Nested Laplace Approximation (INLA) was used for implementation. Priors for shared effects ​were set as log-normal distributions, while Gaussian priors were assigned to fixed effects. Intrinsic Conditional Autoregressive (ICAR) priors modelled spatial dependencies between districts, introducing spatial autocorrelation based on shared boundaries. Penalised Complexity (PC) priors controlled precision parameters to balance model complexity.</p><p><strong>Results: </strong>The study revealed low sexual health knowledge (ranging from 3% in Nigeria to 27% in Uganda) and modern contraceptive use (ranging from 1% in DR Congo and Chad to 27% in Uganda) among women with disabilities across the countries surveyed. The spatial patterns showed diverse intra-country and inter-country disparities of sexual health knowledge and modern contraceptive use among the women, with lower shared impact observed in Mauritania, Nigeria, Uganda, Chad, and DR Congo relative to Kenya, Malawi, Mali, South Africa, and Rwanda. Factors that influence sexual health knowledge and modern contraceptive use among women with disabilities include education, marital status, place of residence, community literacy level, community socio-economic status, and age.</p><p><strong>Conclusions and recommendations: </strong>Sexual health knowledge and modern contraceptive use among women with disabilities in Africa remain low, albeit with varied intra-country and inter-country spatial disparities. Therefore, spatial areas with low sexual health knowledge and modern contraceptive use should be given more attention when implementing measures to promote the use of modern contraceptives among women with disabilities. Promoting sexual health knowledge and modern contraceptive use among women with disabilities in Africa could significantly contribute towards the realisation of the 2030 Sustainable Development Goal agenda of \"leaving no one behind\".</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"16"},"PeriodicalIF":2.2,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525590","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 association between age at menarche and infertility: a systematic review and meta-analysis of observational studies.","authors":"Mahmood Moosazadeh, Amir-Hassan Bordbari, Seyyed Mohammad Hashemi, Maliheh Ghasemi Tirtashi, Saeed Kargar-Soleimanabad","doi":"10.1186/s40834-025-00346-7","DOIUrl":"10.1186/s40834-025-00346-7","url":null,"abstract":"<p><strong>Objective: </strong>Both early and late age at menarche have been associated with various health issues and may influence the risk of infertility. This present study investigated the relationship between age at menarche and infertility risk.</p><p><strong>Methods: </strong>This study follows PRISMA guidelines. Databases including PubMed, Scopus, Web of Science, Embase, and Cochrane were searched in December 2024. Odds ratios with 95% confidence intervals were estimated using a random-effects model. Heterogeneity was assessed with the I² index and chi-square, and publication bias was evaluated using Egger's test and a funnel plot. Sensitivity analysis and meta-regression examined study impact and variable influence on heterogeneity.</p><p><strong>Results: </strong>Out of 7,267 articles screened, 18 primary studies were included, yielding 21 pieces of evidence. The odds ratio (OR) for infertility in the late menarche group compared to the normal menarche group was 1.44 (95% CI: 0.98-2.10), while the OR for the early menarche group versus the normal menarche group was 0.98 (95% CI: 0.68-1.42). Additionally, the OR for infertility in the early menarche group compared to the late menarche group was 0.77 (95% CI: 0.55-1.06). For primary infertility, the OR for the late menarche group relative to the normal menarche group was 1.98 (95% CI: 1.02-3.85), whereas the OR for the early menarche group compared to the late menarche group was 0.59 (95% CI: 0.36-0.97).</p><p><strong>Conclusion: </strong>Although the overall meta-analysis lacked statistical significance, subgroup analysis revealed a notable association between late menarche and primary infertility. Women with late menarche had higher odds of infertility, supporting a dose-responsive relationship. The observed 44% increase in infertility odds highlights late menarche as a potential risk factor, warranting further investigation into its implications for reproductive health.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"15"},"PeriodicalIF":2.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11853611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143495057","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":"Multilevel analysis of quality of intrapartum care and its associated factors: evidence from 35 Sub-Saharan African countries demographic and health survey.","authors":"Enyew Getaneh Mekonen, Mohammed Seid Ali","doi":"10.1186/s40834-025-00345-8","DOIUrl":"10.1186/s40834-025-00345-8","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The majority of feto-maternal morbidities and mortalities in sub-Saharan Africa, happen during the intrapartum period. Maternal mortality and morbidity have not decreased as much as anticipated, despite the significant progress made by many nations to improve access to maternity services. There are currently no nationally representative studies in sub-Saharan Africa assessing the quality of intrapartum care and its associated factors. Hence, this study aimed to determine the quality of intrapartum care and identify its associated factors using Demographic and Health Survey data from 35 countries.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Data from the most recent health and demographic surveys, which were carried out between 2006 and 2022 in 35 sub-Saharan African countries, were used. This analysis included a weighted sample of 353,483 women who had given birth within the last five years. STATA/SE version 14.0 statistical software was used to clean, recode, and analyze data that had been taken from DHS data sets. Utilizing multilevel mixed-effects logistic regression, the factors associated with the outcome variable were identified. Model comparison and fitness were assessed using deviance (-2LLR), likelihood ratio tests, median odds ratios, and intra-class correlation coefficient values. Ultimately, factors were deemed statistically significant if they had a p-value &lt; 0.05.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;About 28.58% (95% CI: 28.43-28.73) of the study subjects had received quality intrapartum care. Factors the like respondent's age [AOR = 1.49; 95% CI (1.42, 1.57)], educational status [AOR = 1.80; 95% CI (1.76, 1.85)], working status [AOR = 1.03; 95% CI (1.01, 1.05)], media exposure [AOR = 1.19; 95% CI (1.16, 1.21)], household wealth index [AOR = 1.53; 95% CI (1.49, 1.56)], family size [AOR = 0.90; 95% CI (0.88, 0.92)], healthcare decisions [AOR = 1.04; 95% CI (1.01, 1.06)], sex of the household head [AOR = 1.08; 95% CI (1.05, 1.10)], ANC visits attended during pregnancy [AOR = 0.60; 95% CI (0.59, 0.61)], number of children ever born [AOR = 0.57; 95% CI (0.55, 0.58)], age at first birth [AOR = 1.06; 95% CI (1.04, 1.08)], mode of delivery [AOR = 0.71; 95% CI (0.68, 0.73)], and residence [AOR = 1.09; 95% CI (1.06, 1.11)] were significantly associated with the quality of intrapartum care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;In the present study, less than one in three mothers had received quality intrapartum care. Respondent's age, educational status, working status, media exposure, household wealth index, healthcare decisions, sex of the household head, age at first birth, and residence were associated with the quality of intrapartum care. Health policy makers and program planners should empower women through comprehensive education and mass media campaigns in order to maximize the quality of intrapartum care. It is also advised that each country's Ministry of Health assess its community health professionals and medical fac","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"14"},"PeriodicalIF":2.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143495055","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":"Regional disparities on contraceptive intention and its sociodemographic determinants among reproductive women in Nigeria.","authors":"Jamilu Sani, Alabi Olatunji Oluyomi, Ismail Garba Wali, Mohamed Mustaf Ahmed, Salad Halane","doi":"10.1186/s40834-025-00342-x","DOIUrl":"10.1186/s40834-025-00342-x","url":null,"abstract":"<p><strong>Background: </strong>Despite efforts to improve its uptake, contraceptive use in Nigeria remains low. Understanding regional disparities and sociodemographic determinants of contraceptive intention is crucial for developing effective family planning strategies. This study aimed to investigate these factors in women of reproductive age in Nigeria.</p><p><strong>Methods: </strong>This cross-sectional study analysed data from 36,179 women aged 15-49 participating in the 2018 Nigerian Demographic and Health Survey (NDHS). Bivariate and multivariable logistic regression analyses were conducted to assess the association between sociodemographic factors and contraceptive use intention.</p><p><strong>Results: </strong>The overall prevalence of contraceptive intentions was 39.18%, with significant regional variation. South East had the highest intention at 44.85%, while North East had the lowest intention at 34.76%. Education was a strong predictor, with those with higher education showing 2.657 times greater odds of using contraception (AOR: 2.657, 95% CI: 2.339-3.019, p < 0.001). Muslim women and rural residents exhibited lower odds of intention, while women aged 20-24 years had the highest odds (AOR: 1.305, 95% CI: 1.187-1.435, p < 0.001).</p><p><strong>Conclusion: </strong>There were significant regional disparities and complex sociodemographic patterns in contraceptive intention among Nigerian women. Tailored interventions addressing educational, religious, economic, and geographical barriers are required to increase contraceptive uptake and improve reproductive health outcomes.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"13"},"PeriodicalIF":2.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470271","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":"Access to and uptake of contraceptives among pregnant women with disabilities in the Central Ethiopia Regional State, Ethiopia: community-based cross-sectional study.","authors":"Abebe Alemu Anshebo, Yilma Markos, Sujit Behera, Natarajan Gopalan","doi":"10.1186/s40834-025-00340-z","DOIUrl":"10.1186/s40834-025-00340-z","url":null,"abstract":"<p><strong>Introduction: </strong>Accessing quality and equitable contraceptive services is significant for reaching the recently announced Sustainable Development Goals. In Ethiopia, women with disabilities continue to confront several barriers to accessing adequate contraceptive services. Nevertheless, little is known about contraceptive uptake and associated factors among pregnant women with disabilities in Ethiopia. This study aimed to assess the contraceptive uptake and associated factors among pregnant women with disabilities in the Central Ethiopia Regional State, Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted, with 562 study participants recruited using a multistage random sampling procedure. Data were collected through face-to-face interviews using the Kobo Toolbox. A bivariate and multivariable logistic regression model was used to identify variables associated with contraceptive uptake. At p < 0.05, the association of variables was found to be statistically significant.</p><p><strong>Result: </strong>In this study, only 38.1% (95% CI: 33.5, 42.3) of study participants used contraceptives. The significantly associated factors were: women's age (≥ 35 years, AOR = 0.17, 95% CI: 0.07, 0.46, p < 0.0001), marital status (AOR = 0.21, 95% CI: 0.12, 0.64, p < 0.0001), women education (tertiary and above, AOR = 8.44, 95% CI: 4.2, 13.2, p < 0.0001), number of pregnancies (AOR = 0.28, 95% CI: 0.17, 0.45, p < 0.0001), lack of contraceptives awareness (AOR = 0.12. 95% CI: 0.06, 0.24 p < 0.0001), contraceptive service accessibility (AOR = 6.02, 95% CI: 3.8, 9.54, p < 0.0001), and spousal support to use contraceptives (AOR = 4.52, 95% CI: 2.85, 7.2, p < 0.0001).</p><p><strong>Conclusion: </strong>This finding concludes that there is a significant unmet need for contraceptive services among pregnant women with disabilities in the Central Ethiopia Regional State, Ethiopia. To enhance contraceptive uptake, it is suggested to engage husbands in health promotion initiatives, implement community-based awareness campaigns, train healthcare providers on the unique needs of women with disabilities and design disability-friendly health facilities.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"12"},"PeriodicalIF":2.2,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451191","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":"Individual and community-level factors associated with ovulatory cycle knowledge among women in Ghana: a multilevel analysis of recent demographic and health survey data.","authors":"Begetayinoral Kussia Lahole, Kusse Urmale Mare, Henok Toga Wada, Simeon Meskele Leyto, Asaminew Birhanu Balta","doi":"10.1186/s40834-025-00343-w","DOIUrl":"10.1186/s40834-025-00343-w","url":null,"abstract":"<p><strong>Background: </strong>Knowledge of the ovulatory cycle plays a crucial role in reducing the incidence of unintended pregnancies and promoting women's reproductive health. However, there exists a paucity of research on the determinants associated with ovulatory cycle knowledge specifically within the context of Ghana. Therefore, the objective of this study was to investigate the individual and community-level factors that influence knowledge of the ovulatory cycle among women of reproductive age in Ghana.</p><p><strong>Methods: </strong>The study utilized data from the 2022 Ghana Demographic and Health Survey, which included a representative sample of 6,839 women of reproductive age. Using a multilevel logistic regression model, the study aimed to identify factors influencing knowledge of the ovulatory cycle. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were employed to assess the associations between explanatory variables and knowledge of the ovulatory cycle. Statistical significance was determined at a p-value threshold of less than 0.05. All data analyses were performed using STATA version 17 software.</p><p><strong>Results: </strong>The prevalence of knowledge regarding the ovulatory cycle among Ghanaian women was 42.3% (95% CI: 41.1-43.5%). In the multivariable mixed-effects logistic regression model, factors associated with knowledge of the ovulatory cycle included women aged 30-39 (AOR: 1.62, 95% CI: 1.54-2.73) and 40-49 (AOR: 1.51, 95% CI: 1.39-1.66), women's educational attainment (AOR: 1.62, 95% CI: 1.55-2.59), household wealth index (AOR: 1.51, 95% CI: 1.10-2.25), and partner's education level (AOR: 1.59, 95% CI: 1.20-2.11). Additionally, community-level factors such as community level literacy (AOR: 4.5, 95% CI: 2.22-9.25), and residing in the Eastern (AOR: 0.36, 95% CI: 0.19-0.68) and Oti (AOR: 0.26, 95% CI: 0.13-0.53) regions were significantly associated with knowledge of the ovulatory cycle.</p><p><strong>Conclusion: </strong>The prevalence of ovulatory cycle knowledge among Ghanaian women was low, with significant determinants including age, women's education, wealth, partner's education, community literacy rates, and regional disparities. These findings highlight the importance of targeted educational interventions to improve reproductive health literacy, especially in underserved communities and regions with lower educational attainment in Ghana.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"11"},"PeriodicalIF":2.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426824","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":"Challenges in reducing grand multiparity rates in Ethiopia: an analysis of 2019 EDHS data using a multilevel model approach.","authors":"Diriba Dibaba, Tesfaye Getachow Charkos","doi":"10.1186/s40834-024-00328-1","DOIUrl":"10.1186/s40834-024-00328-1","url":null,"abstract":"<p><strong>Background: </strong>One of the Sustainable Development Goals (2030) focuses on reducing the total fertility rate. Reducing grand multiparity in Ethiopia remains a challenge. Understanding the underlying factors that contribute to this issue is crucial for explaining why grand multiparity remains prevalent despite various health interventions and socio-economic progress.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted using data from the Ethiopian Demographic and Health Survey 2019. Multilevel multivariable logistic regression analysis was employed to model the hierarchical data. The final findings were presented as adjusted odds ratios (AOR) with 95% confidence intervals (CI). A p-value < 0.05 was considered statistically significant.</p><p><strong>Result: </strong>The trend analysis of grand multiparity in Ethiopia over 19 years shows no significant change (linear trend = 1.23, p = 0.27). The prevalence slightly decreased from 72% in the 2000 EDHS to 66.3% (95% CI: 65.7 - 66.96%) in the 2019 mini EDHS. Additionally, the highest prevalence of grand multiparity was observed among illiterate women (79.7%), those from poor households (54.8%), non-family planning users (77.5%), and residents of the Oromia (15.8%) and SNNPR (15.4%) regional states. Significant individual-level factors associated with grand multiparity include wealth index, marital status, maternal education, non-use of family planning, use of short-acting family planning, age at first birth < 18 years, and short birth intervals. At the community level, rural residency was significantly associated with grand multiparity.</p><p><strong>Conclusion: </strong>This study emphasizes the need for targeted interventions to address the socio-economic and reproductive factors driving grand multiparity, especially in rural areas and among disadvantaged populations. To improve maternal and child health outcomes, we recommend that the government focus on lowering fertility rates through need-based family planning services and promoting the well-being of women of reproductive age.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"10"},"PeriodicalIF":2.2,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11795992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257655","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":"Determinants of infertility among married women who attend gynecologic unit at health facilities of Gamo Zone and South Omo Zone, Southern Ethiopia: a case control study.","authors":"Firehiwot Haile, Selamawit Gebeyehu, Hanan Abdulkadir, Yordanos Gizachew, Mesrach Hailu","doi":"10.1186/s40834-024-00330-7","DOIUrl":"10.1186/s40834-024-00330-7","url":null,"abstract":"<p><strong>Background: </strong>Infertility defined as the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse. Globally, infertility affects 15% of couples in the reproductive age.</p><p><strong>Purpose: </strong>To identify determinants of infertility among married women who attend care at public health facilities of Gamo Zone and South Omo Zone, Southern Ethiopia.</p><p><strong>Patients and methods: </strong>An Institution-based un-matched case-control study was conducted from May 1, 2022-May 30, 2023G.C. Participants were selected by systematic random sampling method after allocating the sample size proportionally to the health facilities. The data was collected by using the Open Data Kit (ODK) app through face-to-face interviews and exported to SPSS version 25 for analysis. The chi-square test and multivariable logistic regression model were used to identify determinants (P value < 0.05).</p><p><strong>Result: </strong>A total of 760 married women (152 cases and 608 controls) in the reproductive age group were included in this study. The mean age of the respondents was 26.5(SD ± 5.27) years. In multivariable analysis: age, educational status of the woman, residence, family size, ever use of contraceptives, history of STI, history of abortion, menstrual pattern and current alcohol use were identified as determinants of infertility.</p><p><strong>Conclusion: </strong>Factors such as older age, lower education, rural living, smaller families, lack of contraceptive use, history of STIs, past abortions, irregular periods, and current alcohol consumption were found to increase the risk of infertility. To reduce infertility rates, it is crucial to improve STI prevention, expand access to family planning services, and promote women's education.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"8"},"PeriodicalIF":2.2,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124031","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":"Exploring knowledge, attitudes, practices, and determinants regarding emergency contraception use among female university students in Goma, Democratic Republic of the Congo: a cross-sectional study.","authors":"Patricia Lukusa Mishika, Olivier Mukuku, Amos Kamundu, Kaymarlin Govender, Stanislas Okitotsho Wembonyama, André Kabamba Mutombo","doi":"10.1186/s40834-025-00339-6","DOIUrl":"10.1186/s40834-025-00339-6","url":null,"abstract":"<p><strong>Introduction: </strong>Emergency contraception is an essential method for preventing unintended pregnancies, especially after unprotected sexual intercourse. However, knowledge, attitudes, and practices related to emergency contraception among university students remain underexplored, particularly in low-resource settings such as Goma, Democratic Republic of the Congo. The objective of this study is to assess the knowledge, attitudes, practices, and determinants influencing the use of emergency contraception among female students in Goma.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted with 677 female students from two universities in Goma who were selected via a cluster sampling method. Data were collected via a preestablished questionnaire, and participants were interviewed after providing consent. The data were analysed via STATA 16, with chi-square tests to compare variables, considering a significance threshold of 5%.</p><p><strong>Results: </strong>A total of 625 (92.32%) students reported being aware of emergency contraception, and 80.32% demonstrated good knowledge of it. In terms of attitudes, 533 (85.28%) students had positive attitudes towards emergency contraception. Among the 625 students who were familiar with emergency contraception, 416 had engaged in sexual intercourse, with 294 (70.67%) having utilized emergency contraception. Factors significantly linked to emergency contraception use included being single (adjusted OR = 1.9 [95% CI: 1.1-3.2]), possessing good knowledge (adjusted OR = 3.0 [95% CI: 1.6-5.8]), and having a positive attitude (adjusted OR = 2.4 [95% CI: 1.1-4.9]).</p><p><strong>Conclusion: </strong>Although the students demonstrated good awareness of emergency contraception and its utilization, the high frequency of emergency contraception use underscores the importance of promoting knowledge about conventional contraceptive methods. It is crucial to enhance educational campaigns within universities to mitigate the elevated risk of unsafe abortions.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"9"},"PeriodicalIF":2.2,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124032","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 male acceptance of modern contraceptive methods. A descriptive cross-sectional study in a peri-urban municipality.","authors":"Judith A Anaman-Torgbor, Mirialys Fiona Nana Ama Anaman, Elvis Reindolf Kale, Kennedy Diema Konlan","doi":"10.1186/s40834-025-00338-7","DOIUrl":"10.1186/s40834-025-00338-7","url":null,"abstract":"<p><strong>Background: </strong>Male knowledge and acceptance of modern contraceptive use play a significant role in uptake. This study assessed the factors associated with male acceptance of modern contraceptive methods in Ho Municipality.</p><p><strong>Methods: </strong>A cross-sectional study with a quantitative approach was employed. Systematic random sampling was used to select 503 participants from households with married men and women. A structured pre-tested questionnaire, including open-ended and closed-ended questions, was researcher assistant administered. Data analysis was conducted using STATA version 17.</p><p><strong>Results: </strong>The majority of the respondents identified that contraceptives are used to prevent pregnancy (91.19%), and also identified the following as birth control commodities: birth control pills (64.94%), female condoms (15.71%), intrauterine devices - IUDs (4.79%), and implants (4.21%). Factors such as affordability, employment status, income, and access significantly influenced male acceptance of contraceptives. The study revealed that men (84.67%) agreed with their partner to use contraceptives after sexual intercourse while only 37% agreed to use contraceptives before sexual intercourse. Among those who did not accept the use of modern contraceptives, the reason provided was the fear of side effects (65.13%). Men who find modern contraceptives affordable were more likely to use them (AOR = 8.15; 95%CI:3.49-19.02; p-value < 0.001). Also, unemployed men were less likely to use modern contraceptives (AOR = 0.14; 95%CI:0.044-0.44; p-value = 0.001). Men with lower income (50-900 cedis average monthly income level) were less likely to use modern contraceptives (AOR = 0.28; 95%CI:0.07-1.02; p-value = 0.05).</p><p><strong>Conclusion: </strong>Increasing interventions aimed at continuously reducing the cost of modern contraceptives is essential for improving male acceptance and the overall success of modern contraceptive use in other communities with low male involvement. The government, Healthcare agencies, community leaders, and family planning organizations should work together to actively intervene in lowering the cost of modern contraceptives to improve access by men.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"7"},"PeriodicalIF":2.2,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11765917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048888","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}