Contraception and reproductive medicine最新文献

{"title":"Understanding men's perspective on women's contraceptive use in Tanzania: insights from the 2022 Demographic and Health Survey.","authors":"Elihuruma Eliufoo Stephano, Rehema Bakari Omari, Victoria Godfrey Majengo, Shazra Kazumari, Azan Abubakar Nyundo, Mtoro Jabar Mtoro","doi":"10.1186/s40834-025-00409-9","DOIUrl":"10.1186/s40834-025-00409-9","url":null,"abstract":"<p><p>BACKGROUND: Male dominance in reproductive health decision-making, specifically family planning has been argued to have a significant influence on uptake of sexual and reproductive health services. However, the extent of men’s influence on women’s contraceptive use and the factors shaping their perception remain underexplored in Tanzania. This study aims to examine the prevalence and factors associated with men’s perspectives on women’s contraceptive use in Tanzania. METHODS: An Analytical cross-sectional study of the 2022 Tanzania Demographic and Health Surveys data was conducted. The study included 5,763, selected through a two-stage sampling method. Generalized Poisson regression model was used to determine factors associated with men’s perspective on women contraceptive use. Adjusted prevalence ratio (APR) with 95% confidence intervals (CI) were reported, and statistical significance was set at p < 0.05. RESULTS: The overall men’s perspective regarding women’s contraceptive use was 59.9% (95%CI: 57.9–61.9). Less than half, 46.0% disagrees that contraception is woman’s business, man shouldn’t worry and 40.2% disagree that women who use contraception become promiscuous. In the adjusted regression analysis, men in secondary or higher education were more likely to have a positive perception towards women’s contraceptive use than those with no formal education (APR = 1.27, 95%CI:1.09–1.13). Married or cohabiting men were 16% more likely to have positive perceptions towards contraceptive use than never married men (APR = 1.16, 95% CI:1.04–1.30). Men who were working (APR = 1.14, 95%CI:1. 04-1.34) and those with media exposure (APR = 1.19, 95% CI:1. 07-1.33) were more likely to have positive perceptions than their counterparts. Men with exposure to family planning messages were 14% more likely to have a positive perception than their counterparts (APR = 1.14, 95%CI:1.05–1.23). CONCLUSION: This study reaffirms that education, marital status, employment, and targeted family planning communications are vital contributors to shaping positive male perspectives towards women’s contraceptive use. Addressing these challenges through multi-level, gender-inclusive interventions designed to increase men’s knowledge, confront myths, and adapt health services is essential for improving contraceptive use and ultimately reducing maternal and child health risks. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"72"},"PeriodicalIF":2.5,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12613496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508535","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":"Immediate postpartum long acting reversible contraceptive uptake and associated factors at Asella Referral and Teaching Hospital, Ethiopia.","authors":"Alemtsehay Teshome, Adane Sisay, Amde Eshete, Esayas Regasa, Melkamu Siferih, Daniel Teshome","doi":"10.1186/s40834-025-00406-y","DOIUrl":"10.1186/s40834-025-00406-y","url":null,"abstract":"&lt;p&gt;&lt;p&gt;BACKGROUND: Utilizing postpartum long acting reversible contraceptive (LARC) is a key tactic for reducing unwanted pregnancies and increasing birth spacing. The immediate postpartum period is an ideal time to offer LARC methods, as their provision during this period is both safe and effective. Despite these benefits, LARC utilization remains low in Ethiopia. This study aimed to determine the prevalence of immediate postpartum LARC uptake and identify factors associated with its use at Assela Referral and Teaching Hospital (ARTH), Ethiopia. METHODS: A cross-sectional study was conducted through exit interviews with postpartum mothers in the postnatal and post-operative wards of ARTH from August 1 to October 30, 2024. Participants were selected using systematic random sampling from sampling frame. Data were collected via face-to-face interviews using a pretested structured questionnaire administered by trained data collectors with the Kobo Collect tool. The data were then exported to Statistical Package for the Social Sciences (SPSS) version 26 for analysis. Categorical variables were summarized using frequencies and percentages, while means and standard deviations described continuous variables. Descriptive statistics, bivariable, and multivariable binary logistic regression analyses were performed, with statistical significance set at a p-value of less than 0.05. RESULTS: Out of the targeted sample, 317 respondents completed the study, yielding a response rate of 99.06%. The Magnitude of immediate postpartum LARC uptake was 35.3% (95% CI: 30.3–40.7). The most frequently used postpartum LARC method was Nexplanon (80.4%), followed by Cooper intrauterine devices (IUDs) at 14.3%. Factors such as having ≥ 4 children (AOR = 2.31; 95% CI: 1.01–6.28; p = 0.041), cesarean delivery (AOR: 2.14, 95% CI: 1.19–6.72, P = 0.032), heard about LARC (AOR = 2.44; 95% CI: 1.43–6.05; p = 0.033, previous LARC use (AOR = 5.04; 95% CI: 1.56–9.08; p = 0.023), counseling about contraceptives use (AOR = 3.51; 95% CI: 1.45–8.83; p = 0.041), and discussions with partners about contraceptives (AOR = 4.03; 95% CI: 2.05–9.41; p = 0.024) were significantly associated with LARC utilization during immediate post-partal period. CONCLUSION: This study found that approximately one in three women delivering at Asella Referral and Teaching Hospital initiated immediate postpartum long-acting reversible contraceptives (IPPLARC). Factors significantly associated with uptake included having ≥ four children, cesarean delivery, prior awareness and use of LARC, contraceptive counseling, and Male partner involvement in LARC discussions. To improve uptake, health policymakers and hospital administrators should integrate structured contraceptive counselling into routine maternal care, particularly during antenatal care and both cesarean and vaginal deliveries. Health professionals should actively involve male partners and implement targeted awareness campaigns to address misconceptions, esp","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"71"},"PeriodicalIF":2.5,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12551181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145369091","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":"Non utilization of modern contraceptives among sexually active adolescent girls and young women aged 10-24 years in selected districts of Busoga region, Eastern Uganda: a cross-sectional study.","authors":"Godfrey Tumwizere, Nelson Bunani, Nicholas Muhumuza, Angel Uwera, Allen Kabagyenyi","doi":"10.1186/s40834-025-00407-x","DOIUrl":"10.1186/s40834-025-00407-x","url":null,"abstract":"<p><p>BACKGROUND: The nonuse of modern contraceptives among sexually active Adolescent Girls and Young Women (AGYW) impacts their health, future aspirations, and overall well-being. Addressing nonuse is crucial in empowering AGYW to take control of their future. This study aimed to determine the proportion of sexually active AGYW who are not using modern contraceptives and the associated factors in selected districts of the Busoga subregion, Eastern Uganda. METHODS: The study used a cross-sectional design utilizing quantitative data from 490 randomly selected sexually active young people in the Busoga subregion. Data were collected through in-person interviews using a questionnaire designed using Kobo Collect software. A multivariable modified Poisson regression model was used to estimate prevalence ratios for the factors associated with the non-utilization of modern contraceptives. RESULTS: The mean age of respondents was 19.3 years (Standard Deviation = 6.7). Out of 490 sexually active adolescent girls and young women, 43.1% were not using modern contraceptives. The prevalence of non utilization of modern contraceptives was 33% higher among adolescent girls and young women who are not confident discussing contraceptives with peers and older Adults (APR = 1.331 95% CI:1.056–1.667) compared to those who were confident. Likewise, adolescent girls and young women who were not confident discussing about contraceptives with their partners had a 37% higher prevalence of non-utilization (APR = 1.373; 95% CI: 1.023–1.845) and those who found modern contraceptive service points inaccessible had a 38% higher prevalence of non-utilization (APR = 1.386; 95%CI: 1.021–1.845). On the other hand, the prevalence of non-utilization of modern contraceptives was 37% lower among marrieds (APR = 0.631; 95% CI:0.475–0.838) compared to singles, while the prevalence of non-utilization is 38% lower among those who interact with community health workers/Village Health Teams (APR = 0.623; 95%CI: 0.401–0.967) compared to their counterparts. CONCLUSIONS: The nonuse of modern contraceptives among Adolescent girls and young women is high in eastern Uganda. Nonuse is influenced by sociodemographic factors and social norms. Interventions should enhance confidence building in discussing contraceptives through peer-led programs, make modern contraceptives more accessible, strengthen community-based outreaches and target young married people with tailored family planning awareness emphasizing the role of contraception. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"70"},"PeriodicalIF":2.5,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12542313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350437","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":"Intention to switch from short-acting to long-acting reversible contraceptives among refugee women in Ethiopia: application of the theory of planned behavior.","authors":"Andamlak Gizaw Alamdo, Agnes M Kotoh, Emefa Judith Modey, Juliana Yartey Enos","doi":"10.1186/s40834-025-00403-1","DOIUrl":"10.1186/s40834-025-00403-1","url":null,"abstract":"<p><p>BACKGROUND: The validity of the theory of planned behavior (TPB) in predicting health behavior intention has proven its applicability to various health behaviors, such as condom uptake, HIV prevention, and contraception use in resource-limited settings. However, the effectiveness of the TPB framework in understanding refugee women’s intention to switch from short-acting contraceptives (SAC) to long-acting and reversible contraceptives (LARC) remains unclear. This study examined how the TPB predicts refugee women’s intention to switch from SAC to LARC. METHODS: This study is a nested component of a larger retrospective cohort examining contraceptive use dynamics among women in Ethiopian refugee camps. Initially, 1,290 family planning records from selected health facilities in Ethiopian refugee camps were reviewed. These records included 551 women who began using contraceptives between September 2022 and February 2023 (387 started SAC and 164 started LARC). Among SAC users, 238 women who were current users and familiar with LARC methods (implants and/or IUDs) participated in this study. Data collection involved computer-assisted face-to-face interviews conducted using the Open Data Kit (ODK) toolkit. Four constructs, based on the TPB variables, measured using a 7-point Likert scale, were analyzed to explore the relationship between attitude, subjective norms, and perceived behavioral control as predictors of the intention to switch from SAC to LARC. The Structural Equation Model (SEM) with the Stata SEM Builder and maximum likelihood estimation was used to evaluate how well the data fit the TPB model and identify the key predictors of the intention to switch from SAC to LARC. RESULTS: All specified relations between the three constructs and the intention to switch from SAC to LARC in TPB were exhibited as statistically significant. The TPB model accounted for 66.3% of the variation in the intention to switch from SAC to LARC. A positive attitude toward LARC use (β = 0.16; P = .014), strong subjective norms (β = 0.46; P = .001), and higher perceived behavioral controls (β = 0.17; P = .001) had a positive influence on refugee women’s intention to switch from SAC to LARC. CONCLUSION: The TPB model demonstrated a good fit for examining refugee women’s intention to switch from SAC to LARC, with the subjective norm being the strongest predictor. </p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"69"},"PeriodicalIF":2.5,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12539058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350367","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":"Attitudes and beliefs towards contraception and future intention to use a method among women in refugee settlements in Uganda.","authors":"Peter Kisaakye, Francis Obare, George Odwe, Yohannes Dibaba Wado, Gloria Seruwagi, Yadeta Dessie, Bonnie Wandera, Dagim Habteyesus, Abir Nur, Stephen Kizito, Caroline W Kabiru, Stella Muthuri, Chi-Chi Undie","doi":"10.1186/s40834-025-00372-5","DOIUrl":"10.1186/s40834-025-00372-5","url":null,"abstract":"<p><strong>Objective: </strong>To examine the association between attitudes towards contraception and future intention to use a method among women aged 15-45 years in two refugee settlements in Uganda.</p><p><strong>Data and methods: </strong>We used baseline data from a prospective study conducted among 1794 sexually active women aged 15-45 years, who were not using a contraceptive method at the time of the survey in Kyangwali and Kiryandongo refugee settlements in Uganda. We generated descriptive statistics and chi-square tests to examine the association between intention to use a contraceptive method in future and beliefs and attitudes towards contraception.</p><p><strong>Results: </strong>About a third (30.7%) of non-users intended to use a contraceptive method in future. The proportion of women who intended to use contraception in future was significantly higher among those who, or whose partners, supported its use compared to those who, or whose partners, opposed or were uncertain. Most women who did not intend to use contraception in future believed that their religion did not support married couples using contraception. More women intended to use a method in future if they believed that they could easily access it, the method is effective at preventing a pregnancy, and the method suitable to use or easy to use.</p><p><strong>Conclusions: </strong>Intention to use a method in future was low among women living in refugee settings in Uganda, with side effects being a major reason for non-use among those who intend to use a method in future. Interventions aimed at increasing contraceptive use should focus on counselling strategies that diffuse misinformation related to health concerns.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"68"},"PeriodicalIF":1.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260266","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":"Ovario-protective effect of intra-ovarian injection of platelet rich plasma (PRP) after laparoscopic cystectomy of ovarian endometrioma: a randomized control trial.","authors":"Samaneh Rokhgireh, Fereshteh Rahimi, Neda Eslahi, Roya Derakhshan, Arash Mohazzab","doi":"10.1186/s40834-025-00377-0","DOIUrl":"10.1186/s40834-025-00377-0","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of Platelet-Rich Plasma (PRP) in preserving ovarian reserve in patients with endometriosis who underwent laparoscopic cystectomy.</p><p><strong>Method: </strong>A randomized, parallel, open-label phase II clinical trial was conducted. A total of 38 eligible women aged 20 to 35 years with ovarian endometrioma, candidates for laparoscopic ovarian cystectomy, were randomly assigned to either the PRP group (n = 20) or the control group (n = 18). The PRP group received an intra-ovarian injection of 2-4 cc of PRP immediately after cystectomy, while the control group underwent cystectomy without additional intervention. The primary outcome was the change in serum anti-Müllerian hormone (AMH) levels six months post-intervention. The secondary outcome was the antral follicle count (AFC) six months post-intervention. Short-term adverse effects were monitored within the first 48 h after the procedure.</p><p><strong>Results: </strong>The PRP group showed a negligible change in AMH levels (mean difference 0.05, 95% CI: -0.17 to 0.26), while the control group exhibited a significant decline (mean difference - 0.24, 95% CI: -0.5 to 0.12). The adjusted mean difference between the groups was - 0.308 (-0.626 to -0.01), tending toward statistical significance (P = 0.057). No significant differences in AFC were observed between the groups, and no short-term adverse events were reported.</p><p><strong>Conclusions: </strong>This phase II exploratory trial found a near-significant trend toward preservation of AMH levels with intra-ovarian PRP injection after endometrioma surgery. While these findings are not definitive, they support the feasibility and safety of the approach and warrant further evaluation in larger, controlled trials.</p><p><strong>Trial registration: </strong>The study was prospectively registered in the Iranian Registry of Clinical Trials under the number IRCT20191123045476N3 on December 1, 2021 ( https://irct.behdasht.gov.ir/trial/58688 ).</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"66"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208798","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":"Piloting measures of provider-imposed contraceptive coercion among reproductive-aged contraceptive users in Kisumu, Kenya: a cross-sectional, population-based study.","authors":"Brooke W Bullington, Stephanie Chung, Dickens Otieno Onyango, Leigh Senderowicz, Emilia Goland, Claire W Rothschild, Abigael Mwanyiro, Ben Wekesa, Brian Frizzelle, Ginger Golub, Katherine Tumlinson","doi":"10.1186/s40834-025-00394-z","DOIUrl":"10.1186/s40834-025-00394-z","url":null,"abstract":"<p><strong>Introduction: </strong>Little research has focused on measuring free contraceptive choice, or whether individuals can make decisions about contraception without barriers or coercion. To advance measurement, we pilot survey questions focused on experiences of provider-imposed contraceptive coercion using population-based data collected among contraceptive users in Kisumu, Kenya.</p><p><strong>Methods: </strong>We describe the percentage of women who reported provider-imposed coercion-related outcomes. We then examine demographic and facility-level correlates of feeling pressured or unable to say no to contraception and compare the extent that measures of feeling pressured and unable to say no to contraception overlap using 2 × 2 tables and Cohen's Kappa Statistic.</p><p><strong>Results: </strong>The percentage of participants who reported provider-imposed coercion ranged by question from 1% to 57%. There were no associations between demographic or facility characteristics, including age, marital status, parity, and facility type (public or private), and either reporting feeling pressured or reporting feeling unable to say no to using contraception. There was no agreement between measures of feeling pressured and unable to say no to contraception (Kappa statistic - 0.11).</p><p><strong>Conclusions: </strong>Our findings suggest that many women in Kisumu report experiencing some form of provider-imposed contraceptive coercion, though the proportion who report such experiences varies based on survey question. Further research is needed to improve reliable measurement of free contraceptive choice.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"64"},"PeriodicalIF":2.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208832","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":"Sociodemographic factors associated with modern contraceptive use in Japan: an analysis of national survey data.","authors":"Tasuku Okui","doi":"10.1186/s40834-025-00391-2","DOIUrl":"10.1186/s40834-025-00391-2","url":null,"abstract":"<p><strong>Background: </strong>Few studies have examined the sociodemographic characteristics associated with modern contraceptive use in Japan. This study investigated these associations using data from the National Fertility Survey.</p><p><strong>Methods: </strong>Data were retrieved from the National Fertility Survey targeting unmarried individuals and married women in Japan. The analysis included unmarried individuals with sexual experience and sexually active married women intending to stop or space childbirths. Modern contraceptive use was examined in relation to sociodemographic characteristics, including age group, number of children, educational attainment, employment status, and income, among unmarried men and women as well as married women. Modified Poisson regression models were employed for the analysis.</p><p><strong>Results: </strong>Data from 4,874 unmarried individuals and 1,533 married women were used in the analysis. Among both groups, younger age was associated with a higher prevalence of modern contraceptive use. Among unmarried individuals, having one or two children was significantly negatively associated with modern contraceptive use. Conversely, among married women, having multiple children was positively associated with modern contraceptive use. Additionally, a significant negative association was found between being a junior high or high school graduate and modern contraceptive use among unmarried men. Similarly, a significant negative association was observed among married women who were high school graduates. Conversely, modern contraceptive use was significantly positively associated with being an unemployed wife.</p><p><strong>Conclusions: </strong>Modern contraceptive use in Japan was associated with various sociodemographic characteristics, including the number of children, educational attainment, and employment status.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"65"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208867","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":"Too far to follow up: associations between residential distance and social vulnerability on immediate postpartum contraceptive uptake.","authors":"L O Barbee, Q A Class","doi":"10.1186/s40834-025-00390-3","DOIUrl":"10.1186/s40834-025-00390-3","url":null,"abstract":"<p><strong>Background: </strong>Postpartum contraception plays a vital role in extending interpregnancy intervals and reducing adverse maternal and neonatal outcomes. However, patients at elevated risk due to geographic and social barriers may experience disruptions in postpartum care. We examine associations between residential distance to the delivery hospital and social determinants of health (SDoH) with contraception uptake at delivery discharge.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study of live births born at 22.0 gestational age and greater at a single urban academic center from March 2020 to March 2022. Demographic, obstetric, and SDoH data were extracted from electronic medical records. Contraceptive method recorded for all births as part of the delivery discharge note was manually reviewed classified into long-acting reversible contraception (LARC) or non-LARC methods. Univariate analyses were used to compare characteristics across groups living within 10.0 miles and those living 10.1 miles or further from the hospital. Logistic regression was used to identify predictors of LARC uptake.</p><p><strong>Results: </strong>A total of 3,644 births were included; 54.6% of patients were Black, 30.3% Hispanic, and 73.7% utilized public insurance. A total of 74.2% of patients resided within 10.0 miles of the delivery hospital. Patients living farther away were more likely to face transportation barriers, lower educational attainment, and higher SDoH personal risk scores. Overall, 18.6% living closer and 22.3% living further from the delivery hospital received LARC at discharge [X² (2) = 7.45, p < .05]. After adjustment for race, ethnicity, insurance, maternal age, partnership status, and a combined risk factor that assigned a positive binary indicator if the neonate was delivered via cesarean section, had a NICU stay, and/or, the maternal length of hospital stay was greater than 3 days, odds for LARC uptake at delivery discharge was elevated for those living further from the hospital as compared to those living closer to the delivery hospital (OR = 1.20, 95% CI = 1.01-1.43). Those with high personal SDoH risk also had significantly higher odds of LARC uptake at discharge (OR = 1.24, 95% CI 1.02-1.50) as compared to those without SDoH personal risk noted.</p><p><strong>Conclusion: </strong>Several factors remained associated with LARC uptake at delivery discharge including residential distance, SDoH, and insurance. Our findings support the importance of inpatient contraceptive counseling and provision, particularly for socially vulnerable populations.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"67"},"PeriodicalIF":2.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208183","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":"Usage of contraception among the married women in India, 2019-21: a cross-sectional study.","authors":"Chander Shekhar, Harihar Sahoo, Labhita Das","doi":"10.1186/s40834-025-00375-2","DOIUrl":"10.1186/s40834-025-00375-2","url":null,"abstract":"<p><strong>Background: </strong>Contraceptive use plays a significant role in reducing fertility and improving maternal and child health. Understanding utilization patterns and preferences is essential for addressing unmet needs in family planning among married women in India.</p><p><strong>Objective: </strong>This study aims to analyse the usage of contraceptive methods among the married women aged 15-49 years in India, and to identify the factors associated with contraceptive uptake.</p><p><strong>Methods: </strong>Cross-sectional data from the fifth round of the National Family Health Survey, (2019-21) were used for this analysis. NFHS is a periodic cross-sectional survey conducted using a multistage household sampling design in India. The total sample consisted of 512,408 women aged 15-49 years currently in a marital union. Cross-tabulation was conducted to evaluate the levels of contraceptive use, and logistic regression was utilized to identify factors associated with contraceptive uptake. The entire analysis was performed using the STATA 17.0 statistical software.</p><p><strong>Results: </strong>Contraceptive usage among married women has increased from 53.5% in NFHS-4 (2015-16) to 65.7% in NFHS-5 (2019-21). The likelihood of contraception usage among the married women in India is significantly influenced by the factors like age of the women, educational attainment, desire for children, caste, religion, wealth index, exposure to mass media and place of residence.</p><p><strong>Conclusion: </strong>Despite advancements in reproductive health, contraceptive uptake among married women in India remains insufficient. To address this, interventions should prioritize the provision of diverse contraceptive options, along with comprehensive counselling, to emphasize the benefits and proper use of these methods. Addressing socio-demographic disparities is essential for improving equitable access to family planning services.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"10 1","pages":"60"},"PeriodicalIF":1.9,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202292","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}