Covert contraceptive use among women attending a reproductive health clinic in a municipality in Ghana.
Identifieur interne : 000221 ( PubMed/Corpus ); précédent : 000220; suivant : 000222Covert contraceptive use among women attending a reproductive health clinic in a municipality in Ghana.
Auteurs : F. Baiden ; G P Mensah ; N O Akoto ; T. Delvaux ; P C AppiahSource :
- BMC women's health [ 1472-6874 ] ; 2016.
English descriptors
- KwdEn :
- Adolescent, Adult, Christianity (psychology), Contraception Behavior (psychology), Contraception Behavior (statistics & numerical data), Contraceptive Agents (pharmacology), Contraceptive Agents (therapeutic use), Female, Ghana, Humans, Islam (psychology), Logistic Models, Personal Autonomy, Reproductive Health Services (utilization), Sexual Partners (psychology), Single Person (psychology), Single Person (statistics & numerical data), Surveys and Questionnaires, Time Factors.
- MESH :
- chemical , pharmacology : Contraceptive Agents.
- psychology : Christianity, Contraception Behavior, Islam, Sexual Partners, Single Person.
- statistics & numerical data : Contraception Behavior, Single Person.
- chemical , therapeutic use : Contraceptive Agents.
- utilization : Reproductive Health Services.
- Adolescent, Adult, Female, Ghana, Humans, Logistic Models, Personal Autonomy, Surveys and Questionnaires, Time Factors.
Abstract
Covert contraceptive use (CCU) in sub-Saharan Africa is an indication of women's inability to exercise autonomy in their reproductive choices. The aim of this study was to assess the prevalence and determinants of CCU among a sample of FP clients in a municipality of Ghana.
DOI: 10.1186/s12905-016-0310-x
PubMed: 27266263
Links to Exploration step
pubmed:27266263Le document en format XML
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Baiden</name><affiliation><nlm:affiliation>Epidemiology Unit, Ensign College of Public Health, Kpong, ER, Ghana. baidenf@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Mensah, G P" sort="Mensah, G P" uniqKey="Mensah G" first="G P" last="Mensah">G P Mensah</name><affiliation><nlm:affiliation>Faculty of Public Health and Allied Sciences, Catholic University College of Ghana, Fiapre, BAR, Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Akoto, N O" sort="Akoto, N O" uniqKey="Akoto N" first="N O" last="Akoto">N O Akoto</name><affiliation><nlm:affiliation>Faculty of Public Health and Allied Sciences, Catholic University College of Ghana, Fiapre, BAR, Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Delvaux, T" sort="Delvaux, T" uniqKey="Delvaux T" first="T" last="Delvaux">T. Delvaux</name><affiliation><nlm:affiliation>Unit of HIV/AIDS Policy, Institute of Tropical Medicine, Antwerpen, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Appiah, P C" sort="Appiah, P C" uniqKey="Appiah P" first="P C" last="Appiah">P C Appiah</name><affiliation><nlm:affiliation>Municipal Health Directorate, Ghana Health Service, Sunyani, BAR, Ghana.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27266263</idno><idno type="pmid">27266263</idno><idno type="doi">10.1186/s12905-016-0310-x</idno><idno type="wicri:Area/PubMed/Corpus">000221</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000221</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Covert contraceptive use among women attending a reproductive health clinic in a municipality in Ghana.</title><author><name sortKey="Baiden, F" sort="Baiden, F" uniqKey="Baiden F" first="F" last="Baiden">F. Baiden</name><affiliation><nlm:affiliation>Epidemiology Unit, Ensign College of Public Health, Kpong, ER, Ghana. baidenf@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Mensah, G P" sort="Mensah, G P" uniqKey="Mensah G" first="G P" last="Mensah">G P Mensah</name><affiliation><nlm:affiliation>Faculty of Public Health and Allied Sciences, Catholic University College of Ghana, Fiapre, BAR, Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Akoto, N O" sort="Akoto, N O" uniqKey="Akoto N" first="N O" last="Akoto">N O Akoto</name><affiliation><nlm:affiliation>Faculty of Public Health and Allied Sciences, Catholic University College of Ghana, Fiapre, BAR, Ghana.</nlm:affiliation></affiliation></author><author><name sortKey="Delvaux, T" sort="Delvaux, T" uniqKey="Delvaux T" first="T" last="Delvaux">T. Delvaux</name><affiliation><nlm:affiliation>Unit of HIV/AIDS Policy, Institute of Tropical Medicine, Antwerpen, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Appiah, P C" sort="Appiah, P C" uniqKey="Appiah P" first="P C" last="Appiah">P C Appiah</name><affiliation><nlm:affiliation>Municipal Health Directorate, Ghana Health Service, Sunyani, BAR, Ghana.</nlm:affiliation></affiliation></author></analytic><series><title level="j">BMC women's health</title><idno type="eISSN">1472-6874</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Christianity (psychology)</term><term>Contraception Behavior (psychology)</term><term>Contraception Behavior (statistics & numerical data)</term><term>Contraceptive Agents (pharmacology)</term><term>Contraceptive Agents (therapeutic use)</term><term>Female</term><term>Ghana</term><term>Humans</term><term>Islam (psychology)</term><term>Logistic Models</term><term>Personal Autonomy</term><term>Reproductive Health Services (utilization)</term><term>Sexual Partners (psychology)</term><term>Single Person (psychology)</term><term>Single Person (statistics & numerical data)</term><term>Surveys and Questionnaires</term><term>Time Factors</term></keywords><keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en"><term>Contraceptive Agents</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Christianity</term><term>Contraception Behavior</term><term>Islam</term><term>Sexual Partners</term><term>Single Person</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Contraception Behavior</term><term>Single Person</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Contraceptive Agents</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Reproductive Health Services</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Female</term><term>Ghana</term><term>Humans</term><term>Logistic Models</term><term>Personal Autonomy</term><term>Surveys and Questionnaires</term><term>Time Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Covert contraceptive use (CCU) in sub-Saharan Africa is an indication of women's inability to exercise autonomy in their reproductive choices. The aim of this study was to assess the prevalence and determinants of CCU among a sample of FP clients in a municipality of Ghana.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27266263</PMID><DateCreated><Year>2016</Year><Month>06</Month><Day>09</Day></DateCreated><DateCompleted><Year>2017</Year><Month>08</Month><Day>08</Day></DateCompleted><DateRevised><Year>2017</Year><Month>08</Month><Day>08</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1472-6874</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><PubDate><Year>2016</Year><Month>Jun</Month><Day>06</Day></PubDate></JournalIssue><Title>BMC women's health</Title><ISOAbbreviation>BMC Womens Health</ISOAbbreviation></Journal><ArticleTitle>Covert contraceptive use among women attending a reproductive health clinic in a municipality in Ghana.</ArticleTitle><Pagination><MedlinePgn>31</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12905-016-0310-x</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Covert contraceptive use (CCU) in sub-Saharan Africa is an indication of women's inability to exercise autonomy in their reproductive choices. The aim of this study was to assess the prevalence and determinants of CCU among a sample of FP clients in a municipality of Ghana.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We conducted a mixed method study among women attending a public reproductive health clinic in Sunyani, a city of over 250,000 inhabitants in Ghana. An initial survey inquired into sociodemographic characteristics, use of family planning (FP) methods and partner awareness of contraceptive use. The predictors of CCU were explored using logistic regressions. We used the findings to develop a guide which we applied in-depth interviews and focus group discussions with attendants at the same facility. Qualitative data analysis was conducted using a framework approach.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We interviewed 300 women, 48 % of whom were aged between 26-33 years. The injectable was the most widely used method (56 %). The prevalence of CCU was 34 %. In multivariate analysis, single women were more likely to practice CCU than married or co-habiting women (Adjusted OR = 12.12, 95 % C.I. 4.73-31.1). Muslim and traditionalist women were similarly more likely to practice CCU than non-Muslim, non-traditionalist (Adjusted OR = 4.56, 2.29-9.06). Women who preferred to have their first or next child in 4 or more years from the time of the interview were more likely to be in CCU than women who intended to have children within 4 years of the interview (2.57; 1.37-4.83). Single women saw in covert use a statement of their social autonomy. To succeed in CCU, women wished that clinic attendance cards would not be given to them to keep at home. Though many participants saw in CCU a source of anxiety, they expected health workers to consider it and uphold confidentiality in the provision of services.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Covert contraceptive use was high in this municipality and being single was the strongest predictor of the practice. Providers of FP services should reflect on how to adequately address the challenges faced by women who practice CCU.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Baiden</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Epidemiology Unit, Ensign College of Public Health, Kpong, ER, Ghana. baidenf@gmail.com.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Faculty of Public Health and Allied Sciences, Catholic University College of Ghana, Fiapre, BAR, Ghana. baidenf@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mensah</LastName><ForeName>G P</ForeName><Initials>GP</Initials><AffiliationInfo><Affiliation>Faculty of Public Health and Allied Sciences, Catholic University College of Ghana, Fiapre, BAR, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Akoto</LastName><ForeName>N O</ForeName><Initials>NO</Initials><AffiliationInfo><Affiliation>Faculty of Public Health and Allied Sciences, Catholic University College of Ghana, Fiapre, BAR, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Delvaux</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Unit of HIV/AIDS Policy, Institute of Tropical Medicine, Antwerpen, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Public Health Department, Institute of Tropical Medicine, Antwerp, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Appiah</LastName><ForeName>P C</ForeName><Initials>PC</Initials><AffiliationInfo><Affiliation>Municipal Health Directorate, Ghana Health Service, Sunyani, BAR, Ghana.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>06</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Womens Health</MedlineTA><NlmUniqueID>101088690</NlmUniqueID><ISSNLinking>1472-6874</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D003270">Contraceptive Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Int Perspect Sex Reprod Health. 2012 Mar;38(1):23-33</RefSource><PMID Version="1">22481146</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cult Health Sex. 2008 Jan;10 (1):13-26</RefSource><PMID Version="1">18038278</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Obstet Gynaecol. 2015;35(6):628-31</RefSource><PMID Version="1">25535903</PMID></CommentsCorrections><CommentsCorrections 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