SidaSubSaharaV1, Main, Exploration, bibRecord, 001366

Temporal Trends and Predictors of Modern Contraceptive Use in Lusaka, Zambia, 2004–2011

Identifieur interne : 001366 ( Main/Exploration ); précédent : 001365; suivant : 001367

Temporal Trends and Predictors of Modern Contraceptive Use in Lusaka, Zambia, 2004–2011

Auteurs : Nancy L. Hancock [États-Unis, Zambie] ; Carla J. Chibwesha [États-Unis, Zambie] ; Marie C. D. Stoner [États-Unis] ; Bellington Vwalika [Zambie] ; Sujit D. Rathod [Royaume-Uni] ; Margaret Phiri Kasaro [États-Unis, Zambie] ; Elizabeth M. Stringer [États-Unis] ; Jeffrey S. A. Stringer [États-Unis] ; Benjamin H. Chi [États-Unis]

Source :

BioMed Research International [ 2314-6133 ] ; 2015.

RBID : PMC:4706854

Abstract

Introduction. Although increasing access to family planning has been an important part of the global development agenda, millions of women continue to face unmet need for contraception. Materials and Methods. We analyzed data from a repeated cross-sectional community survey conducted in Lusaka, Zambia, over an eight-year period. We described prevalence of modern contraceptive use, including long-acting reversible contraception (LARC), among female heads of household aged 16–50 years. We also identified predictors of LARC versus short-term contraceptive use among women using modern methods. Results and Discussion. Twelve survey rounds were completed between November 2004 and September 2011. Among 29,476 eligible respondents, 17,605 (60%) reported using modern contraception. Oral contraceptive pills remained the most popular method over time, but use of LARC increased significantly, from less than 1% in 2004 to 9% by 2011 (p < 0.001). Younger women (OR: 0.46, 95% CI: 0.34, 0.61) and women with lower levels of education (OR: 0.70, 95% CI: 0.56, 0.89) were less likely to report LARC use compared to women using short-term modern methods. Conclusions. Population-based assessments of contraceptive use over time can guide programs and policies. To achieve reproductive health equity and reduce unmet contraceptive need, future efforts to increase LARC use should focus on young women and those with less education.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4706854

DOI: 10.1155/2015/521928
PubMed: 26819951
PubMed Central: 4706854

Affiliations:

Le document en format XML

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<author><name sortKey="Stoner, Marie C D" sort="Stoner, Marie C D" uniqKey="Stoner M" first="Marie C. D." last="Stoner">Marie C. D. Stoner</name>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Rathod, Sujit D" sort="Rathod, Sujit D" uniqKey="Rathod S" first="Sujit D." last="Rathod">Sujit D. Rathod</name>
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<wicri:regionArea>Department of Population Health, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E7HT</wicri:regionArea>
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<author><name sortKey="Kasaro, Margaret Phiri" sort="Kasaro, Margaret Phiri" uniqKey="Kasaro M" first="Margaret Phiri" last="Kasaro">Margaret Phiri Kasaro</name>
<affiliation wicri:level="2"><nlm:aff id="I1">Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, 3009 Old Clinic Building, Campus Box 7570, Chapel Hill, NC 27599-7570, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, 3009 Old Clinic Building, Campus Box 7570, Chapel Hill, NC 27599-7570</wicri:regionArea>
<placeName><region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="I2">Centre for Infectious Disease Research in Zambia, 5032 Great North Road, P.O. Box 34681, 10101 Lusaka, Zambia</nlm:aff>
<country xml:lang="fr">Zambie</country>
<wicri:regionArea>Centre for Infectious Disease Research in Zambia, 5032 Great North Road, P.O. Box 34681, 10101 Lusaka</wicri:regionArea>
<wicri:noRegion>10101 Lusaka</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Stringer, Elizabeth M" sort="Stringer, Elizabeth M" uniqKey="Stringer E" first="Elizabeth M." last="Stringer">Elizabeth M. Stringer</name>
<affiliation wicri:level="2"><nlm:aff id="I1">Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, 3009 Old Clinic Building, Campus Box 7570, Chapel Hill, NC 27599-7570, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, 3009 Old Clinic Building, Campus Box 7570, Chapel Hill, NC 27599-7570</wicri:regionArea>
<placeName><region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
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<author><name sortKey="Stringer, Jeffrey S A" sort="Stringer, Jeffrey S A" uniqKey="Stringer J" first="Jeffrey S. A." last="Stringer">Jeffrey S. A. Stringer</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, 3009 Old Clinic Building, Campus Box 7570, Chapel Hill, NC 27599-7570</wicri:regionArea>
<placeName><region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Chi, Benjamin H" sort="Chi, Benjamin H" uniqKey="Chi B" first="Benjamin H." last="Chi">Benjamin H. Chi</name>
<affiliation wicri:level="2"><nlm:aff id="I1">Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, 3009 Old Clinic Building, Campus Box 7570, Chapel Hill, NC 27599-7570, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, 3009 Old Clinic Building, Campus Box 7570, Chapel Hill, NC 27599-7570</wicri:regionArea>
<placeName><region type="state">Caroline du Nord</region>
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<front><div type="abstract" xml:lang="en"><p><italic>Introduction</italic>
. Although increasing access to family planning has been an important part of the global development agenda, millions of women continue to face unmet need for contraception.<italic> Materials and Methods</italic>
. We analyzed data from a repeated cross-sectional community survey conducted in Lusaka, Zambia, over an eight-year period. We described prevalence of modern contraceptive use, including long-acting reversible contraception (LARC), among female heads of household aged 16–50 years. We also identified predictors of LARC versus short-term contraceptive use among women using modern methods.<italic> Results and Discussion</italic>
. Twelve survey rounds were completed between November 2004 and September 2011. Among 29,476 eligible respondents, 17,605 (60%) reported using modern contraception. Oral contraceptive pills remained the most popular method over time, but use of LARC increased significantly, from less than 1% in 2004 to 9% by 2011 (<italic>p</italic>
 < 0.001). Younger women (OR: 0.46, 95% CI: 0.34, 0.61) and women with lower levels of education (OR: 0.70, 95% CI: 0.56, 0.89) were less likely to report LARC use compared to women using short-term modern methods.<italic> Conclusions</italic>
. Population-based assessments of contraceptive use over time can guide programs and policies. To achieve reproductive health equity and reduce unmet contraceptive need, future efforts to increase LARC use should focus on young women and those with less education.</p>
</div>
</front>
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Le SIDA en Afrique subsaharienne (serveur d'exploration)

Temporal Trends and Predictors of Modern Contraceptive Use in Lusaka, Zambia, 2004–2011

Temporal Trends and Predictors of Modern Contraceptive Use in Lusaka, Zambia, 2004–2011

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	Le SIDA en Afrique subsaharienne (serveur d'exploration)
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