The Role of Place in Shaping Contraceptive Use among Women in Africa
Identifieur interne : 001C18 ( Pmc/Checkpoint ); précédent : 001C17; suivant : 001C19The Role of Place in Shaping Contraceptive Use among Women in Africa
Auteurs : K. Miriam Elfstrom ; Rob StephensonSource :
- PLoS ONE [ 1932-6203 ] ; 2012.
Abstract
Contraceptive prevalence is low in the African region despite considerable family planning programmatic efforts. This study is the first to examine how community factors shape contraceptive use for married women in an entire region, comparing results across 21 African countries with a DHS in the last 5 years. The analysis builds on previous studies through an examination of the individual, household and community level factors that shape contraceptive use.
The data used in this analysis were from nationally representative Demographic and Health Surveys completed between 2005 and 2009. A separate multi-level logistic model was fitted for the outcome of current modern contraceptive use in each country.
After controlling for individual and household level factors, community level factors of demographics and fertility norms, gender norms and inequalities, and health knowledge remain significantly associated with contraceptive use, although the magnitude and direction of these community effects varied significantly across countries.
The results highlight the importance of harnessing community level factors in planning interventions for increasing access to and utilization of modern contraceptive methods.
Url:
DOI: 10.1371/journal.pone.0040670
PubMed: 22815784
PubMed Central: 3399881
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Role of Place in Shaping Contraceptive Use among Women in Africa</title><author><name sortKey="Elfstrom, K Miriam" sort="Elfstrom, K Miriam" uniqKey="Elfstrom K" first="K. Miriam" last="Elfstrom">K. Miriam Elfstrom</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Stephenson, Rob" sort="Stephenson, Rob" uniqKey="Stephenson R" first="Rob" last="Stephenson">Rob Stephenson</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22815784</idno><idno type="pmc">3399881</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3399881</idno><idno type="RBID">PMC:3399881</idno><idno type="doi">10.1371/journal.pone.0040670</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002993</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002993</idno><idno type="wicri:Area/Pmc/Curation">002992</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002992</idno><idno type="wicri:Area/Pmc/Checkpoint">001C18</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001C18</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Role of Place in Shaping Contraceptive Use among Women in Africa</title><author><name sortKey="Elfstrom, K Miriam" sort="Elfstrom, K Miriam" uniqKey="Elfstrom K" first="K. Miriam" last="Elfstrom">K. Miriam Elfstrom</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Stephenson, Rob" sort="Stephenson, Rob" uniqKey="Stephenson R" first="Rob" last="Stephenson">Rob Stephenson</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Contraceptive prevalence is low in the African region despite considerable family planning programmatic efforts. This study is the first to examine how community factors shape contraceptive use for married women in an entire region, comparing results across 21 African countries with a DHS in the last 5 years. The analysis builds on previous studies through an examination of the individual, household and community level factors that shape contraceptive use.</p></sec><sec><title>Methods</title><p>The data used in this analysis were from nationally representative Demographic and Health Surveys completed between 2005 and 2009. A separate multi-level logistic model was fitted for the outcome of current modern contraceptive use in each country.</p></sec><sec><title>Results</title><p>After controlling for individual and household level factors, community level factors of demographics and fertility norms, gender norms and inequalities, and health knowledge remain significantly associated with contraceptive use, although the magnitude and direction of these community effects varied significantly across countries.</p></sec><sec><title>Conclusions</title><p>The results highlight the importance of harnessing community level factors in planning interventions for increasing access to and utilization of modern contraceptive methods.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="United Nations Population, Division" uniqKey="United Nations Population D">Division United Nations 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Heaton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kayembe, Pk" uniqKey="Kayembe P">PK Kayembe</name></author><author><name sortKey="Fatuma, Ab" uniqKey="Fatuma A">AB Fatuma</name></author><author><name sortKey="Mapatano, Ma" uniqKey="Mapatano M">MA Mapatano</name></author><author><name sortKey="Mambu, T" uniqKey="Mambu T">T Mambu</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id><journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id><journal-id journal-id-type="publisher-id">plos</journal-id><journal-id journal-id-type="pmc">plosone</journal-id><journal-title-group><journal-title>PLoS ONE</journal-title></journal-title-group><issn pub-type="epub">1932-6203</issn><publisher><publisher-name>Public Library of Science</publisher-name><publisher-loc>San Francisco, USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22815784</article-id><article-id pub-id-type="pmc">3399881</article-id><article-id pub-id-type="publisher-id">PONE-D-12-10272</article-id><article-id pub-id-type="doi">10.1371/journal.pone.0040670</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biology</subject><subj-group><subject>Ecology</subject><subj-group><subject>Community Ecology</subject><subj-group><subject>Community Structure</subject></subj-group></subj-group></subj-group><subj-group><subject>Population Biology</subject><subj-group><subject>Epidemiology</subject><subj-group><subject>Social Epidemiology</subject></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Medicine</subject><subj-group><subject>Non-Clinical Medicine</subject><subj-group><subject>Health Services Research</subject><subject>Socioeconomic Aspects of Health</subject></subj-group></subj-group><subj-group><subject>Obstetrics and Gynecology</subject><subj-group><subject>Contraception</subject></subj-group></subj-group><subj-group><subject>Public Health</subject></subj-group><subj-group><subject>Women’s health</subject></subj-group></subj-group></article-categories><title-group><article-title>The Role of Place in Shaping Contraceptive Use among Women in Africa</article-title><alt-title alt-title-type="running-head">Community Influences on Contraceptive Use</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Elfstrom</surname><given-names>K. Miriam</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Stephenson</surname><given-names>Rob</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America</addr-line></aff><contrib-group><contrib contrib-type="editor"><name><surname>Baradaran</surname><given-names>Hamid Reza</given-names></name><role>Editor</role><xref ref-type="aff" rid="edit1"></xref></contrib></contrib-group><aff id="edit1">Tehran University of Medical Sciences, Iran (Republic of Islamic)</aff><author-notes><corresp id="cor1">* E-mail: <email>rbsteph@sph.emory.edu</email></corresp><fn fn-type="con"><p>Conceived and designed the experiments: RS. Performed the experiments: KME. Analyzed the data: KME. Contributed reagents/materials/analysis tools: KME RS. Wrote the paper: KME RS. Drafted the manuscript: KME. Revised the manuscript: RS. Approved the manuscript: RS KME.</p></fn></author-notes><pub-date pub-type="collection"><year>2012</year></pub-date><pub-date pub-type="epub"><day>18</day><month>7</month><year>2012</year></pub-date><volume>7</volume><issue>7</issue><elocation-id>e40670</elocation-id><history><date date-type="received"><day>9</day><month>4</month><year>2012</year></date><date date-type="accepted"><day>11</day><month>6</month><year>2012</year></date></history><permissions><copyright-statement>Elfstrom, Stephenson. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</copyright-statement><copyright-year>2012</copyright-year></permissions><abstract><sec><title>Background</title><p>Contraceptive prevalence is low in the African region despite considerable family planning programmatic efforts. This study is the first to examine how community factors shape contraceptive use for married women in an entire region, comparing results across 21 African countries with a DHS in the last 5 years. The analysis builds on previous studies through an examination of the individual, household and community level factors that shape contraceptive use.</p></sec><sec><title>Methods</title><p>The data used in this analysis were from nationally representative Demographic and Health Surveys completed between 2005 and 2009. A separate multi-level logistic model was fitted for the outcome of current modern contraceptive use in each country.</p></sec><sec><title>Results</title><p>After controlling for individual and household level factors, community level factors of demographics and fertility norms, gender norms and inequalities, and health knowledge remain significantly associated with contraceptive use, although the magnitude and direction of these community effects varied significantly across countries.</p></sec><sec><title>Conclusions</title><p>The results highlight the importance of harnessing community level factors in planning interventions for increasing access to and utilization of modern contraceptive methods.</p></sec></abstract><counts><page-count count="11"></page-count></counts></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Elfstrom, K Miriam" sort="Elfstrom, K Miriam" uniqKey="Elfstrom K" first="K. Miriam" last="Elfstrom">K. Miriam Elfstrom</name><name sortKey="Stephenson, Rob" sort="Stephenson, Rob" uniqKey="Stephenson R" first="Rob" last="Stephenson">Rob Stephenson</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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