SidaSubSaharaV1, Pmc, Corpus, bibRecord, 001824

Desire for female sterilization among women wishing to limit births in rural Rakai, Uganda

Identifieur interne : 001824 ( Pmc/Corpus ); précédent : 001823; suivant : 001825

Desire for female sterilization among women wishing to limit births in rural Rakai, Uganda

Auteurs : Tom Lutalo ; Ron Gray ; Sanyukta Mathur ; Maria Wawer ; David Guwatudde ; John Santelli ; Fred Nalugoda ; Fredrick Makumbi

Source :

Contraception [ 0010-7824 ] ; 2015.

RBID : PMC:4615543

Abstract

Objective

Uganda has an unmet need for family planning of 34% and a total fertility rate of 6.2. We assessed the desire for female sterilization among sexually active women who wanted to stop childbearing in rural Rakai district, Uganda.

Study design

7,192 sexually active women enrolled in a community cohort between 2002 and 2008 were asked about fertility intentions. Those stating that they did not want another child (limiters) were asked whether they would be willing to accept female sterilization, if available. Trends in desire for sterilization were determined by Chi-square test for trend, and Modified Poisson regression was used to estimate prevalence rate ratios (PRR) and 95% confidence intervals of the associations between desire for sterilization and socio-demographic characteristics and HIV status.

Results

From 2002 to 2008, the proportion of limiters dropped (47.2% to 43.7%; p<0.01). Use of pills and injectables among limiters significantly increased, 38.9% to 50.3% (p<0.0001), while use of IUDs and implants declined from 3.3% to 1.7% (p<0.001). The desire for sterilization significantly increased from 54.2% to 63.1% (p<0.0001), and this was consistently higher among the HIV-positive (63.6% to 70.9%, p<0.01) than HIV-negative women (53.3% to 61.2%, p<0.0001). Factors significantly associated with the desire for sterilization included higher number of living children (>=3), being HIV-infected and having received HIV counseling and testing.

Conclusion

There is latent and growing desire for sterilization in this population. Our findings suggest a need to increase permanent contraception services for women who want to limit childbearing in this setting.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4615543

DOI: 10.1016/j.contraception.2015.07.012
PubMed: 26232377
PubMed Central: 4615543

Links to Exploration step

PMC:4615543

Le document en format XML

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<author><name sortKey="Lutalo, Tom" sort="Lutalo, Tom" uniqKey="Lutalo T" first="Tom" last="Lutalo">Tom Lutalo</name>
<affiliation><nlm:aff id="A1">Rakai Health Sciences Program, Uganda Virus Research Institute, Entebbe, Uganda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gray, Ron" sort="Gray, Ron" uniqKey="Gray R" first="Ron" last="Gray">Ron Gray</name>
<affiliation><nlm:aff id="A2">Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mathur, Sanyukta" sort="Mathur, Sanyukta" uniqKey="Mathur S" first="Sanyukta" last="Mathur">Sanyukta Mathur</name>
<affiliation><nlm:aff id="A3">Joseph L Mailman School of Public Health, Columbia University, New York, NY, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wawer, Maria" sort="Wawer, Maria" uniqKey="Wawer M" first="Maria" last="Wawer">Maria Wawer</name>
<affiliation><nlm:aff id="A2">Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guwatudde, David" sort="Guwatudde, David" uniqKey="Guwatudde D" first="David" last="Guwatudde">David Guwatudde</name>
<affiliation><nlm:aff id="A4">Makerere University School of Public Health, Kampala, Uganda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santelli, John" sort="Santelli, John" uniqKey="Santelli J" first="John" last="Santelli">John Santelli</name>
<affiliation><nlm:aff id="A3">Joseph L Mailman School of Public Health, Columbia University, New York, NY, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nalugoda, Fred" sort="Nalugoda, Fred" uniqKey="Nalugoda F" first="Fred" last="Nalugoda">Fred Nalugoda</name>
<affiliation><nlm:aff id="A1">Rakai Health Sciences Program, Uganda Virus Research Institute, Entebbe, Uganda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Makumbi, Fredrick" sort="Makumbi, Fredrick" uniqKey="Makumbi F" first="Fredrick" last="Makumbi">Fredrick Makumbi</name>
<affiliation><nlm:aff id="A4">Makerere University School of Public Health, Kampala, Uganda</nlm:aff>
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<idno type="doi">10.1016/j.contraception.2015.07.012</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Desire for female sterilization among women wishing to limit births in rural Rakai, Uganda</title>
<author><name sortKey="Lutalo, Tom" sort="Lutalo, Tom" uniqKey="Lutalo T" first="Tom" last="Lutalo">Tom Lutalo</name>
<affiliation><nlm:aff id="A1">Rakai Health Sciences Program, Uganda Virus Research Institute, Entebbe, Uganda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gray, Ron" sort="Gray, Ron" uniqKey="Gray R" first="Ron" last="Gray">Ron Gray</name>
<affiliation><nlm:aff id="A2">Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mathur, Sanyukta" sort="Mathur, Sanyukta" uniqKey="Mathur S" first="Sanyukta" last="Mathur">Sanyukta Mathur</name>
<affiliation><nlm:aff id="A3">Joseph L Mailman School of Public Health, Columbia University, New York, NY, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wawer, Maria" sort="Wawer, Maria" uniqKey="Wawer M" first="Maria" last="Wawer">Maria Wawer</name>
<affiliation><nlm:aff id="A2">Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guwatudde, David" sort="Guwatudde, David" uniqKey="Guwatudde D" first="David" last="Guwatudde">David Guwatudde</name>
<affiliation><nlm:aff id="A4">Makerere University School of Public Health, Kampala, Uganda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Santelli, John" sort="Santelli, John" uniqKey="Santelli J" first="John" last="Santelli">John Santelli</name>
<affiliation><nlm:aff id="A3">Joseph L Mailman School of Public Health, Columbia University, New York, NY, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nalugoda, Fred" sort="Nalugoda, Fred" uniqKey="Nalugoda F" first="Fred" last="Nalugoda">Fred Nalugoda</name>
<affiliation><nlm:aff id="A1">Rakai Health Sciences Program, Uganda Virus Research Institute, Entebbe, Uganda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Makumbi, Fredrick" sort="Makumbi, Fredrick" uniqKey="Makumbi F" first="Fredrick" last="Makumbi">Fredrick Makumbi</name>
<affiliation><nlm:aff id="A4">Makerere University School of Public Health, Kampala, Uganda</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Contraception</title>
<idno type="ISSN">0010-7824</idno>
<idno type="eISSN">1879-0518</idno>
<imprint><date when="2015">2015</date>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P2">Uganda has an unmet need for family planning of 34% and a total fertility rate of 6.2. We assessed the desire for female sterilization among sexually active women who wanted to stop childbearing in rural Rakai district, Uganda.</p>
</sec>
<sec id="S2"><title>Study design</title>
<p id="P3">7,192 sexually active women enrolled in a community cohort between 2002 and 2008 were asked about fertility intentions. Those stating that they did not want another child (limiters) were asked whether they would be willing to accept female sterilization, if available. Trends in desire for sterilization were determined by Chi-square test for trend, and Modified Poisson regression was used to estimate prevalence rate ratios (PRR) and 95% confidence intervals of the associations between desire for sterilization and socio-demographic characteristics and HIV status.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P4">From 2002 to 2008, the proportion of limiters dropped (47.2% to 43.7%; p<0.01). Use of pills and injectables among limiters significantly increased, 38.9% to 50.3% (p<0.0001), while use of IUDs and implants declined from 3.3% to 1.7% (p<0.001). The desire for sterilization significantly increased from 54.2% to 63.1% (p<0.0001), and this was consistently higher among the HIV-positive (63.6% to 70.9%, p<0.01) than HIV-negative women (53.3% to 61.2%, p<0.0001). Factors significantly associated with the desire for sterilization included higher number of living children (>=3), being HIV-infected and having received HIV counseling and testing.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P5">There is latent and growing desire for sterilization in this population. Our findings suggest a need to increase permanent contraception services for women who want to limit childbearing in this setting.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">0234361</journal-id>
<journal-id journal-id-type="pubmed-jr-id">3163</journal-id>
<journal-id journal-id-type="nlm-ta">Contraception</journal-id>
<journal-id journal-id-type="iso-abbrev">Contraception</journal-id>
<journal-title-group><journal-title>Contraception</journal-title>
</journal-title-group>
<issn pub-type="ppub">0010-7824</issn>
<issn pub-type="epub">1879-0518</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26232377</article-id>
<article-id pub-id-type="pmc">4615543</article-id>
<article-id pub-id-type="doi">10.1016/j.contraception.2015.07.012</article-id>
<article-id pub-id-type="manuscript">NIHMS717789</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Desire for female sterilization among women wishing to limit births in rural Rakai, Uganda</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Lutalo</surname>
<given-names>Tom</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gray</surname>
<given-names>Ron</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mathur</surname>
<given-names>Sanyukta</given-names>
</name>
<xref ref-type="aff" rid="A3">c</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wawer</surname>
<given-names>Maria</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Guwatudde</surname>
<given-names>David</given-names>
</name>
<xref ref-type="aff" rid="A4">d</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santelli</surname>
<given-names>John</given-names>
</name>
<xref ref-type="aff" rid="A3">c</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nalugoda</surname>
<given-names>Fred</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Makumbi</surname>
<given-names>Fredrick</given-names>
</name>
<xref ref-type="aff" rid="A4">d</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>a</label>
Rakai Health Sciences Program, Uganda Virus Research Institute, Entebbe, Uganda</aff>
<aff id="A2"><label>b</label>
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA</aff>
<aff id="A3"><label>c</label>
Joseph L Mailman School of Public Health, Columbia University, New York, NY, USA</aff>
<aff id="A4"><label>d</label>
Makerere University School of Public Health, Kampala, Uganda</aff>
<author-notes><corresp id="FN1">Correspondence should be directed to Tom Lutalo, P.O Box 49, Entebbe, <email>tlutalo@rhsp.org</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>28</day>
<month>8</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>29</day>
<month>7</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub"><month>11</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>11</month>
<year>2016</year>
</pub-date>
<volume>92</volume>
<issue>5</issue>
<fpage>482</fpage>
<lpage>487</lpage>
<pmc-comment>elocation-id from pubmed: 10.1016/j.contraception.2015.07.012</pmc-comment>
      <abstract><sec id="S1"><title>Objective</title>
<p id="P2">Uganda has an unmet need for family planning of 34% and a total fertility rate of 6.2. We assessed the desire for female sterilization among sexually active women who wanted to stop childbearing in rural Rakai district, Uganda.</p>
</sec>
<sec id="S2"><title>Study design</title>
<p id="P3">7,192 sexually active women enrolled in a community cohort between 2002 and 2008 were asked about fertility intentions. Those stating that they did not want another child (limiters) were asked whether they would be willing to accept female sterilization, if available. Trends in desire for sterilization were determined by Chi-square test for trend, and Modified Poisson regression was used to estimate prevalence rate ratios (PRR) and 95% confidence intervals of the associations between desire for sterilization and socio-demographic characteristics and HIV status.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P4">From 2002 to 2008, the proportion of limiters dropped (47.2% to 43.7%; p<0.01). Use of pills and injectables among limiters significantly increased, 38.9% to 50.3% (p<0.0001), while use of IUDs and implants declined from 3.3% to 1.7% (p<0.001). The desire for sterilization significantly increased from 54.2% to 63.1% (p<0.0001), and this was consistently higher among the HIV-positive (63.6% to 70.9%, p<0.01) than HIV-negative women (53.3% to 61.2%, p<0.0001). Factors significantly associated with the desire for sterilization included higher number of living children (>=3), being HIV-infected and having received HIV counseling and testing.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P5">There is latent and growing desire for sterilization in this population. Our findings suggest a need to increase permanent contraception services for women who want to limit childbearing in this setting.</p>
</sec>
</abstract>
<kwd-group><kwd>female sterilization</kwd>
<kwd>permanent contraception</kwd>
<kwd>limiting births</kwd>
<kwd>HIV</kwd>
<kwd>women</kwd>
<kwd>Uganda</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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Desire for female sterilization among women wishing to limit births in rural Rakai, Uganda

Desire for female sterilization among women wishing to limit births in rural Rakai, Uganda

Source :

Abstract

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki