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Differentials of modern contraceptive methods use by food security status among married women of reproductive age in Wolaita Zone, South Ethiopia

Identifieur interne : 000552 ( Pmc/Curation ); précédent : 000551; suivant : 000553

Differentials of modern contraceptive methods use by food security status among married women of reproductive age in Wolaita Zone, South Ethiopia

Auteurs : Mohammed Feyisso [Éthiopie] ; Tefera Belachew [Éthiopie] ; Amanuel Tesfay [Éthiopie] ; Yohannes Addisu [Éthiopie]

Source :

RBID : PMC:4705916

Abstract

Background

In spite of the massive spending and extensive family-planning promotion, many poor people in the third world remain reluctant to use modern contraceptive method. Mostly when they use modern contraceptives, their continuation rates are often low. Reproductive health can improve women’s nutrition; in return better nutrition can improve reproductive health. Thus addressing the connection between nutrition and reproductive health is critical to ensure population growth that does not overwhelm world resources.

Methods

A community based cross-sectional study was conducted from March 15–30, 2014 in Soddo Zuria Woreda, Southern Ethiopia. A total of 651 currently married women of reproductive age group were selected using multistage sampling. Probability proportional to the size allocation method was employed to determine the number of households. Multivariable logistic regression was used to assess the association between family planning use and food security status after adjusting for other covariates.

Results

Use of modern contraceptive method was significantly low among food insecure women (29.7 %) compared to those who were food secure (52.0 %), (P < 0.001). Women from food secure households were nearly twice likely to use modern contraceptive methods (AOR: 1.69 (CI: 1.03, 2.66)). Similarly, those who had antenatal care (ANC) visit (AOR: 4.56 (CI: 2.45, 7.05)); exposure to media (AOR: 4.92 (CI: 1.84, 13.79)) and those who discussed about contraceptive methods with their partner (AOR: 3.07 (CI: 1.86, 5.22)) were more likely to use modern contraceptive methods. Conversely, women who delivered their last child at home were less likely to use modern contraceptive methods (AOR: 0.08 (CI: 0.03, 0.13)).

Conclusion

Food insecurity is negatively associated with modern contraceptive method use. Thus food insecurity should be considered as one of the barriers in designing family planning services and needs special arrangement.


Url:
DOI: 10.1186/s13690-015-0089-5
PubMed: 26753092
PubMed Central: 4705916

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<p>In spite of the massive spending and extensive family-planning promotion, many poor people in the third world remain reluctant to use modern contraceptive method. Mostly when they use modern contraceptives, their continuation rates are often low. Reproductive health can improve women’s nutrition; in return better nutrition can improve reproductive health. Thus addressing the connection between nutrition and reproductive health is critical to ensure population growth that does not overwhelm world resources.</p>
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<p>A community based cross-sectional study was conducted from March 15–30, 2014 in Soddo Zuria Woreda, Southern Ethiopia. A total of 651 currently married women of reproductive age group were selected using multistage sampling. Probability proportional to the size allocation method was employed to determine the number of households. Multivariable logistic regression was used to assess the association between family planning use and food security status after adjusting for other covariates.</p>
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<p>Use of modern contraceptive method was significantly low among food insecure women (29.7 %) compared to those who were food secure (52.0 %), (
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<p>Food insecurity is negatively associated with modern contraceptive method use. Thus food insecurity should be considered as one of the barriers in designing family planning services and needs special arrangement.</p>
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<surname>Belachew</surname>
<given-names>Tefera</given-names>
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<email>teferabelachew@gmail.com</email>
</address>
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<name>
<surname>Tesfay</surname>
<given-names>Amanuel</given-names>
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<email>amanuelpraise@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff2"></xref>
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<contrib contrib-type="author">
<name>
<surname>Addisu</surname>
<given-names>Yohannes</given-names>
</name>
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<email>yohannes_24@yahoo.com</email>
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Department of Public Health, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia</aff>
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Department of Population and Family Health, Jimma University, Jimma, Ethiopia</aff>
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<year>2015</year>
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<year>2015</year>
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<date date-type="received">
<day>8</day>
<month>12</month>
<year>2014</year>
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<date date-type="accepted">
<day>10</day>
<month>8</month>
<year>2015</year>
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<copyright-statement>© Feyisso et al. 2015</copyright-statement>
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<bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
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</license>
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<abstract id="Abs1">
<sec>
<title>Background</title>
<p>In spite of the massive spending and extensive family-planning promotion, many poor people in the third world remain reluctant to use modern contraceptive method. Mostly when they use modern contraceptives, their continuation rates are often low. Reproductive health can improve women’s nutrition; in return better nutrition can improve reproductive health. Thus addressing the connection between nutrition and reproductive health is critical to ensure population growth that does not overwhelm world resources.</p>
</sec>
<sec>
<title>Methods</title>
<p>A community based cross-sectional study was conducted from March 15–30, 2014 in Soddo Zuria Woreda, Southern Ethiopia. A total of 651 currently married women of reproductive age group were selected using multistage sampling. Probability proportional to the size allocation method was employed to determine the number of households. Multivariable logistic regression was used to assess the association between family planning use and food security status after adjusting for other covariates.</p>
</sec>
<sec>
<title>Results</title>
<p>Use of modern contraceptive method was significantly low among food insecure women (29.7 %) compared to those who were food secure (52.0 %), (
<italic>P</italic>
 < 0.001). Women from food secure households were nearly twice likely to use modern contraceptive methods (AOR: 1.69 (CI: 1.03, 2.66)). Similarly, those who had antenatal care (ANC) visit (AOR: 4.56 (CI: 2.45, 7.05)); exposure to media (AOR: 4.92 (CI: 1.84, 13.79)) and those who discussed about contraceptive methods with their partner (AOR: 3.07 (CI: 1.86, 5.22)) were more likely to use modern contraceptive methods. Conversely, women who delivered their last child at home were less likely to use modern contraceptive methods (AOR: 0.08 (CI: 0.03, 0.13)).</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Food insecurity is negatively associated with modern contraceptive method use. Thus food insecurity should be considered as one of the barriers in designing family planning services and needs special arrangement.</p>
</sec>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Modern family planning</kwd>
<kwd>Currently married women</kwd>
<kwd>Food insecurity</kwd>
<kwd>Soddo Zuria woreda</kwd>
</kwd-group>
<custom-meta-group>
<custom-meta>
<meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2015</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>

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