Determinants of Unintended Pregnancies Among Currently Married Women in Uganda

Wasswa, Ronald; Kabagenyi, Allen; Atuhaire, Leonard

doi:10.21203/rs.3.rs-74109/v1

Cited by 7 publications

(13 citation statements)

References 26 publications

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“…Furthermore, male students from low-income households were also found to be more likely to report UIP, consistent with previous studies [2,10,13,14,18]. This finding is not surprising because those from low-income households [2,14] often gain less knowledge about sexuality and contraception, know less about the availability of free contraceptives and have limited ability to afford modern contraceptives such as condoms, injectable hormones and oral pills, thus contributing to the occurrence of UIP.…”

Section: Comparisons With Previous Studiessupporting

confidence: 88%

“…The other possible explanation is that families with more tolerant attitudes toward premarital sex exercised little supervision over their children's dating relationships and might unwittingly push their children towards irresponsible sexual behavior [10]. Furthermore, male students from low-income households were also found to be more likely to report UIP, consistent with previous studies [2,10,13,14,18]. This finding is not surprising because those from low-income households [2,14] often gain less knowledge about sexuality and contraception, know less about the availability of free contraceptives and have limited ability to afford modern contraceptives such as condoms, injectable hormones and oral pills, thus contributing to the occurrence of UIP.…”

Section: Comparisons With Previous Studiessupporting

confidence: 83%

“…According to the social-ecological model, risk factors for UIP can be crudely divided into three levels (individual, familial and social), although the ways in which they were categorized were not consistently reported and varied greatly between different studies [1,10]. Briefly, individual-level factors, representing the most direct reasons for UIP, comprise risky sexual behaviors (e.g., the history of sexual abuse [11], early sexual debut [11], multiple sexual partners [11]) and the knowledge [2], attitude [12], behaviors [2] and skills related to contraception. Family, as the most proximal and influential context for individual development, is found to be a significant predictor for UIP [10].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

“…of parents, economic problems [2,10], family disruption [10], poor communication between parents and child [10]. Socio-demographic characteristics include gender [13], age [2,14], area of residence [2,14], income [14], religion [2,12], employment [4], and education level [14].…”

Section: Plain Language Summarymentioning

confidence: 99%

“…Unintended pregnancies (UIP) are generally defined as the situations in which pregnancies is either mistimed or unwanted at the time of conception [1][2][3][4]. Unmarried youth including in-school adolescents in mainland China are more likely to experience UIP, due to lack of knowledge about sexual and reproductive health [5][6][7], tolerant attitudes toward premarital sex [6][7][8] and premarital sexual practices [5][6][7][8][9], coupled with non-use or inconsistent use of contraception [7,9] and the social stigma against premarital sex and pregnancy outside of marriage [4].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of and factors associated with unintended pregnancies among sexually active undergraduates in mainland China

et al. 2022

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Background Unintended pregnancies (UIP) among unmarried sexually active college students in mainland China have emerged as a major reproductive health issue with detrimental personal and socioeconomic consequences. This cross-sectional study aimed to determine the prevalence and factors associated with UIP among sexually active undergraduates in mainland China. Methods Between September 8, 2019 and January 17, 2020, a total of 48,660 participants were recruited across the Chinese mainland to complete the self-administered, structured, online questionnaire. This analysis was restricted to 6347 sexually experienced, never-married 15–26 year old undergraduates. Pearson’s Chi square tests and multivariate Logistic regression analyses were performed to identify sociodemographic, familial and individual variables associated with UIP. Results The overall prevalence of UIP was 17.7%. More specifically, 19.5% of male college students reported they had unintentionally gotten a partner pregnant, while 14.9% of female college students became unintentionally pregnant. Students who experienced UIP were more likely to belong to the older age group (23–26 years), live with only one parent or live without parents at home, report that their family members approve of premarital sex, initiate sexual activity younger than 14 years old and have casual sex partners. Furthermore, females with multiple partners and males who came from low- income households, experienced sexual abuse, perceived difficulties in acquiring condoms and did not know how to use condoms correctly were also at higher risk of experiencing an unintended pregnancy. Conclusion In order to prevent UIP, a comprehensive intervention measure should be taken to target older students and those engaging in risky sexual behaviors, work with young male students to improve condom use skills, improve the availability of free condoms, optimize the involvement of parents and other family members in their children’s sex education.

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Section: Comparisons With Previous Studiessupporting

confidence: 88%

Section: Comparisons With Previous Studiessupporting

confidence: 83%

Section: Conceptual Frameworkmentioning

confidence: 99%

Section: Plain Language Summarymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence of and factors associated with unintended pregnancies among sexually active undergraduates in mainland China

et al. 2022

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Association between sexual violence and unintended pregnancy among married women in Zambia

et al. 2022

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Background One of the outcomes of sexual violence is unintended pregnancy. In Zambia, 15% of married women age 15—49 years had experienced sexual violence from their husband or partner. The prevalence of unintended pregnancies among women age 15—49 years has risen from 33% in 1992 to 38% in 2018. The link between sexual violence and unintended pregnancy in Zambia was investigated in this study. Methods This study used the women's dataset from the 2018 Zambia Demographic and Health Survey, a cross-sectional survey. The study looked at a weighted sample size of 4,465 women age 15 – 49 years. Unintended pregnancy was measured by combining response categories of mistimed and unwanted pregnancy. Multivariate binary logistic regression was performed to establish the net effects of sexual violence and each explanatory variable on unintended pregnancy. Results The findings suggest that sexual violence does have a role in unintended pregnancies (AOR 1.74; CI 1.38—2.19). Ever use of contraception is also a significant predictor of unintended pregnancy (AOR 1.48; CI 1.16—1.88), even when other characteristics are taken into account. Results have shown that a woman who had ever used contraception and had experienced sexual violence was more likely to have an unintended pregnancy. Conclusion Spousal sexual violence is highly associated with unintended pregnancies in Zambia. Addressing intimate partner sexual violence is among the ways to prevent unintended pregnancies. It is also important to sensitize women on reporting acts of sexual violence to relevant authorities as this will not only prevent reoccurrence of sexual violence but also reduce unintended pregnancies and associated long-term effects.

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Knowledge of the ovulatory cycle and its determinants among women of childbearing age in Haiti: a population-based study using the 2016/2017 Haitian Demographic Health Survey

Simon¹,

Jamali

Olorunsaiye

et al. 2023

BMC Women's Health

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Background The knowledge of ovulatory cycle (KOC) is the base for natural family planning methods, yet few studies have paid attention to women’s KOC. This study aimed to assess the prevalence of correct KOC and its determinants among women of childbearing age in Haiti. Methods Data from the nationally representative cross-sectional Haiti Demographic and Health Survey 2016/17 were used. STATA/SE version 14 was employed to analyse the data by computing descriptive statistics, Chi‑square, and binary logistic regression model to assess the socio-economic and demographic predictors of correct KOC. P-value less than 0.05 was taken as a significant association. Results Out of 14,371 women of childbearing age who constituted our sample study, 24.1% (95% CI 23.4–24.8) had correct KOC. In addition, the findings showed that place of residence, respondent’s education level, wealth index, currently working, husband/partner’s education level, contraceptive use, exposure to mass media FP messages, and fieldworker visit were significantly associated with correct KOC. Conclusion Policies should include increasing the literacy at community level as well as of individual women and their partners. Moreover, increasing awareness about family planning should be prioritized, especially for women from poor households and rural areas.

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Determinants of Unintended Pregnancies Among Currently Married Women in Uganda

Cited by 7 publications

References 26 publications

Prevalence of and factors associated with unintended pregnancies among sexually active undergraduates in mainland China

Prevalence of and factors associated with unintended pregnancies among sexually active undergraduates in mainland China

Association between sexual violence and unintended pregnancy among married women in Zambia

Knowledge of the ovulatory cycle and its determinants among women of childbearing age in Haiti: a population-based study using the 2016/2017 Haitian Demographic Health Survey

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