Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Ethiopia: a multilevel analysis of 2016 Ethiopia demographic and health survey

Abstract

Background The importance of contraception use is immense for young girls of age 15–24 years. In literatures, there were significant attempts made to study factors associated with adolescent and young women contraception use in Africa. Despite the resulting interventions followed those studies, the contraception uses among youth population in Africa remained below average. Thus, this study is aimed to assess individual and community-level factors associated with contraceptive use in Ethiopian context to support further interventions. Methods Our analysis was based on the secondary data from Ethiopia Demography and Health Survey (EDHS) 2016. Adolescent girls and young women (AGYW) aged 15–24 years were the target population. Means, standard deviations, and proportions were used to describe the study population. To control for the variations due to the differences between clusters, a series of multilevel logistic regression modeling steps were followed and determinants of contraceptive use were outplayed. All variables with bivariate p-value < 0.25 were included in the models and p-value < 0.05 was used to declare associations. Results The prevalence of modern contraceptive use among AGYW in Ethiopia was 34.89% [95% CI, 0.32, 0.36]. Married adolescents were 2.01 times [AOR = 2.01, 95% CI = 1.39,3.16], having work was 1.36 times [AOR = 1.36, 95% CI = 1.06,1.71], living in urban areas was 1.61 times [AOR = 1.61, 95% CI = 1.16,2.45], being in middle wealth status was 1.9 times [AOR = 1.90, 95% CI = 1.32,2.65], being in rich wealth quintile was 1.99 time [AOR = 1.99, 95% CI = 1.35,2.68], and having TV exposure was 1.61 times [AOR = 1.6, 95% CI = 1.17,2.20] more likely associated with modern contraceptive uses. Conclusion The use of modern contraception among AGYW in the country remained appealing and factors like region, residence, marital status, wealth index, religion, working status, parity, husband desire children, ever aborted AGYW, and the television exposures were attributed for the poor improvements. Therefore, the enhancements that consult those factors remained remarkable in improving contraception use, while further increasing in educational engagement, access to health services, and economic empowerment of the AGYW might be the good advantages for the improvements.

Sociodemographic Factors Related To The Use Of Modern Contraception In Sleman Yogyakarta

“…Wife's employment status variable found that working wives are 1.01 times more likely to use modern contraception than non-working wives. These results are in line with research conducted by Khan et al (2018), Bolarinwa et al (2021), andHailegebreal et al (2021). Couples who work will tend to use modern contraception.…”

“…Couples who live in villages have a higher tendency to use modern contraception than those who live in cities. Research by Kogay & Itua (2017) and Hailegebreal et al (2021) also found similar results. Socioeconomic status also has no significant relationship with the use of modern contraception.…”

Spatial Analysis of Modern Contraceptive use among women who need it in Ethiopia: Using geo-referenced data from Performance Monitoring for Action

“…A relatively higher proportion of modern contraception use was located in the central and western part of the country, and a low proportion of modern contraceptive use was observed in the eastern part of the country. Specifically, inline with previous studies [13,22,23,26], this study found that women living in the eastern part of the country were less likely to use modern contraception than those women residing in other regions. This may be due to the difference in socio-cultural practices and beliefs [46].…”

“…Third, the use of modern contraception can be affected by both demand-side (individual level) and supply-side(health facility-level) factors. Despite this interdepen-dence contraceptive research has tended to explore demand-side factor [5,13,14,[22][23][24][25][26][27][28][29], and supply-side factors separately. Studies done by [30][31][32][33] investigated both individual and service environment factors associated with modern contraceptive use, but their analytical samples were not women in need of a method, which may distort estimates.…”

Spatial variations and multi-level determinants of modern contraceptive utilization among young women (15–24 years) in Ethiopia: spatial and multi-level analysis of mini-EDHS 2019

“…Different literatures have identified a number of individual and community level factors that could positively or negatively affect the use of modern contraceptive methods among women of reproductive age. These factors include maternal age, educational status, wealth index, marital status, births in the last three years, women autonomy, partner/husband influence, knowledge on contraceptives, religion, region, and place of residence, media exposure, number of desired children, and family size [10][11][12][13][14][15][16][17][18][19][20][21][22].…”