Long-acting reversible contraceptives utilization and its determinants among married Yemeni women of childbearing age who no longer want children

Abstract

Some contraceptive methods, such as long-acting and permanent methods, are more effective than others in preventing conception and are key predictors of fertility in a community. This study aimed to determine which factors were linked to married women of childbearing age who no longer desired children using long-acting reversible contraceptives (LARCs) in Yemen. We used a population-based secondary dataset from Yemen's National Health and Demographic Survey (YNHDS), conducted in 2013. The study analyzed a weighted sample of 5149 currently married women aged 15 to 49 years who had no plans to have children. Logistic regression analyses were used to investigate the parameters linked to the present use of LARCs. The final model's specifications were evaluated using a goodness-of-fit test. An alpha threshold of 5% was used to determine statistical significance. Of the total sample, 45.3% (95% CI: 43.3-47.4) were using contraception. LARCs were used by 21.8% (95% CI: 19.6-24.1) of current contraceptive users, with the majority (63.8%) opting for short-acting reversible contraceptives (SARCs). In the adjusted analysis, maternal education, husbands' fertility intention, place of residence, governorate, and wealth groups were all linked to the usage of LARCs. According to the findings, women whose spouses sought more children, for example, were more likely to use LARCs than those who shared their partners' fertility intentions (AOR = 1.44; 95% CI: 1.07-1.94; P = .015). In this study, married women of reproductive age who had no intention of having children infrequently used contraception and long-acting methods. Improving women's education and socioeconomic status could contribute to increasing their use of LARCs.

Spatial Disparities and Determinants of Modern Contraceptive Use Among Reproductive Age Women in Ethiopia: Application of Multilevel Spatial Analysis

“…The findings also show that women who had attained primary school education had higher odds of using modern contraceptives than their uneducated counterparts. This finding is consistent with previous studies that have shown a similar pattern of relationship between educational status and contraceptive use [5,9,16]. Education empowers women to have autonomy in making important decisions regarding fertility related issues and help them exercise reproductive health rights compared to uneducated women.…”

“…In countries with high fertility rates, promoting contraceptives averts 32% of all maternal deaths and approximately 10% of child mortality. Modern contraceptives also make a huge contribution to the achievement of universal primary schooling, female empowerment, and reducing poverty and hunger [5]. Family planning is also important in preventing unintended pregnancies and unsafe abortions [6].…”

Profile of Users of Short- and Long-acting Contraceptive Methods: A Cross-sectional National Study of 12,973 Women

“…Boah et al 20 and Ebrahim et al 21 have shown that the acceptance and use of LARC in rural areas was lower compared with urban areas, which represents a finding similar to that of the present study. In less developed settings or settings with less potential for development, reproductive health care is directly linked to the culture of the setting.…”

Permanent, long-acting and short-acting reversible contraceptive methods use among women in Bangladesh: an analysis of Bangladesh Demographic and Health Survey 2017–2018 data

“…According to the guidance of reviewed literature4 36–43 and the availability of the variables in BDHS 2017–2018, several explanatory variables were included in this current analysis. They are the age of women, education of women, employment status of women, husband/partner’s education, religion, body mass index (BMI), media exposure, current breastfeeding status, parity, birth history in last 5 years, history of a terminated pregnancy, hearing information about FP from media, the decision for using contraception, knowledge of ovulatory cycle, women decision-making power, household wealth status, place of residence and administrative division.…”