Abortion history and its association with current use of modern contraceptive methods in Luanda, Angola

Morris, N.; Prata, Ndola

doi:10.2147/oajc.s164736

Cited by 20 publications

(26 citation statements)

References 17 publications

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“…The odds of using long acting and permanent contraceptive methods compared to non-use for women who had history of abortion was lower compared to women who had no history of abortion. This finding contradicts a study in Luanda, Angola, which indicated that history of abortion was associated with contraceptive use [41]. The reason for this may be that women with abortion may have desire for other children.…”

Section: Discussioncontrasting

confidence: 63%

Factors associated with long acting and permanent contraceptive methods use in Ethiopia

Fekadu

Omigbodun

Roberts

et al. 2019

Contracept Reprod Med

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Background Long acting and permanent contraceptives methods are more effective, save cost and enable women to control their reproductive lives better. Although the Ethiopian government is promoting its use through various mechanisms, the level of use is low. Therefore, this study was designed to identify factors associated with long acting and permanent contraceptive methods use in Ethiopia. Methods Four Ethiopian demographic and health survey data were used to examine trends of long acting and permanent contraceptive methods use. To identify factors associated with long acting and permanent contraceptive methods use, the 2016 Ethiopian demographic and health survey data was used. The data was accessed from the demographic and health survey program data base. Data analysis was done using Stata 15.1. Descriptive analysis was used to describe socio-economic and other variables of the study participants. Data were weighted and design effect was considered during analysis. Multicollinearity was assessed using variance inflation factor. Finally, multinomial logistic regression model was used to identify factors associated with long acting and permanent contraceptive methods use. Results Long acting and permanent contraceptive methods use increased significantly from 0.6% in 2000 to 11.6% in 2016. The odds of long acting and permanent contraceptive methods use was higher among richer women (AOR 2.6; 95%CI 1.2–5.4), women who were sales workers (AOR 2.1; 95%CI 1.1–3.9) and women whose ideal number of children was high (AOR; 4.2, 95%CI 1.4–13.0). But the odds of long acting and permanent contraceptive methods use was lower among female headed households (AOR 0.2: 95%CI 0.1–0.5) and women who had history of abortion (AOR 0.2: 95%CI 0.1–0.5). Conclusion Long acting and permanent contraceptive methods use increased significantly in Ethiopia. Wealth index, women’s occupation, ideal number of children, sex of head of the household and history of abortion were factors associated with long acting and permanent contraceptive methods use in Ethiopia. Improving economic status of women may help improve long acting and permanent contraceptive methods use in Ethiopia.

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Section: Discussioncontrasting

confidence: 63%

Factors associated with long acting and permanent contraceptive methods use in Ethiopia

Fekadu

Omigbodun

Roberts

et al. 2019

Contracept Reprod Med

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“…Finding of this study contradicts that reported by Arbab, Bener, & Abdulmalik (2011) in Qatar pointing out that women with a history of abortion are less likely to use contraceptives than those without such history. However, our study finding corroborated that of Morris & Prata (2018) which suggests that women with history of abortion are 1.23 times more likely to use modern contraceptives compared to those with no history of abortion. It has been reported (Borges et al, 2015) that women utilize both medical consultation and contraceptives counselling often after post-abortion.…”

Section: Determinants Of Current Contraceptive Usagesupporting

confidence: 85%

Prevalence and determinants of contraceptives use among rural young women (15-24 years) in Ghana

Salifu

Mohammed

Harrison³

et al. 2020

Preprint

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Background: Contraceptives use has significant effect on controlling fertility, preventing STIs, reducing unwanted pregnancies and induced abortions. The use of contraceptives among reproductive age women (15-49 years) has been largely reported. However, what is unclear is whether the reported prevalence of, and factors that influence the usage of contraceptives is comparable in the context of young adults (aged 15-24 years) in rural areas. The purpose of this study was therefore to report the prevalence and factors that influence contraceptives use among young women (15-24 years) in rural Ghana.Methods: Data (n = 3797) collected using a questionnaire through a mutli-stage probability sampling method in the 2017 Ghana Maternal Health Survey (GMHS) was analyzed by descriptive and inferential statistical methods. The chi-square test was used to identify significant associations between categorical variables at a significant level of p < 0.05. Univariate and multivariate logistic regression analyses was conducted to explore how well each independent variable predicted contraceptive use. Results: Out of the 3,797 women, only 21.49% (95% CI: 19.56, 23.55) used contraceptives. Number of living children, health insurance, knowledge of fertility period, history of abortion, ever given birth, educational level, age of participants and current union were found to influence contraceptives use. Strong significant predictors (at 95% CI, p<0.05) of contraceptives use were history of abortion, age of participants, educational level, number of living children, and knowledge of fertility period. Conclusion: Low usage of contraceptives has been identified among rural women and so there is the need for policymakers to intensify education and facilitate widespread access to modern contraceptives in rural areas and promote their effective use.

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“…Logistic regression analysis was carried out in a hierarchical order where the first model (Model I) was a bivariate analysis of the effect of country on unintended pregnancies. Angola was chosen as the reference country because previous studies have identified no contraceptive use [33–35], and high unmet need for family planning [34, 36] in the country. In Model II, we adjusted for the effect of the other explanatory variables to ascertain how these variables induce unintended pregnancies using a multivariate analysis.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and determinants of unintended pregnancy in sub-Saharan Africa: A multi-country analysis of demographic and health surveys

et al. 2019

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Introduction Approximately 14 million unintended pregnancies are recorded annually in sub-Saharan Africa (SSA). We sought to investigate the prevalence and determinants of unintended pregnancies among women in sub-Saharan Africa. Materials and methods The study pooled data from current Demographic and Health Surveys (DHS) conducted from January 1, 2010 to December 31, 2016 from 29 countries in SSA. Logistic regression analysis was used to examine the factors that influence unintended pregnancies in SSA. Results were presented using odds ratios (OR). Results We found overall unintended pregnancy prevalence rate of 29%, ranging from 10.8% in Nigeria to 54.5% in Namibia. As compared to women aged 15–19 years, women of all other age categories had higher odds of unintended pregnancies. Married women were 6 times more probable to report unintended pregnancy as compared to women who had never married (OR = 6.29, CI = 5.65–7.01). The phenomenon had higher odds among rural residents as compared to urban residents (OR = 1.08, CI = 1.01–1.16). Women with primary (OR = 0.74, CI = 0.69–0.80) and secondary (OR = 0.71, CI = 0.65–0.77) levels of education had less chances of unintended pregnancies, compared to those with no education. Again, women in all other wealth categories had less probability of unintended pregnancy, as compared to women with poorest wealth status. Conclusion Our study contributes substantially towards the discourse of maternal wellbeing by unveiling the prevalence and determinants of unintended pregnancy across the SSA region. There is the need for SSA countries with high prevalence of unintended pregnancies to consider past and present successful interventions of other countries within the region such as health education, counselling, skills-building, comprehensive sex education and access to contraception. Much of these efforts rest with the governments of SSA countries.

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Abortion history and its association with current use of modern contraceptive methods in Luanda, Angola

Cited by 20 publications

References 17 publications

Factors associated with long acting and permanent contraceptive methods use in Ethiopia

Factors associated with long acting and permanent contraceptive methods use in Ethiopia

Prevalence and determinants of contraceptives use among rural young women (15-24 years) in Ghana

Prevalence and determinants of unintended pregnancy in sub-Saharan Africa: A multi-country analysis of demographic and health surveys

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