Factors affecting the use of long term and permanent contraceptive methods: a Facebook-focused cross-sectional study

Abstract

Introduction In the Muslim world, the use and acceptance of long-term and permanent contraceptives were limited. Our aim was to investigate those limiting factors so we can help making these methods widely available and acceptable to the society. Methods and data analysis There were 1365 women from Facebook groups in the period 08/10/2020–8/11/2020. Participants were married women, living in Jordan. This was a cross-sectional study. Statistical Package for Social Sciences (SPSS), version 16, software was used for statistical analysis (Chicago, Illinois, USA). Results Among participants, 22.3% had never used any contraceptives. Non-hormonal IUCD was the most commonly used method. There was a statistically significant association between the use of hormonal IUCD and women's age, marriage duration, education and number of children (p < 0.0001). Tubal ligation was adopted by only 44 (3.22%) participants. 19.68% of participants declined tubal ligation merely due to religious issues. Women who completed only high school level of education underwent tubal ligation significantly more than those with university (Bachelor) and post-university (Master or PhD) degrees (p < 0.0001 and 0.026, respectively). Only 1.83% of women's partners underwent vasectomy, the majority of these vasectomies (72.0%) were done because of the need for lifelong contraception. Around 17% of women's partners had poor knowledge about vasectomy. Further, women's employment status (housewives or full-time employees) was found to be the only variable that affected acceptance of vasectomy (p = 0.0047). Conclusions Women endured a heavy burden of contraception. Cultural and religious taboos influenced tubal ligation. Vasectomy was still very rarely adopted by men due to the lack of knowledge about the procedure. Our results raised the need for further dissemination of contraception knowledge and counselling through the primary care and maternity centers, mosques and media in official, comprehensive and integrated programs. Future research is needed in the field of permanent contraceptive methods.

Knowledge on, Attitude Toward, and Practice of Contraceptive Methods Among Females of Reproductive Age in Al-Qunfudah Governorate, Saudi Arabia

“…Most of the females in this study learned about family planning methods from their parents, relatives, and friends (38.75%) and then from healthcare providers (31.5%). This finding is similar to that of other earlier Saudi studies [12,17,27,28], and this result may be due to Saudi cultural norms and a lack of a school curriculum that teaches students about reproductive health issues, including birth spacing and its benefits for females and child health. Based on this important discovery, healthcare professionals should be given more authority and instructions to inform females about family planning options.…”

The dynamics of Long-Acting Reversible Contraception (LARC) choices in rural Jambi: Socio-economic perspectives

“…Firstly, the age of women (X1) does not significantly impact their decision, which contrasts with research by Darsono et al (2020) and Gayatri (2022), who found that age, particularly among women over 35, significantly influences the choice of LARC. Similarly, the education level of women (X2) shows no significant effect on this choice, diverging from findings by Al-Husban et al (2022) and Azis et al (2021).…”

Socioeconomic Determinants of Permanent Contraceptive Use among Multiparous Women in Urban Indonesia: A nationwide cross-sectional survey

“…However, studies reported that women in LMICs faced multifaceted barriers to permanent contraception (2). The myths, procedure irreversibility, and religious beliefs increase females' fear of deciding to use permanent contraception (3). Unsupportive husbands toward their decisions also reportedly hinder females from using this method (4).…”