Factors influencing the use of contraceptives through the lens of teenage women: a qualitative study in Iran

Mardi, Afrouz; Ebadi, Abbas; Shahbazi, Shirin; Saeieh, Sara Esmaelzade; Moghadam, Zahra Behboodi

doi:10.1186/s12889-018-5116-3

Cited by 37 publications

(45 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Consistent with previous studies [28,29], the study also revealed that those with poorest and poorer wealth quintiles were less likely to use modern contraceptives compared to those with richest wealth quintile. A study in Malawi also indicated that women in the highest wealth quintiles were more likely to use contraception as compared to those in the poorest income categories [29].…”

Section: Discussionsupporting

confidence: 89%

“…Evidence from Tanzania also indicated that unmarried-sexually active women who had reached the university level of education were three times more likely to use modern contraception compared with those with no education [5]. It has been argued that advancement in education has a potential role in shaping individuals' perceptions and knowledge about modern contraceptives, which aid them in overcoming misconceptions against modern contraception use [28]. Therefore the youth who were less educated had a lower chance of using modern contraceptives probably due to misconceptions [8].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Mali: a mixed effects multilevel analysis of the 2018 Mali demographic and health survey

Seidu

Appiah

Budu

et al. 2020

Contracept Reprod Med

View full text Add to dashboard Cite

Background Unintended pregnancy constitutes a significant public health challenge in sub-Saharan Africa and particularly among young people, who are more likely to closely space births and experience adverse obstetric outcomes. Studies on modern contraceptive use have mostly focused on women of reproductive age in general with limited attention to factors associated with modern contraceptive use among adolescents and young women (aged 15–24) in Mali. We examined the individual and community-level factors associated with modern contraceptive use among this age cohort using the 2018 Mali demographic and health survey data. Methods We analyzed data from 2639 adolescent girls and young women, and our outcome of interest was current use of modern contraceptives. We performed descriptive analysis using frequencies and percentages and inferential analysis using mixed-effects multilevel logistic regression. The results of the mixed-effects multilevel logistic regression were presented as adjusted odds ratios with their corresponding 95% confidence intervals. Results The prevalence of modern contraceptive use among adolescent girls and young women in Mali was 17.1% [95% CI, 15–19%]. Adolescent girls and young women who were married [aOR = 0.20, CI = 0.09–0.41], had no formal education [aOR = 0.43, CI = 0.32–0.59], in the poorest wealth quintile [aOR = 0.38, CI = 0.19–0.79] and had no children [aOR = 0.38, CI = 0.27–0.53] were less likely to use modern contraceptives. Similarly, those who had low knowledge of modern contraception [aOR = 0.60, CI = 0.42–0.85] and whose ideal number of children was six or more [aOR = 0.66, CI = 0.43–0.99] were less likely to use modern contraceptives. However, those with four or more births were more likely to use modern contraceptives [aOR = 1.85, CI = 1.24–2.77]. Conclusion Modern contraceptive use among adolescent girls and young women in Mali has improved slightly relative to the prevalence of 2012, though the prevalence is still low, compared to the prevalence in other sub-Saharan African countries and the prevalence globally. Individual-level factors such as marital status, educational level, wealth quintile, parity, ethnicity and ideal number of children were associated with the use of modern contraceptive among adolescent girls and young women in Mali. Community knowledge of modern contraceptives was found as a community-level factor associated with modern contraceptive use among adolescent girls and young women. Therefore, Mali’s Ministry of Health and Public Hygiene's Health Promotion and Education unit should prioritise and intensify contraceptive education to increase coverage of modern contraceptive use and address disparities in the use of modern contraceptives. Such education should be done, taking into consideration factors at the individual and community-level of the target population.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Mali: a mixed effects multilevel analysis of the 2018 Mali demographic and health survey

Seidu

Appiah

Budu

et al. 2020

Contracept Reprod Med

View full text Add to dashboard Cite

show abstract

“…The results showed that women who get married early have a weak position in family life and many life decisions are made by their husbands or even the husband's family. Research by Mardi et al also found that women who experienced early marriage were less independent in family life [17].…”

Section: Discussionmentioning

confidence: 93%

“…Irani & Latifnejad Roudsari, 2019 also showed in a review study that child marriage in girls is associated with the consequences of death during childbirth, physical and sexual violence, depression, risk of getting sexually transmitted diseases and preterm birth [16]. A qualitative study conducted by Mardi et al in 2018 in Ardabil, Iran, showed that adolescent women confront experiences such as misunderstanding of sexual relations, death of dreams and threatened independence. Also, the results of their study showed that adolescent women cannot understand life opportunities, and health care providers and policymakers need to make adolescents aware of the negative consequences of early marriage and prevent them from doing it [17].…”

Section: Nasrullah Et Al 2014 Entitled Child Marriage and Its Assocmentioning

confidence: 99%

Exploring the Consequences of Early Marriage among Kurdish Women: A Qualitative Study in Western Iran

Solhi

Azar

Farahani

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Early marriage is one of the most important social issues for young women, which can have many consequences, so this study was conducted to explain the consequences of early marriage among Kurdish women in western Iran.Methods: This qualitative study was conducted with the approach of conventional content analysis among Iranian Kurdish women who were married under the age 18. The data were saturated through semi-structured interviews with 30 women selected by purposeful sampling. Data analysis was performed by Graneheim and Lundman method.Results: 389 codes, 14 subcategories, 4 sub-categories and 2 main categories were extracted from data analysis. Negative consequences of early marriage include 1- Physical and psychological problems (high-risk pregnancy and childbirth, physical illnesses, yearning and remorse, psychological challenges) 2- Family problems (experience of violence, dissatisfaction with married life, experience of multiple roles, lack of independence in Family life) 3. Social problems (social deviance, deprivation of social and health services, social isolation, deprivation of job and educational opportunities) and positive consequences include receiving intra- family support, improving living conditions and opportunities for progress and empowerment.Conclusions: It is possible to reduce the negative consequences of early marriage through teaching young women to have a less dangerous pregnancy and childbirth, training and using psychological counseling on how to deal with personal problems and married life, and providing appropriate social and health services for them.

show abstract

“…There are many reported factors which have been shown to be meaningfully associated with the choice of contraceptive tools including fertility history, income, education and job, age and some of other demographic characteristics of women and their husbands (5). The present study was conducted to determine the most important socioeconomic and cultural factors which may be the reason behind choosing methods of contraception.…”

Section: Introductionmentioning

confidence: 98%

Further report on the higher frequency of withdrawal as contraception among Iranian women: demand for more powerful education programs in health care systems

Karami

Gholami

Ghasemi

2019

Preprint

View full text Add to dashboard Cite

Background: Family planning has critical role in improvement of various aspects of community health. Owing to the limited and incomplete previously performed studies, the present work was conducted to determine the frequency of contraception methods and most important factors in selection of them among women of Tehran province. Methods:The present assay was designed as analytical and observational cross-sectional study. A questionnaire including 24 questions was filled for 395 women (18-40 years old) refereed to multiple private clinics in three selected strict of Tehran. Questions were designed in order to address the type of contraception method besides multiple social, economic and cultural factors which may affect the selection and demographic characteristics of enrolled samples. Results:The frequency of the type of contraceptive methods was significantly different among women in different age categories (p-value=0.01). Overall rate of using contraceptive methods was 75.2% while remaining of the participants believed in no need for contraception. The most prevalent contraceptive methods were traditional methods (55.9%), modern methods (29.1%), combination of methods (8.1%) and surgery methods (6.8%), respectively. Status of housing was the only factor among economic issues which was meaningfully associated with the selection of the method. Conclusion:High prevalence of natural contraceptive methods even among highly educated women is relying on the demand for more education regarding the selection of best methods based on the background information, obstetrics history, age and economic status of women. Results of the present study can be implicated in further health programs to improve family planning.

show abstract

Factors influencing the use of contraceptives through the lens of teenage women: a qualitative study in Iran

Cited by 37 publications

References 33 publications

Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Mali: a mixed effects multilevel analysis of the 2018 Mali demographic and health survey

Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Mali: a mixed effects multilevel analysis of the 2018 Mali demographic and health survey

Exploring the Consequences of Early Marriage among Kurdish Women: A Qualitative Study in Western Iran

Further report on the higher frequency of withdrawal as contraception among Iranian women: demand for more powerful education programs in health care systems

Contact Info

Product

Resources

About