Evidence map›Paper›PMID 32978208›Full record

SynthesisBMJ open2020

Prevalence and factors associated with modern contraceptive use among women of reproductive age in 20 African countries: a large population-based study.

Paschal Awingura Apanga, Maxwell Tii Kumbeni, Emmanuel Awine Ayamga, Mark B Ulanja, Robert Akparibo

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Paschal Awingura ApangaSchool of Community Health Sciences, University of Nevada, Reno, Nevada, USA awingura@yahoo.com.ORCID 0000-0003-0038-3630
Maxwell Tii KumbeniNabdam District Health Directorate, Ghana Health Service, Nangodi, Upper East Region, Ghana.
Emmanuel Awine AyamgaNabdam District Health Directorate, Ghana Health Service, Nangodi, Upper East Region, Ghana.
Mark B UlanjaSchool of Medicine, University of Nevada, Reno, Nevada, USA.
Robert AkpariboSchool of Health and Related Research, The University of Sheffield, Sheffield, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the prevalence and factors associated with modern contraceptive (CP) use among women of the reproductive age.

designCross-sectional study.

settingWe used data from the Multiple Indicator Cluster Surveys (MICSs) from 20 African countries collected between 2013 and 2018.

participantsData on 1 177 459 women aged 15-49 years old.

methodsMultivariable logistic regression was used to identify factors associated with modern CP use, while controlling simultaneously for independent variables, and accounting for clustering, stratification and sample weights from the complex sampling design. We used random effects meta-analysis to pool adjusted estimates across the 20 countries.

resultsThe overall prevalence of modern CP use was 26% and ranged from 6% in Guinea to 62% in Zimbabwe. Overall, injectable (32%) was the most preferred method of CP, followed by oral pill (27%) and implants (16%). Women were more likely to use a modern CP if they: had a primary (adjusted prevalence odds ratios (aPORs): 1.68, 95% CI: 1.47 to 1.91)) or secondary/higher education (aPOR: 2.16, 95% CI: 1.80 to 2.59) compared with women with no formal education; had no delivery in the last 2 years (aPOR: 3.89, 95% CI: 2.76 to 5.47) compared with women who delivered in the last 2 years; were aged 25-34 years (aPOR: 1.33, 95% CI: 1.20 to 1.47) compared with women aged 15-24 years; were of middle-income status (aPOR: 1.25, 95% CI: 1.11 to 1.39) or rich (aPOR: 1.53, 95% CI: 1.27 to 1.84) compared with poor women and had two or more antenatal care visits compared with women without a visit. Perceived domestic violence was not associated with modern CP use (aPOR: 0.98, 95% CI: 0.92 to 1.05).

conclusionOur findings are relevant in a global context, particularly in the African region, and improve our understanding on relevant factors essential to increasing modern CP use.

Indexed as

Contraception BehaviorContraceptive AgentsAdolescentAdultCross-Sectional StudiesFamily Planning ServicesFemaleHumansMiddle AgedPregnancyPrevalenceYoung AdultZimbabweContraceptive Agentsmaternal medicineprimary carepublic health

Identifiers

PMID32978208
PMCPMC7520862

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.