Evidence map›Paper›PMID 34405873›Full record

ArticleInternational health2022

Prevalence and predictors of long-acting reversible contraceptive use among sexually active women in 26 sub-Saharan African countries.

Obasanjo Afolabi Bolarinwa, Ugochinyere Ijeoma Nwagbara, Joshua Okyere, Bright Opoku Ahinkorah, Abdul-Aziz Seidu, Edward Kwabena Ameyaw, Victor Igharo

Open access · goldAbstract read
In one paragraph

Article in International health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
7.7field-weighted citation impact, top 2% of its field
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

26 citing papers in PubMed, 30 citations in OpenAlex.

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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

7 authors at 4 institutions in 4 countries.

Obasanjo Afolabi BolarinwaDepartment of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban 4041, South Africa.ORCID 0000-0002-9208-6408
Ugochinyere Ijeoma NwagbaraDepartment of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban 4041, South Africa.
Joshua OkyereDepartment of Population and Health, University of Cape Coast, Cape Coast,PMB, Ghana.
Bright Opoku AhinkorahSchool of Public Health, University of Technology, Sydney, NSW 2007, Australia.
Abdul-Aziz SeiduDepartment of Population and Health, University of Cape Coast, Cape Coast,PMB, Ghana.ORCID 0000-0001-9734-9054
Edward Kwabena AmeyawSchool of Public Health, University of Technology, Sydney, NSW 2007, Australia.
Victor IgharoJohn's Hopkins Centre for Communications Programs, 111 Market Place Suite 310 Baltimore, MD, USA.
University of Cape Coast · GHUniversity of KwaZulu-Natal · ZAUniversity of Technology Sydney · AUJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-acting reversible contraceptives (LARCs) are associated with high efficacy rates and continuity of use. Based on the foregoing, we sought to examine the prevalence and factors associated with LARC use among sexually active women in 26 countries in sub-Saharan Africa(SSA).

methodsSecondary data from Demographic and Health Surveys conducted in 26 countries in SSA between January 2010 and December 2019 were pooled and analysed. A total of 56 067 sexually active women 15-49 y of age met the inclusion criteria. Bivariate and multivariate regression analyses were performed to examine the association between selected factors and the use of LARCs in SSA. Results were presented as crude odds ratios and adjusted odds ratios (aORs) with statistical precision at <0.05.

resultsThe prevalence of LARC use was 21.73%, ranging from 1.94% in Namibia to 54.96% in Benin. Sexually active women with secondary or higher education (aOR 1.19 [95% confidence interval {CI} 1.08 to 1.32]), those cohabiting (aOR 1.25 [95% CI 1.06 to 1.47]) and those with four or more children (aOR 2.22 [95% CI 1.78 to 2.78]) were more likely to use LARCs compared with those without education, never married and with no biological child.

conclusionsThe use of LARCs in the 26 countries in SSA was relatively low. Hence, the identified contributory factors of LARC use should be tackled with appropriate interventions. These include continuous campaigns on the efficacy of LARCs in reducing unintended pregnancy, maternal mortality and morbidity.

Indexed as

Contraception BehaviorContraceptive AgentsChildEducational StatusFemaleHumansPregnancyPregnancy, UnplannedPrevalenceContraceptive Agentscontraceptivelong-acting reversiblepredictorspublic healthsexually active womensub-Saharan African

Identifiers

PMID34405873
PMCPMC9450634
OpenAlexW3195084337

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.