Evidence map›Paper›PMID 35473613›Full record

ArticleBMC public health2022

Factors associated with decision-making power of married women to use family planning in sub-Saharan Africa: a multilevel analysis of demographic health surveys.

Getu Debalkie Demissie, Yonas Akalu, Abebaw Addis Gelagay, Wallelign Alemnew, Yigizie Yeshaw

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
10.7field-weighted citation impact, top 1% 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

19 citing papers in PubMed, 36 citations in OpenAlex.

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  16. Male Involvement in Family Planning Decisions in Malawi and Tanzania: What Are the Determinants?International journal of environmental research and public health · 2023
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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 at 1 institution in 1 country.

Getu Debalkie DemissieDepartment of Health Education and Behavioral Sciences, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P. O. Box, 196, Gondar, Ethiopia. getud2006@gmail.com.
Yonas AkaluDepartment of Human Physiology, School of Medicine, College of Medicine and Health Sciences, University of Gondar, P. O. Box, 196, Gondar, Ethiopia.
Abebaw Addis GelagayDepartment of Reproductive health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P. O. Box, 196, Gondar, Ethiopia.
Wallelign AlemnewDepartment of Health Education and Behavioral Sciences, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P. O. Box, 196, Gondar, Ethiopia.
Yigizie YeshawDepartment of Human Physiology, School of Medicine, College of Medicine and Health Sciences, University of Gondar, P. O. Box, 196, Gondar, Ethiopia.
University of Gondar · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn sub-Saharan Africa, there are several socio-economic and cultural factors which affect women's ability to make decision regarding their own health including the use of contraceptives. Therefore, the main aim of this study was to determine factors associated with decision-making power of married women to use family planning service (contraceptives) in sub-Saharan Africa.

methodsThe appended, most recent demographic and health survey datasets of 35 sub-Saharan countries were used. A total weighted sample of 83,882 women were included in the study. Both bivariable and multivariable multilevel logistic regression were done to determine the associated factors of decision-making power of married women to use family planning service in sub-Saharan countries. The Odds Ratio (OR) with a 95% Confidence Interval (CI) was calculated for those potential variables included in the final model.

resultsMarried women with primary education (AOR = 1.24; CI:1.16,1.32), secondary education (AOR = 1.31; CI:1.22,1.41), higher education (AOR = 1.36; CI:1.20,1.53), media exposure (AOR = 1.08; CI: 1.03, 1.13), currently working (AOR = 1.27; CI: 1.20, 1.33), 1-3 antenatal care visits (AOR = 1.12; CI:1.05,1.20), ≥ 4 ANC visits (AOR = 1.14;CI:1.07,1.21), informed about family planning (AOR = 1.09; CI: 1.04, 1.15), having less than 3 children (AOR = 1.12; CI: 1.02, 1.23) and 3-5 children (AOR = 1.08; CI: 1.01, 1.16) had higher odds of decision-making power to use family planning. Mothers who are 15-19 (AOR = 0.61; CI: 0.52, 0.72), 20-24 (AOR = 0.69; CI: 0.60, 0.79), 25-29 (AOR = 0.74; CI: 0.66, 0.84), and 30-34 years of age (AOR = 0.82; CI: 0.73, 0.92) had reduced odds off decision-making power to use family planning as compared to their counterparts.

conclusionAge, women's level of education, occupation of women and their husbands, wealth index, media exposure, ANC visit, fertility preference, husband's desire in terms of number of children, region and information about family planning were factors associated with decision-making power to use family planning among married women.

Indexed as

Decision MakingFamily Planning ServicesChildContraceptive AgentsCross-Sectional StudiesFemaleHealth SurveysHumansMarriageMultilevel AnalysisPregnancyContraceptive AgentsDecision-making powerFamily planningSub-Saharan AfricaWomen

Identifiers

PMID35473613
PMCPMC9044612
OpenAlexW4224984863

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.