ArticleBMC women's health2022
Rural-urban correlates of modern contraceptives utilization among adolescents in Zambia: a national cross-sectional survey.
Article in BMC women's health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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.
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.
Who cites it
19 citing papers in PubMed, 29 citations in OpenAlex.
- Current use of modern contraceptives and associated factors among women in Lesotho: evidence from the recent Lesotho demographic and health survey 2023-2024.Contraception and reproductive medicine · 2026Article
- What factors drive unmet need for modern contraception among sexually active adolescent girls and young women in Zambia: a multilevel analysis.Contraception and reproductive medicine · 2026Article
- Article
- Uptake and correlates of modern contraceptive use among women aged 15-49 years in Botswana; evidence from the Botswana demographic survey 2017.Contraception and reproductive medicine · 2025Article
- Urban-rural differences in caregivers' willingness to support adolescent girls' contraceptive use in Ghana: a comparative study.Contraception and reproductive medicine · 2025Article
- Determinant factors in the use of modern contraception in urban and rural areas in Western Indonesia.BMC public health · 2025Article
- Multinomial multilevel analysis of factors affecting the use of modern contraceptives in sub-Saharan Africa: evidence from 2015 to 2023 Demographic Health Survey.Scientific reports · 2025Article
- The intersection of intimate partner violence with sexual reproductive health in the Pacific: findings from a Kiribati population study.BMC women's health · 2025Article
- Determinants of modern contraceptive use among married and sexually active unmarried women aged 15-49 years old in Cambodia: How are geographical and socio-demographic factors associated with access?PLOS global public health · 2025Article
- Inequality in modern contraceptive use and unmet need for contraception among women of reproductive age in Zambia. A trend and decomposition analysis 2007-2018.Reproductive health · 2024Article
- Factors associated with modern contraceptive utilization among reproductive age women in Cambodia; evidenced by the recent Cambodia demographic and health survey.Contraception and reproductive medicine · 2024Article
- Exploring the drivers of unmet need for contraception among adolescents and young women in Sierra Leone. a cross-sectional study.Contraception and reproductive medicine · 2024Article
- Contraceptive Utilization and Its Associated Factors Among Married Women in West African Countries: A Population-Based Survey Using Multinomial Logistic Regression.Open access journal of contraception · 2024Article
- Use of any contraceptive method among women in rural communities in the eastern region of Ghana: a cross-sectional study.BMC public health · 2023Article
- Spatial variations and multi-level determinants of modern contraceptive utilization among young women (15-24 years) in Ethiopia: spatial and multi-level analysis of mini-EDHS 2019.Contraception and reproductive medicine · 2023Article
- A multilevel analysis of trends and predictors associated with teenage pregnancy in Zambia (2001-2018).Reproductive health · 2023Article
- Article
- Utilisation of modern contraceptives by sexually active adolescent girls in Rwanda: a nationwide cross-sectional study.BMC women's health · 2022Article
- Prevalence and determinants of current modern contraceptive use among married women aged 15-49 in Lesotho: analysis of 2023-2024 Lesotho Demographic and Health Survey.Therapeutic advances in reproductive healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundModern contraceptive use among adolescents is low despite the adverse effects of adolescent pregnancies. Understanding correlates of modern contraceptive use in different settings is key to the design of effective context-specific interventions. We aimed to determine factors associated with modern contraceptives use among adolescents in rural and urban settings of Zambia.
methodsWe analyzed secondary data from 2018 Zambia demographic and health survey (ZDHS) focusing on adolescent girls aged 15-19 years. We used multivariable logistic regression in SPSS version 25 to examine rural-urban variations in factors associated with modern contraceptive utilization.
resultsOverall, 12.0% (360/3000, 95% CI: 10.9-13.2) of adolescents in Zambia were using modern contraceptives. Use of modern contraceptives was higher in rural areas at 13.7% (230/1677, 95% CI: 12.1-15.3) compared to 9.8% (130/1323, 95% CI: 8.3-11.6) in urban areas. In the rural areas, having a child (aOR = 13.99; 95% CI 8.60-22.77), being married (aOR = 2.13; 95% CI 1.42-3.18), being older at 19 years (aOR = 3.90; 95% CI 1.52-10.03), having been visited by a field health worker (aOR = 1.62; 95% CI 1.01-2.64), having been exposed to family planning messages on mass media (aOR = 2.87; 95% CI 1.01-8.18) and belonging to the richest wealth quintile (aOR = 2.27; 95% CI 1.43-3.62) were associated with higher odds of contraceptive utilization. Furthermore, adolescents in the Northern (aOR = 0.29; 95% CI 0.11-0.80) and Luapula (aOR = 0.35; 95% CI 0.15-0.81) provinces were associated with less odds of utilizing contraceptives compared to those in Western province. In the urban areas, older age at 19 years (aOR = 4.80; 95% CI 1.55-14.84) and having a child (aOR = 18.52; 95% CI 9.50-36.14) were the only factors significantly associated with modern contraceptive utilization.
conclusionAge and having a child were associated with modern contraceptive use in both rural and urban areas. In rural areas (province, marital status, being visited by field health workers, family planning messages exposure and wealth index) were the only associated factors. This indicates that interventions aiming to increase contraceptive utilization should be context specific.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.