ArticleBMJ open2022
Intention to use contraceptives among married and cohabiting women in sub-Saharan Africa: a multilevel analysis of cross-sectional data.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Understanding contraception-use intentions among women of reproductive age not currently using contraceptives in sub-Saharan Africa: key insights from Demographic and Health Surveys.International health · 2026Article
- Magnitude of Modern Contraceptive Use and Its Determinants Among Sexually Active Adolescent Girls and Young Women in Selected High HIV Prevalence Southern African Countries: A Multilevel Mixed-Effect Analysis.Open access journal of contraception · 2026Article
- From fertility intentions to contraceptive behaviour: evidence among women with children in Malawi.Frontiers in reproductive health · 2026Article
- The Role of Ideation on Intention to Use Contraceptives Among Married Women in Shenen Dhugo District, Eastern Ethiopia.BioMed research international · 2026Article
- Intention to use long-acting and permanent contraceptive methods and its predictors among family planning users in Ethiopia: Systematic review and meta-analysis.Journal of public health research · 2025Review
- Regional disparities and sociodemographic determinants of intention to use contraceptives among Somali women: a cross-sectional analysis of the 2020 SDHS.Contraception and reproductive medicine · 2025Article
- Fertility intention and its correlates with reproductive-aged married women in Ethiopia: an adapted theory of planned behavior (TPB).Journal of health, population, and nutrition · 2025Article
- Factors associated with male acceptance of modern contraceptive methods. A descriptive cross-sectional study in a peri-urban municipality.Contraception and reproductive medicine · 2025Article
- Predictors of intention to use contraceptives among married and cohabiting women in Ghana: A cross-sectional study.Contraception and reproductive medicine · 2024Article
- Modern contraceptive utilization among women of reproductive age in Ghana: a multilevel mixed-effect logistic regression model.Contraception and reproductive medicine · 2024Article
- Assessment of intention to use modern contraceptives among women of reproductive age in Benin: evidence from a national population-based survey.Contraception and reproductive medicine · 2024Article
- Proximal factors influencing the likelihood of married and cohabiting women in Sierra Leone to use contraceptives. A cross-sectional study.Contraception and reproductive medicine · 2024Article
- Prevalence and factors associated with intention to use contraceptives among women of reproductive age: a multilevel analysis of the 2018 Guinea demographic and health survey.BMC pregnancy and childbirth · 2024Article
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7 authors.
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Abstract
objectiveTo examine the factors associated with intention to use contraceptives among married and cohabiting women in sub-Saharan Africa (SSA).
designData for the study were extracted from the most recent Demographic and Health Surveys of 29 countries in SSA conducted from 2010 to 2020. We included a total of 180 682 women who were married or cohabiting. Multilevel regression analysis was carried out and the results were presented as adjusted odds ratio (AOR), with 95% confidence interval (CI).
setting29 countries in SSA.
participantsWomen aged 15-49 years in sexual unions. OUTCOME MEASURE: Intention to use contraceptives.
resultsThe pooled prevalence of intention to use contraceptives among married and cohabiting women in the 29 countries was 41.46%. The prevalence ranged from 18.28% in Comoros to 71.39% in Rwanda. Intention to use contraceptives was lower among women aged 45-49 (AOR=0.06, 95% CI= 0.05 to 0.07), those with no education (AOR=0.60, 95% CI= 0.58 to 0.61), and primary education (AOR=0.90, 95% CI 0.88 to 0.93), married women (AOR=0.81, 95% CI= 0.79 to 0.84), those of the poorest wealth quintile (AOR=0.78, 95% CI= 0.75 to 0.82), and women who were not exposed to mass media (AOR=0.87, 95% CI= 0.86 to 0.90). Women with four or more births (AOR=2.09, 95% CI= 1.99 to 2.19) had greater likelihood of contraceptive use intention compared to those with no birth. Women in rural settings were found to have greater likelihood of intention to use contraceptives compared to those in urban settings (AOR=1.10, 95% CI= 1.07 to 1.14).
conclusionThere is a low prevalence of contraceptive use intention among married and cohabiting women in SSA with differences between countries. It is imperative for policymakers to consider these factors when developing and executing contraceptive programmes or policies to enhance contraceptive intents and use among married and cohabiting women. To resolve discrepancies and increase contraceptive intention among women, policymakers and other key stakeholders should expand public health education programmes.
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