Evidence map›Paper›PMID 38096259›Full record

ArticlePloS one2023

Contraceptive use by number of living children in Ghana: Evidence from the 2017 maternal health survey.

Sarah Compton, Emmanuel Nakua, Cheryl Moyer, Veronica Dzomeku, Emily Treleaven, Easmon Otupiri, Jody Lori

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.3field-weighted citation impact, top 10% 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

3 citing papers in PubMed, 4 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 3 countries.

Sarah ComptonDepartment of Obstetrics and Gynecology, Program on Women's Healthcare Effectiveness Research, University of Michigan, Ann Arbor, Michigan, United States of America.ORCID 0000-0002-1539-5397
Emmanuel NakuaDepartment of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Cheryl MoyerDepartment of Learning Health Sciences and Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan, United States of America.ORCID 0000-0002-5796-157X
Veronica DzomekuDepartment of Nursing and Midwifery, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Emily TreleavenInstitute for Social Research, Survey Research Center, University of Michigan, Ann Arbor, Michigan, United States of America.
Easmon OtupiriDepartment of Population, Family, and Reproductive Health, Kwame Nkrumah University for Science and Technology, Kumasi, Ghana.
Jody LoriGlobal Affairs and Community Engagement, School of Nursing, University of Michigan, Ann Arbor, Michigan, United States of America.
Kwame Nkrumah University of Science and Technology · GHUniversity of Michigan · USInstitute for Social Research · NOMichigan United · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a significant literature describing the link between parity and contraceptive use. However, there is limited knowledge about the disaggregation by parity of the type of contraceptives. In this study, we describe the use of contraceptives by parity among women of reproductive age in Ghana, focusing on use of highly effective methods (injection, pill, intrauterine device, implant, and sterilization).

methodsUsing the 2017 Ghana Maternal Health Survey, a nationally-representative cross-sectional household survey, we describe contraceptive method use by number of living children among sexually active women of reproductive age. We then estimated predictors of use of highly effective contraception in a multilevel logistic regression model.

resultsMost women in this survey are not using any method of contraception, although this varies by whether or not they have begun childbearing. Contraceptive method use varies by number of living children. Before having children, natural (periodic abstinence and withdrawal) and episodic (condoms) methods dominate. Once a woman has one living child, method preference changes to injectables and implants. Factors associated with using a highly effective method of contraception are: having >3 children, being in a relationship, having had an abortion, being younger than age 30, and having had sexual intercourse within days of answering the survey (p < .001 for all).

conclusionIn this analysis, the number of living children a woman has, her age, and timing of last intercourse are the most significant predictors of using a highly effective method of contraception. However, the majority of participants in this study report not using any method of contraception to avoid unwanted pregnancies. Future research that attempts to unpack the disconnect between not wanting to become pregnant and not using contraception is warranted.

Indexed as

Contraceptive AgentsIntrauterine DevicesAdultChildContraceptionContraception BehaviorCross-Sectional StudiesFemaleGhanaHumansMaternal HealthPregnancyContraceptive Agents

Identifiers

PMID38096259
PMCPMC10721096
OpenAlexW4389725914

What OpenQuestion holds

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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.