Evidence map›Paper›PMID 40392862›Full record

ArticlePloS one2025

Utilization of modern contraceptive methods among women of reproductive age in Senegal: A multilevel mixed-effects analysis.

Hiwot Tezera Endale, Habtu Kifle Negash, Winta Tesfaye, Fethiya Seid Hasen, Tseganesh Asefa, Destaye Tirite Gelaw, Yihun Tefera Ayenew, Nebebe Demis Baykemagn, Tirualem Zeleke Yehuala, Mihret Getnet

Abstract read
In one paragraph

Article in PloS one, 2025. 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
–field-weighted citation impact
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.

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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

10 authors.

Hiwot Tezera EndaleDepartment of Medical Biochemistry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.ORCID https://orcid.org/0000-0002-4672-0551
Habtu Kifle NegashDepartment of Human Anatomy, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.ORCID https://orcid.org/0000-0002-4869-4940
Winta TesfayeDepartment of Human Physiology, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Fethiya Seid HasenDepartment of Medical Biochemistry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Tseganesh AsefaDepartment of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Destaye Tirite GelawDepartment of Human Anatomy, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Yihun Tefera AyenewDepartment of Human Anatomy, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Nebebe Demis BaykemagnDepartment of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Tirualem Zeleke YehualaDepartment of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Mihret GetnetDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite high fertility rates in low- and middle-income countries, modern contraceptive use remains low. In Senegal, there is limited use of modern contraceptives, and few studies have explored the factors influencing their adoption. This study aims to identify the determinants of modern contraceptive use among women of reproductive age in Senegal.

methodData from the 2023 Senegal Demographic and Health Survey, covering 8,833 women, were analyzed using a multilevel logistic regression model to identify factors associated with modern contraceptive use. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were used, and statistical significance was set at p < 0.05. Analysis was conducted using STATA version 17.

resultsThe utilization of modern contraceptives among reproductive-aged women in Senegal was 32.16% (95% CI: 31.19, 33.15). Significant factors associated with its use included age (25-34: AOR = 1.46, 35-44: AOR = 1.59, > 44: AOR = 1.72), secondary education (AOR = 1.19), employment (AOR = 1.38), being undecided about having more children (AOR = 1.39), not wanting more children (AOR = 2.42), age at first sex (≥18: AOR = 1.16), and first birth (≥19: AOR = 0.65). Other factors include being visited by a field worker (AOR = 1.32), visiting a health facility (AOR = 2.04), media exposure (AOR = 1.42), higher household income (middle: AOR = 1.23, rich: AOR = 1.38), and having one or more births (one: AOR = 2.06, two or more: AOR = 1.72). Women living in rural areas (AOR = 0.75) or in regions such as Ziguinchor (AOR = 0.60), Diourbel (AOR = 0.50), Tambacounda (AOR = 0.27), Louga (AOR = 0.61), Matam (AOR = 0.37), Kédougou (AOR = 0.64), and Sédhiou (AOR = 0.67) were less likely to use contraceptives.

conclusionFactors such as age, education, employment, media exposure, and healthcare access are critical determinants of modern contraceptive use in Senegal. Women in rural areas and specific regions face barriers to contraceptive use. Targeted interventions in these areas could enhance family planning and reproductive health outcomes in Senegal.

Indexed as

ContraceptionContraception BehaviorAdolescentAdultFamily Planning ServicesFemaleHumansMiddle AgedMultilevel AnalysisRural PopulationSenegalYoung Adult

Identifiers

PMID40392862
PMCPMC12091745

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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.