Factors associated with highly effective contraceptive use among reproductive-age women in Peru: Evidence from a nationwide survey

David R. Soriano-Moreno, Anderson N. Soriano-Moreno, Angela Mejia-Bustamante, Cristhian A. Guerrero-Ramirez, Carlos J. Toro-Huamanchumo

Research output: Contribution to journalArticle

Abstract

Objective: This study aimed to assess the factors associated with highly effective contraceptive (HEC) use among reproductive-age women in Peru, using evidence from a nationwide survey. Study design: We analyzed the data corresponding to a national representative sample of 30,169 Peruvian women aged 15–49 years, surveyed during the Demographic and Family Health Survey, 2017. Usage of HEC methods included pills, IUD, injections, sterilization and implant. We assessed the factors associated with its use using Poisson regression models, reporting the crude (cPR) and adjusted prevalence ratios (aPR) with their respective 95 % confidence intervals (95 % CI). Results: The prevalence of HEC use was 29.9 %. Factors related to a more likely use of HEC methods were having one (aPR: 4.03; 95 % CI: 3.19–5.09) or more children (aPR: 5.60; 95 % CI: 4.42–7.09), and having a health insurance children (aPR: 1.14; 95 % CI: 1.05–1.24). Women from the highlands (aPR: 0.74; 95 % CI: 0.67-0.81), aged ≥35 years (aPR: 0.78; 95 % CI: 0.67-0.90), not currently married or cohabiting (aPR: 0.52; 95 % CI: 0.47-0.58), and who considered it really hard to have to take transportation when they need medical help or advice (aPR: 0.92; 95 % CI: 0.86-0.99) were less likely to use highly effective contraception. Conclusion: Quality and access to reproductive health is still a challenge in Peru. Family planning programs should be better disseminated and integrated. Similarly, promotion of educational campaigns and easy access to HEC methods are needed.

Original languageEnglish
Pages (from-to)114-120
Number of pages7
JournalEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
Volume245
DOIs
StatePublished - Feb 2020

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Peru
Contraceptive Agents
Confidence Intervals
Contraception
Surveys and Questionnaires
Family Health
Reproductive Health
Family Planning Services
Health Insurance
Demography
Injections

Keywords

  • Contraception
  • Family planning services
  • Reproductive medicine
  • Surveys and questionnaires
  • Women

Cite this

Soriano-Moreno, David R. ; Soriano-Moreno, Anderson N. ; Mejia-Bustamante, Angela ; Guerrero-Ramirez, Cristhian A. ; Toro-Huamanchumo, Carlos J. / Factors associated with highly effective contraceptive use among reproductive-age women in Peru : Evidence from a nationwide survey. In: European Journal of Obstetrics and Gynecology and Reproductive Biology. 2020 ; Vol. 245. pp. 114-120.
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abstract = "Objective: This study aimed to assess the factors associated with highly effective contraceptive (HEC) use among reproductive-age women in Peru, using evidence from a nationwide survey. Study design: We analyzed the data corresponding to a national representative sample of 30,169 Peruvian women aged 15–49 years, surveyed during the Demographic and Family Health Survey, 2017. Usage of HEC methods included pills, IUD, injections, sterilization and implant. We assessed the factors associated with its use using Poisson regression models, reporting the crude (cPR) and adjusted prevalence ratios (aPR) with their respective 95 {\%} confidence intervals (95 {\%} CI). Results: The prevalence of HEC use was 29.9 {\%}. Factors related to a more likely use of HEC methods were having one (aPR: 4.03; 95 {\%} CI: 3.19–5.09) or more children (aPR: 5.60; 95 {\%} CI: 4.42–7.09), and having a health insurance children (aPR: 1.14; 95 {\%} CI: 1.05–1.24). Women from the highlands (aPR: 0.74; 95 {\%} CI: 0.67-0.81), aged ≥35 years (aPR: 0.78; 95 {\%} CI: 0.67-0.90), not currently married or cohabiting (aPR: 0.52; 95 {\%} CI: 0.47-0.58), and who considered it really hard to have to take transportation when they need medical help or advice (aPR: 0.92; 95 {\%} CI: 0.86-0.99) were less likely to use highly effective contraception. Conclusion: Quality and access to reproductive health is still a challenge in Peru. Family planning programs should be better disseminated and integrated. Similarly, promotion of educational campaigns and easy access to HEC methods are needed.",
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Factors associated with highly effective contraceptive use among reproductive-age women in Peru : Evidence from a nationwide survey. / Soriano-Moreno, David R.; Soriano-Moreno, Anderson N.; Mejia-Bustamante, Angela; Guerrero-Ramirez, Cristhian A.; Toro-Huamanchumo, Carlos J.

In: European Journal of Obstetrics and Gynecology and Reproductive Biology, Vol. 245, 02.2020, p. 114-120.

Research output: Contribution to journalArticle

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T1 - Factors associated with highly effective contraceptive use among reproductive-age women in Peru

T2 - Evidence from a nationwide survey

AU - Soriano-Moreno, David R.

AU - Soriano-Moreno, Anderson N.

AU - Mejia-Bustamante, Angela

AU - Guerrero-Ramirez, Cristhian A.

AU - Toro-Huamanchumo, Carlos J.

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N2 - Objective: This study aimed to assess the factors associated with highly effective contraceptive (HEC) use among reproductive-age women in Peru, using evidence from a nationwide survey. Study design: We analyzed the data corresponding to a national representative sample of 30,169 Peruvian women aged 15–49 years, surveyed during the Demographic and Family Health Survey, 2017. Usage of HEC methods included pills, IUD, injections, sterilization and implant. We assessed the factors associated with its use using Poisson regression models, reporting the crude (cPR) and adjusted prevalence ratios (aPR) with their respective 95 % confidence intervals (95 % CI). Results: The prevalence of HEC use was 29.9 %. Factors related to a more likely use of HEC methods were having one (aPR: 4.03; 95 % CI: 3.19–5.09) or more children (aPR: 5.60; 95 % CI: 4.42–7.09), and having a health insurance children (aPR: 1.14; 95 % CI: 1.05–1.24). Women from the highlands (aPR: 0.74; 95 % CI: 0.67-0.81), aged ≥35 years (aPR: 0.78; 95 % CI: 0.67-0.90), not currently married or cohabiting (aPR: 0.52; 95 % CI: 0.47-0.58), and who considered it really hard to have to take transportation when they need medical help or advice (aPR: 0.92; 95 % CI: 0.86-0.99) were less likely to use highly effective contraception. Conclusion: Quality and access to reproductive health is still a challenge in Peru. Family planning programs should be better disseminated and integrated. Similarly, promotion of educational campaigns and easy access to HEC methods are needed.

AB - Objective: This study aimed to assess the factors associated with highly effective contraceptive (HEC) use among reproductive-age women in Peru, using evidence from a nationwide survey. Study design: We analyzed the data corresponding to a national representative sample of 30,169 Peruvian women aged 15–49 years, surveyed during the Demographic and Family Health Survey, 2017. Usage of HEC methods included pills, IUD, injections, sterilization and implant. We assessed the factors associated with its use using Poisson regression models, reporting the crude (cPR) and adjusted prevalence ratios (aPR) with their respective 95 % confidence intervals (95 % CI). Results: The prevalence of HEC use was 29.9 %. Factors related to a more likely use of HEC methods were having one (aPR: 4.03; 95 % CI: 3.19–5.09) or more children (aPR: 5.60; 95 % CI: 4.42–7.09), and having a health insurance children (aPR: 1.14; 95 % CI: 1.05–1.24). Women from the highlands (aPR: 0.74; 95 % CI: 0.67-0.81), aged ≥35 years (aPR: 0.78; 95 % CI: 0.67-0.90), not currently married or cohabiting (aPR: 0.52; 95 % CI: 0.47-0.58), and who considered it really hard to have to take transportation when they need medical help or advice (aPR: 0.92; 95 % CI: 0.86-0.99) were less likely to use highly effective contraception. Conclusion: Quality and access to reproductive health is still a challenge in Peru. Family planning programs should be better disseminated and integrated. Similarly, promotion of educational campaigns and easy access to HEC methods are needed.

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