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

Resultado de la investigación: Contribución a una revistaArtículo

Resumen

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.

Idioma originalInglés
Páginas (desde-hasta)114-120
Número de páginas7
PublicaciónEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
Volumen245
DOI
EstadoPublicada - feb 2020

Huella dactilar

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

Citar esto

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. En: European Journal of Obstetrics and Gynecology and Reproductive Biology. 2020 ; Vol. 245. pp. 114-120.
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title = "Factors associated with highly effective contraceptive use among reproductive-age women in Peru: Evidence from a nationwide survey",
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.",
keywords = "Contraception, Family planning services, Reproductive medicine, Surveys and questionnaires, Women",
author = "Soriano-Moreno, {David R.} and Soriano-Moreno, {Anderson N.} and Angela Mejia-Bustamante and Guerrero-Ramirez, {Cristhian A.} and Toro-Huamanchumo, {Carlos J.}",
year = "2020",
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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.

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

Resultado de la investigación: Contribución a una revistaArtículo

TY - JOUR

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.

PY - 2020/2

Y1 - 2020/2

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.

KW - Contraception

KW - Family planning services

KW - Reproductive medicine

KW - Surveys and questionnaires

KW - Women

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U2 - 10.1016/j.ejogrb.2019.12.017

DO - 10.1016/j.ejogrb.2019.12.017

M3 - Artículo

AN - SCOPUS:85076988703

VL - 245

SP - 114

EP - 120

JO - European Journal of Obstetrics, Gynecology and Reproductive Biology

JF - European Journal of Obstetrics, Gynecology and Reproductive Biology

SN - 0028-2243

ER -