Abstract
Aim
The use of specific contraceptive methods is not only determined by women’s health status, but also by other factors. We aimed to investigate non-medical predictors for ever and current use of contraceptives in Upper Egypt.
Subjects and methods
A cross-sectional study of 1212 Egyptian women aged 18–45 years recruited from urban and rural health centers was carried out during the period from June to December 2015. A structured interview questionnaire assessed the practice of contraception, along with its non-medical predictors. Logistic regression analysis was used to calculate the odds ratios for women’s ever and current use of contraceptives across different levels of non-medical predictors.
Results
The proportion of women who had ever used contraceptives was 92%, while that for the current use of contraceptives was 54%. The injectable contraceptive was the most frequently ever-used method, while the IUD was the most frequently currently used method. The never users in this study were younger, and expressed more incorrect beliefs about contraceptives than ever or current users. The role played by non-medical predictors in determining currently used contraceptives varied: it was evident for the current use of IUDs, faint for the current use of birth control pills, and had no influence at all on the use of injectables or ‘other’ methods. On the other hand, most of the non-medical predictors were associated with the ever use of all contraceptive methods. The choice of the currently used method was attributed mainly to dissatisfaction with previously used methods due to complications.
Conclusions
Enlightened counselling about family planning should be encouraged at early stages in the family-building process, or even before that.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Abedin A, Pedersen BS (2010) Knowledge, attitudes, and practice survey of family planning among south Asian immigrant women in Oslo. Master thesis, Oslo University, Norway
Ali MM (2001) Quality of care and contraceptive pill discontinuation in rural Egypt. J Biosoc Sci 33:161–172
Anon (2006) Democratic Republic of Egypt 2005 results from the demographic and health survey. Stud Fam Plan 37:299–304
Anon (2010) Democratic Republic of Egypt 2008 results from the demographic and health survey. Stud Fam Plan 41:153–158
Aryeetey R, Kotoh AM, Hindin MJ (2010) Knowledge, perceptions and ever use of modern contraception among women in the Ga East District, Ghana. Afr J Reprod Health 14:26–31
Awadalla HI (2012) Contraception use among Egyptian women: results from Egypt demographic and health survey in 2005. J Reprod Infertil 13:167–173
Darroh JE, Singh S, Frost JJ (2001) Differences in teenage pregnancy rates among five developed countries: the roles of sexual activity and contraceptive use. Fam Plan Perspect 33(244–250):281
CAPMAS (2016 Demographic indicators. Central Agency for Public Mobilization and Statistics (CAPMAS), Cairo
Elshamy BM, Abdelsatar HN, Awad HM (2013) The contraceptive knowledge and use among women attending primary health care centers of Al Dawahe District in Port Said governorate. Med J Cairo Univ 81:137–142
Eltomy EM, Saboula NE, Hussein AA (2013) Barriers affecting utilization of family planning services among rural Egyptian women. East Mediterr Health J 19:400–408
El-Zanaty F, Way A (2014) Egypt demographic and health survey, 7th edn. Ministry of Health and Population, National Population Council Press, Cairo
El-Zanaty F, Way A (2015) Egypt demographic and health survey, 8th edn. Ministry of Health and Population, National Population Council Press, Cairo
Gubhaju B (2009) The influence of wives’ and husbands’ education levels on contraceptive method choice in Nepal, 1996–2006. Int Perspect Sex Reprod Health 35:176–185
Gueye A, Speizer IS, Corroon M, Okigbo CC (2015) Belief in family planning myths at the individual and community levels and modern contraceptive use in urban Africa. Int Perspect Sex Reprod Health 41:191–199
Hong R, Montana L, Mishra V (2006) Family planning services quality as a determinant of use of IUD in Egypt. BMC Health Serv Res 6:79
Hussain S (2003) Gender and reproductive behaviour: the role of men. Ind J Gend Stud 10:45–76
Kaur H, Mohan P, Pathak N, Manocha A, Aayushi (2014) Knowledge, attitude, practice and behavior of women towards contraceptive use: a study of women attending north Indian rural hospitals. IJOGR 1:25–30
Ministry of Health and Population (2004) Practice guidelines for family physicians. In: Family planning, 2nd edition. Ministry of Health and Population, Cairo, pp. 27–47
Mustafa R, Afreen U, Hashmi HU (2008) Contraceptive knowledge, attitude and practice among rural women. J Coll Physicians Surg Pak 18:542–545
Mustafa G, Azmat SK, Hameed W, Ali S, Ishaque M, Hussain W (2015) Family planning knowledge, attitudes, and practices among married men and women in rural areas of Pakistan: findings from a qualitative need assessment study. Int J Reprod Med 2015: 190520. https://doi.org/10.1155/2015/190520
Nansseu JR, Nchinda EC, Katte JC, Nchagnouot FM, Nguetsa GD (2015) Assessing the knowledge, attitude and practice of family planning among women living in the Mbouda health district, Cameroon. Reprod Health 12:92
Nte AR, Odu N, Enyindah CE (2009) Male involvement in family planning: women's perception. Niger J Clin Pract 12:306–310
Sakara A, Namoog MY, Badu-Nyarko SK (2015) Misconceptions and rumours about family planning among Moslem males in Tamale Metropolis, Ghana. GJISS 4:9–14
Sallam SA (1998) Reproductive health of adolescent married women in squatter areas in Alexandria. National Population Counsel Press, Cairo
Youssef RM, Moubarak II, Gaffar YA, Atta HY (2002) Correlates of unintended pregnancy in Beheira governorate, Egypt. East Mediterr Health J 8:521–536
Acknowledgements
The authors thank all workers in the health centers for their help in conducting this study.
Funding
This research did not receive any specific grants from funding agencies in the public, commercial, or not-for-profit sectors.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflicts of interest
All authors declare that they have no conflict of interest.
Ethical approval
All procedures performed were in accordance with the ethical standards of the Minia University Research Committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Eshak, E.S., Sayed, S.I., Kamel, E.G. et al. Non-medical predictors for ever and current use of contraceptives among women in Minia, Upper Egypt. J Public Health (Berl.) 26, 663–671 (2018). https://doi.org/10.1007/s10389-018-0912-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10389-018-0912-x