Anemic Women are More at Risk of Injectable Contraceptive Discontinuation due to Side Effects in Ethiopia
Bibliographic Data
| ID | 10796137 |
|---|---|
| Authors | Rose Stevens (0000-0002-6858-4765, Stephens College, corresponding author), Blandine Malbos, Eshetu Gurmu (0000-0001-7487-0058), Jérémie Riou (0000-0002-7056-9257), A Alvergne (0000-0002-3151-9919) |
| Year | 2022 |
| Volume | 53 |
| Issue | 1 |
| Pages | 193-208 |
| Publication date | 2022-03-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Studies in Family Planning (JOURNAL) |
| Journal identifiers | ISSN: 0039-3665 • E-ISSN: 1728-4465 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/sifp.12186 |
| PMID | 35060627 |
| OpenAlex | W4220912920 |
| Language | EN |
| Citations received | 2 |
| References cited | 24 |
This paper investigates the importance of women's physiological condition, alongside sociocultural factors, for predicting the risk of discontinuation of the injectable contraceptive due to side effects in Ethiopia. Contraceptive calendar data from the 2016 Ethiopian Demographic and Health Survey were analyzed. Women aged 15–49 who had initiated the injectable contraceptive in the last two years were included in the analysis (n = 1,513). Physiological factors investigated were body mass, iron status, reproductive depletion, and physical strain. After checking for reverse causality, associations between physiological and sociocultural risk factors and discontinuation due to side effects (DSE) or discontinuation due to other reasons (DOR) were estimated using multivariate Cox proportional regression analyses. Anemia status was associated with DSE, but not DOR. Anemic women were two times more at risk of DSE compared with nonanemic women (adjusted hazard ratios [aHR] = 2.38, confidence interval [CI] = 1.41–4.00). DOR was predicted by religion, wealth, and relationship status. Accounting for diversity in physiological condition is key for understanding contraceptive discontinuation due to side effects. To reduce side effects, family planning programs might benefit from providing hormonal contraception within an integrated package addressing anemia
Anemia · Confidence interval · Discontinuation · Environmental health · Family planning · Gynecology · Hazard ratio · Obstetrics · Population · Research methodology · Demography · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Internal Medicine · Medicine · Reproductive Health and Contraception
The Fragile Wisdom
Analysis of Complex Survey Samples
WHO European review of social determinants of health and the health divide
Anemia epidemiology, pathophysiology, and etiology in low‐ and middle‐income countries
Covariate Balancing Propensity Score
The central role of the propensity score in observational studies for causal effects
Socio-Economic Differentials in Contraceptive Discontinuation in India
Reasons and multilevel factors associated with unscheduled contraceptive use discontinuation in Ethiopia
Trajectories of Haemoglobin and incident stroke risk
Collection of Survey Data on Contraception
Voluntary, Human Rights–Based Family Planning
The reproductive ecology of iron in women
The ecology and evolutionary endocrinology of reproduction in the human female
Cultural change beyond adoption dynamics
Hormonal Contraception and Physiology
Contraceptive Practice in sub-Saharan Africa
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,67 |
| Citation span | 2023 - 2023 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 2 |