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How the Community Shapes Unmet Need for Modern Contraception

An Analysis of 44 Demographic and Health Surveys

Bibliographic Data

ID10796507
AuthorsNicholas Metheny (0000-0003-2295-2945, corresponding author), Rob Stephenson (0000-0002-9239-2640)
Year2017
Volume48
Issue3
Pages235-251
Publication date2017-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueStudies in Family Planning (JOURNAL)
Journal identifiersISSN: 0039-3665 • E-ISSN: 1728-4465
PublisherWiley (PUBLISHER • GB)
DOI10.1111/sifp.12028
PMID28722175
OpenAlexW2736498279
LanguageEN
Citations received11
References cited64

Unmet need for modern contraception is a major public health concern in resource‐constrained countries. Recent research supports the application of social‐ecological theories to explain how characteristics of a woman's community shape modern contraception use. However, this research focuses largely on individual countries and uses a limited number of community‐level effects. We fitted three random‐effects logistic regression models to examine associations between 13 community‐level variables and the odds of reporting unmet need, unmet need for spacing, and unmet need for limiting for all parous, female respondents in 44 DHS surveys collected in 2010–2015 (n=528,101). Community variables explain significant variance in unmet need between communities. Associations between community variables and unmet need differ by urban and rural residence. The results highlight several commonalities in how the community shapes unmet need across resource‐constrained settings and may help in designing structural‐level interventions

Demographic analysis · Developing country · Economic growth · Economics · Environmental health · Family planning · Fertility · Geography · Population · Research methodology · Sociology · Adolescent Sexual and Reproductive Health · Demography · Global Maternal and Child Health · Medicine · Reproductive Health and Contraception

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Unique citing works11
Citations per year1,38
Citation span2018 - 2026 (9)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 11
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