Family Planning Beliefs and Their Association with Contraceptive Use Dynamics

Results from a Longitudinal Study in Uganda

Datos Bibliográficos

ID10795649
AutoresLinnea A Zimmerman (0000-0002-0118-0889, Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health Baltimore USA, autor de correspondencia), Dana O Sarnak (0000-0003-3976-4860, Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health Baltimore USA, autor de correspondencia), Cary Karp (0000-0002-4050-7602, Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health Baltimore USA, autor de correspondencia), Shannon N Wood (0000-0003-4389-3526, Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health Baltimore USA, autor de correspondencia), Claire Moreau (0000-0002-8637-6249, Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health Baltimore USA, autor de correspondencia), Simon Peter Sebina Kibira (0000-0002-7385-423X, Department of Community Health and Behavioural Sciences School of Public Health Makerere University Kampala Uganda, autor de correspondencia), Fredrick Makumbi (0000-0002-6460-7325, Department of Epidemiology and Biostatistics School of Public Health Makerere University Kampala Uganda, autor de correspondencia)
Año2021
Volumen52
Número3
Páginas241-258
Fecha de publicación2021-09-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaStudies in Family Planning (JOURNAL)
Identificadores de la revistaISSN: 0039-3665 • E-ISSN: 1728-4465
EditorialWiley (PUBLISHER • GB)
DOI10.1111/sifp.12153
PMID34015142
OpenAlexW3162909995
IdiomaEN
Citas recibidas10
Referencias citadas41

Norms and beliefs toward contraception, both positive and negative, motivate contraceptive use; however, they have seldom been explored longitudinally in low‐ and middle‐income countries, limiting our understanding of their influence on contraceptive dynamics. We used PMA2020 Uganda national longitudinal data of reproductive aged women in 2018 (baseline) and 2019 (follow‐up) to explore discontinuation and switching among modern contraceptive users at baseline (n = 688) and contraceptive use at follow‐up among nonusers at baseline (n = 1,377). Multivariable simple and multinomial logistic regressions assessed the association of individual and community‐level contraceptive beliefs with contraceptive uptake, discontinuation and switching. One‐quarter of nonusers at baseline were using contraception at follow‐up, while 37 percent of users at baseline had discontinued and 28 percent had switched methods at follow‐up. The odds of contraceptive uptake were lower among women who strongly agreed that contraception impacted future fertility or caused conflict within a couple, relative to those who strongly disagreed (adjusted odds ratio (aOR): 0.7 and aOR: 0.6, respectively), but higher among women who strongly agreed that contraception preserved beauty (aOR: 1.6). Women who strongly agreed that it was acceptable to use contraception before having children were less likely to discontinue their method than those who strongly disagreed (adjusted relative risk ratio (aRRR): 0.5), though living in a community where more women agreed with this statement was associated with higher discontinuation (aRRR: 6.0). Family planning programs that promote positive beliefs toward family planning could improve contraceptive uptake and continuation. More research is needed to understand how contraceptive beliefs shape contraceptive decisions across the life course

Association (psychology · Developing country · Economic growth · Economics · Environmental health · Family planning · Fertility · Geography · Longitudinal study · Population · Research methodology · Sociology · Adolescent Sexual and Reproductive Health · Demographic Trends and Gender Preferences · Demography · Global Maternal and Child Health · Medicine · Psychology