دورية أكاديمية
Associations of Urban Residence and Wealth Index With Various Sources of Contraceptives Among Young Women Aged 15-24 Years in 25 Sub-Saharan African Countries.
| العنوان: | Associations of Urban Residence and Wealth Index With Various Sources of Contraceptives Among Young Women Aged 15-24 Years in 25 Sub-Saharan African Countries. |
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| المؤلفون: | Kamuyango A; Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan., Yu T; Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan., Ao CK; Department of Economics, College of Social Sciences, National Cheng Kung University, Tainan, Taiwan., Hu SC; Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Healthy Cities Research Center, Research and Services Headquarter, National Cheng Kung University, Tainan, Taiwan., Salim LA; Division of Biostatistics and Demography, Department of Epidemiology, Biostatistics, Population Studies and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, East Java, Indonesia., Sulistyorini Y; Division of Biostatistics and Demography, Department of Epidemiology, Biostatistics, Population Studies and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, East Java, Indonesia., Li CY; Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Division of Biostatistics and Demography, Department of Epidemiology, Biostatistics, Population Studies and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, East Java, Indonesia; Department of Public Health, College of Public Health, China Medical University, Taichung, Taiwan; Department of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan. Electronic address: cyli99@mail.ncku.edu.tw. |
| المصدر: | The Journal of adolescent health : official publication of the Society for Adolescent Medicine [J Adolesc Health] 2023 Apr; Vol. 72 (4), pp. 599-606. Date of Electronic Publication: 2023 Jan 03. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 9102136 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1972 (Electronic) Linking ISSN: 1054139X NLM ISO Abbreviation: J Adolesc Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, NY : Elsevier, c1991- |
| مواضيع طبية MeSH: | Contraceptive Agents* , Contraception Behavior*, Female ; Humans ; Adolescent ; Young Adult ; Adult ; Urban Population ; Cross-Sectional Studies ; Contraception ; Africa South of the Sahara ; Family Planning Services |
| مستخلص: | Purpose: Appreciating user differences in contraceptive sources is essential for improving contraceptive access and safeguarding an equitable and sustainable future. Therefore, this study explored whether urban residence and individual wealth are associated with where women access contraception (e.g., government, private, or nongovernmental organization provider) and assessed whether these associations are modified by the income level in the respondents' country of residence. Methods: We analyzed the cross-sectional data of Demographic Health Surveys conducted between 2009 and 2020 in 25 countries. The final data set included 25,081 young women aged between 15 and 24 years who are using contraceptives. Multinomial logistic regression models were established to assess the associations of our outcome variable, namely, various contraceptive sources, with our main independent variables, namely, urban residence and wealth index. We also assessed the potential effect modification by country income level on the above associations. Results: We observed obvious urban-rural and rich-poor disparities in odds of using contraceptive sources. Generally, living in urban residences and being wealthy were positively associated with all sources of contraceptives. However, these associations were mostly modified by country income level. People living in urban residences utilized more private sources, especially in low-income (beta coefficient, B = 0.973) and upper-middle-income countries (B = 1.361). Young women in urban areas across all analyzed countries were also more likely to use contraceptives from other sources (B = 0.267). In addition, women from poor households were less likely to use private sources (B = -1.166) and other sources (B = -0.547). Discussion: Even though young women may prefer private sources of contraceptives due to their confidentiality and flexible hours, these sources carry more benefits for rich and urban young women than for poor and rural women. The differential accessibility and affordability may account for the observed urban-rural and rich-poor disparities in using contraceptive sources, respectively, and the income level of a country is likely to modify such disparities. (Copyright © 2022 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Africa south of the Saharan; Contraception behavior; Family planning services; Women's health services |
| المشرفين على المادة: | 0 (Contraceptive Agents) |
| تواريخ الأحداث: | Date Created: 20230104 Date Completed: 20230321 Latest Revision: 20230402 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.jadohealth.2022.11.008 |
| PMID: | 36599761 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1879-1972 |
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| DOI: | 10.1016/j.jadohealth.2022.11.008 |