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Unfulfilled need for contraception among women with unmet need but with the intention to use contraception in Rakai, Uganda: a longitudinal study
Longitudinal data from a rural Ugandan cohort was used to estimate rates of unfulfilled need for contraception, defined as having unmet need and intent to use contraception at baseline but having an unintended pregnancy or with persistent unmet need for contraception at follow up. Between 2002 and 2...
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Published in: | BMC women's health 2018-04, Vol.18 (1), p.60-60, Article 60 |
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creator | Lutalo, Tom Gray, Ron Santelli, John Guwatudde, David Brahmbhatt, Heena Mathur, Sanyukta Serwadda, David Nalugoda, Fred Makumbi, Fredrick |
description | Longitudinal data from a rural Ugandan cohort was used to estimate rates of unfulfilled need for contraception, defined as having unmet need and intent to use contraception at baseline but having an unintended pregnancy or with persistent unmet need for contraception at follow up.
Between 2002 and 2009 (5 survey rounds), a total of 2610 sexually active non-pregnant women with unmet need for contraception at the start of an inter-survey period were asked whether they intended to use any method of contraception until they desired a child. Modified Poisson multivariate regression was used to estimate unadjusted and adjusted prevalence ratios (PR) and 95% CI of unfulfilled need for contraception.
The proportion of women with unmet need at the start of an interval who intended to use contraception significantly increased from 61 to 69.1% (p |
doi_str_mv | 10.1186/s12905-018-0551-y |
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Between 2002 and 2009 (5 survey rounds), a total of 2610 sexually active non-pregnant women with unmet need for contraception at the start of an inter-survey period were asked whether they intended to use any method of contraception until they desired a child. Modified Poisson multivariate regression was used to estimate unadjusted and adjusted prevalence ratios (PR) and 95% CI of unfulfilled need for contraception.
The proportion of women with unmet need at the start of an interval who intended to use contraception significantly increased from 61 to 69.1% (p < 0.05). However the majority of women who said they intended to use contraception had unfulfilled need for contraception at the subsequent survey (64.8 to 56.8%). In the adjusted analysis, significant predictors of unfulfilled need for contraception included age 40-49 years (PR = 1.34; 95% CI 1.04-1.74) and those with unknown HIV status (PR = 1.16; 95% CI 1.06-1.26).
There is a significant discrepancy between women's intent to use contraception (> 60%) and subsequent initiation of use (< 30%) with many having unintended pregnancies which might explain the persistent high fertility in Uganda. Future research needs to address unfulfilled need for contraception among women at risk of unintended pregnancies.</description><identifier>ISSN: 1472-6874</identifier><identifier>EISSN: 1472-6874</identifier><identifier>DOI: 10.1186/s12905-018-0551-y</identifier><identifier>PMID: 29699548</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Analysis ; Contraceptives ; Control ; Family planning ; Unwanted pregnancy</subject><ispartof>BMC women's health, 2018-04, Vol.18 (1), p.60-60, Article 60</ispartof><rights>COPYRIGHT 2018 BioMed Central Ltd.</rights><rights>The Author(s). 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-3a9ddd569fb54e50c707e3d4d45648cbe7a9c42530207fd2a5169401fd2c30d03</citedby><cites>FETCH-LOGICAL-c532t-3a9ddd569fb54e50c707e3d4d45648cbe7a9c42530207fd2a5169401fd2c30d03</cites><orcidid>0000-0003-3380-1720</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5921782/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5921782/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,36994,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29699548$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lutalo, Tom</creatorcontrib><creatorcontrib>Gray, Ron</creatorcontrib><creatorcontrib>Santelli, John</creatorcontrib><creatorcontrib>Guwatudde, David</creatorcontrib><creatorcontrib>Brahmbhatt, Heena</creatorcontrib><creatorcontrib>Mathur, Sanyukta</creatorcontrib><creatorcontrib>Serwadda, David</creatorcontrib><creatorcontrib>Nalugoda, Fred</creatorcontrib><creatorcontrib>Makumbi, Fredrick</creatorcontrib><title>Unfulfilled need for contraception among women with unmet need but with the intention to use contraception in Rakai, Uganda: a longitudinal study</title><title>BMC women's health</title><addtitle>BMC Womens Health</addtitle><description>Longitudinal data from a rural Ugandan cohort was used to estimate rates of unfulfilled need for contraception, defined as having unmet need and intent to use contraception at baseline but having an unintended pregnancy or with persistent unmet need for contraception at follow up.
Between 2002 and 2009 (5 survey rounds), a total of 2610 sexually active non-pregnant women with unmet need for contraception at the start of an inter-survey period were asked whether they intended to use any method of contraception until they desired a child. Modified Poisson multivariate regression was used to estimate unadjusted and adjusted prevalence ratios (PR) and 95% CI of unfulfilled need for contraception.
The proportion of women with unmet need at the start of an interval who intended to use contraception significantly increased from 61 to 69.1% (p < 0.05). However the majority of women who said they intended to use contraception had unfulfilled need for contraception at the subsequent survey (64.8 to 56.8%). In the adjusted analysis, significant predictors of unfulfilled need for contraception included age 40-49 years (PR = 1.34; 95% CI 1.04-1.74) and those with unknown HIV status (PR = 1.16; 95% CI 1.06-1.26).
There is a significant discrepancy between women's intent to use contraception (> 60%) and subsequent initiation of use (< 30%) with many having unintended pregnancies which might explain the persistent high fertility in Uganda. Future research needs to address unfulfilled need for contraception among women at risk of unintended pregnancies.</description><subject>Analysis</subject><subject>Contraceptives</subject><subject>Control</subject><subject>Family planning</subject><subject>Unwanted pregnancy</subject><issn>1472-6874</issn><issn>1472-6874</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNptkl1rFDEUhgdRbK3-AG8k4I0XTs33TLwQSvGjUBDEvQ7Z5GQ3dSapk4xlf4b_2Gynlq7IQOaQvO_DSc7bNC8JPiWkl-8yoQqLFpO-xUKQdveoOSa8o63sO_74QX3UPMv5CmPS9aJ72hxRJZUSvD9ufq-inwcfhgEcilAXnyZkUyyTsXBdQorIjClu0E0aIaKbULZojiOURb2ey7JXtoBCLBBvLSWhOcM_nBDRN_PDhLdotTHRmffIoKGiQ5ldiGZAuRa7580Tb4YML-7-J83q08fv51_ay6-fL87PLlsrGC0tM8o5J6Tya8FBYNvhDpjjjgvJe7uGzijLqWCY4s47agSRimNSS8uww-ykuVi4LpkrfT2F0Uw7nUzQtxtp2mgzlWAH0A7ASuYMxb3nmDuljKCEyV76NafYV9aHhXU9r0dwFvbXHg6ghycxbPUm_dJC0ToTWgFv7gBT-jlDLnoM2cIwmAhpzppiRmvzUqoqfb1IN6a2FqJP-yfey_WZ4LInXAlWVaf_UdXPwRjqWKCOHA4NZDHYKeU8gb_vnmC9T5te0qZr2vQ-bXpXPa8eXvve8Tde7A-zE9Jr</recordid><startdate>20180427</startdate><enddate>20180427</enddate><creator>Lutalo, Tom</creator><creator>Gray, Ron</creator><creator>Santelli, John</creator><creator>Guwatudde, David</creator><creator>Brahmbhatt, Heena</creator><creator>Mathur, Sanyukta</creator><creator>Serwadda, David</creator><creator>Nalugoda, Fred</creator><creator>Makumbi, Fredrick</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-3380-1720</orcidid></search><sort><creationdate>20180427</creationdate><title>Unfulfilled need for contraception among women with unmet need but with the intention to use contraception in Rakai, Uganda: a longitudinal study</title><author>Lutalo, Tom ; Gray, Ron ; Santelli, John ; Guwatudde, David ; Brahmbhatt, Heena ; Mathur, Sanyukta ; Serwadda, David ; Nalugoda, Fred ; Makumbi, Fredrick</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c532t-3a9ddd569fb54e50c707e3d4d45648cbe7a9c42530207fd2a5169401fd2c30d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Analysis</topic><topic>Contraceptives</topic><topic>Control</topic><topic>Family planning</topic><topic>Unwanted pregnancy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lutalo, Tom</creatorcontrib><creatorcontrib>Gray, Ron</creatorcontrib><creatorcontrib>Santelli, John</creatorcontrib><creatorcontrib>Guwatudde, David</creatorcontrib><creatorcontrib>Brahmbhatt, Heena</creatorcontrib><creatorcontrib>Mathur, Sanyukta</creatorcontrib><creatorcontrib>Serwadda, David</creatorcontrib><creatorcontrib>Nalugoda, Fred</creatorcontrib><creatorcontrib>Makumbi, Fredrick</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC women's health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lutalo, Tom</au><au>Gray, Ron</au><au>Santelli, John</au><au>Guwatudde, David</au><au>Brahmbhatt, Heena</au><au>Mathur, Sanyukta</au><au>Serwadda, David</au><au>Nalugoda, Fred</au><au>Makumbi, Fredrick</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unfulfilled need for contraception among women with unmet need but with the intention to use contraception in Rakai, Uganda: a longitudinal study</atitle><jtitle>BMC women's health</jtitle><addtitle>BMC Womens Health</addtitle><date>2018-04-27</date><risdate>2018</risdate><volume>18</volume><issue>1</issue><spage>60</spage><epage>60</epage><pages>60-60</pages><artnum>60</artnum><issn>1472-6874</issn><eissn>1472-6874</eissn><abstract>Longitudinal data from a rural Ugandan cohort was used to estimate rates of unfulfilled need for contraception, defined as having unmet need and intent to use contraception at baseline but having an unintended pregnancy or with persistent unmet need for contraception at follow up.
Between 2002 and 2009 (5 survey rounds), a total of 2610 sexually active non-pregnant women with unmet need for contraception at the start of an inter-survey period were asked whether they intended to use any method of contraception until they desired a child. Modified Poisson multivariate regression was used to estimate unadjusted and adjusted prevalence ratios (PR) and 95% CI of unfulfilled need for contraception.
The proportion of women with unmet need at the start of an interval who intended to use contraception significantly increased from 61 to 69.1% (p < 0.05). However the majority of women who said they intended to use contraception had unfulfilled need for contraception at the subsequent survey (64.8 to 56.8%). In the adjusted analysis, significant predictors of unfulfilled need for contraception included age 40-49 years (PR = 1.34; 95% CI 1.04-1.74) and those with unknown HIV status (PR = 1.16; 95% CI 1.06-1.26).
There is a significant discrepancy between women's intent to use contraception (> 60%) and subsequent initiation of use (< 30%) with many having unintended pregnancies which might explain the persistent high fertility in Uganda. Future research needs to address unfulfilled need for contraception among women at risk of unintended pregnancies.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>29699548</pmid><doi>10.1186/s12905-018-0551-y</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-3380-1720</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Analysis Contraceptives Control Family planning Unwanted pregnancy |
title | Unfulfilled need for contraception among women with unmet need but with the intention to use contraception in Rakai, Uganda: a longitudinal study |
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