Loading…

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...

Full description

Saved in:
Bibliographic Details
Published in:BMC women's health 2018-04, Vol.18 (1), p.60-60, Article 60
Main Authors: Lutalo, Tom, Gray, Ron, Santelli, John, Guwatudde, David, Brahmbhatt, Heena, Mathur, Sanyukta, Serwadda, David, Nalugoda, Fred, Makumbi, Fredrick
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c532t-3a9ddd569fb54e50c707e3d4d45648cbe7a9c42530207fd2a5169401fd2c30d03
cites cdi_FETCH-LOGICAL-c532t-3a9ddd569fb54e50c707e3d4d45648cbe7a9c42530207fd2a5169401fd2c30d03
container_end_page 60
container_issue 1
container_start_page 60
container_title BMC women's health
container_volume 18
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
format article
fullrecord <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_deec63da208f404d99a5213686fb420f</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A546814953</galeid><doaj_id>oai_doaj_org_article_deec63da208f404d99a5213686fb420f</doaj_id><sourcerecordid>A546814953</sourcerecordid><originalsourceid>FETCH-LOGICAL-c532t-3a9ddd569fb54e50c707e3d4d45648cbe7a9c42530207fd2a5169401fd2c30d03</originalsourceid><addsrcrecordid>eNptkl1rFDEUhgdRbK3-AG8k4I0XTs33TLwQSvGjUBDEvQ7Z5GQ3dSapk4xlf4b_2Gynlq7IQOaQvO_DSc7bNC8JPiWkl-8yoQqLFpO-xUKQdveoOSa8o63sO_74QX3UPMv5CmPS9aJ72hxRJZUSvD9ufq-inwcfhgEcilAXnyZkUyyTsXBdQorIjClu0E0aIaKbULZojiOURb2ey7JXtoBCLBBvLSWhOcM_nBDRN_PDhLdotTHRmffIoKGiQ5ldiGZAuRa7580Tb4YML-7-J83q08fv51_ay6-fL87PLlsrGC0tM8o5J6Tya8FBYNvhDpjjjgvJe7uGzijLqWCY4s47agSRimNSS8uww-ykuVi4LpkrfT2F0Uw7nUzQtxtp2mgzlWAH0A7ASuYMxb3nmDuljKCEyV76NafYV9aHhXU9r0dwFvbXHg6ghycxbPUm_dJC0ToTWgFv7gBT-jlDLnoM2cIwmAhpzppiRmvzUqoqfb1IN6a2FqJP-yfey_WZ4LInXAlWVaf_UdXPwRjqWKCOHA4NZDHYKeU8gb_vnmC9T5te0qZr2vQ-bXpXPa8eXvve8Tde7A-zE9Jr</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2032401669</pqid></control><display><type>article</type><title>Unfulfilled need for contraception among women with unmet need but with the intention to use contraception in Rakai, Uganda: a longitudinal study</title><source>PMC (PubMed Central)</source><source>Publicly Available Content (ProQuest)</source><creator>Lutalo, Tom ; Gray, Ron ; Santelli, John ; Guwatudde, David ; Brahmbhatt, Heena ; Mathur, Sanyukta ; Serwadda, David ; Nalugoda, Fred ; Makumbi, Fredrick</creator><creatorcontrib>Lutalo, Tom ; Gray, Ron ; Santelli, John ; Guwatudde, David ; Brahmbhatt, Heena ; Mathur, Sanyukta ; Serwadda, David ; Nalugoda, Fred ; Makumbi, Fredrick</creatorcontrib><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 &lt; 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 (&gt; 60%) and subsequent initiation of use (&lt; 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 &lt; 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 (&gt; 60%) and subsequent initiation of use (&lt; 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 &lt; 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 (&gt; 60%) and subsequent initiation of use (&lt; 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>
fulltext fulltext
identifier ISSN: 1472-6874
ispartof BMC women's health, 2018-04, Vol.18 (1), p.60-60, Article 60
issn 1472-6874
1472-6874
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_deec63da208f404d99a5213686fb420f
source PMC (PubMed Central); Publicly Available Content (ProQuest)
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
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T20%3A40%3A57IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Unfulfilled%20need%20for%20contraception%20among%20women%20with%20unmet%20need%20but%20with%20the%20intention%20to%20use%20contraception%20in%20Rakai,%20Uganda:%20a%20longitudinal%20study&rft.jtitle=BMC%20women's%20health&rft.au=Lutalo,%20Tom&rft.date=2018-04-27&rft.volume=18&rft.issue=1&rft.spage=60&rft.epage=60&rft.pages=60-60&rft.artnum=60&rft.issn=1472-6874&rft.eissn=1472-6874&rft_id=info:doi/10.1186/s12905-018-0551-y&rft_dat=%3Cgale_doaj_%3EA546814953%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c532t-3a9ddd569fb54e50c707e3d4d45648cbe7a9c42530207fd2a5169401fd2c30d03%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2032401669&rft_id=info:pmid/29699548&rft_galeid=A546814953&rfr_iscdi=true