Demographic, Sociocultural, and Behavioral Predictors of Modern Contraceptive Uptake Among Couples in Northern Ghana.

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY Open access journal of contraception Pub Date : 2024-03-11 eCollection Date: 2024-01-01 DOI:10.2147/OAJC.S430288
Naa-Korkor Allotey, Samuel Adolf Bosoka
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Abstract

Background: Despite efforts to increase modern contraceptive use in Ghana, prevalence rates remain low; particularly in Northern Ghana. This study, therefore, sought to determine the predictors of modern contraceptive use among couples in Northern Ghana. This research was the baseline assessment for a broader study aimed at determining the effect of an intervention to improve outcomes of modern contraception.

Methods: The study was a cross-sectional design. Data was collected from 508 couples (1016 participants), using a multistage sampling technique; both members of each couple were interviewed separately. Univariate and stepwise multivariate logistic regression were used to identify predictors associated with modern contraceptive use. Qualitative data were analyzed to triangulate the findings from the quantitative data.

Results: More than 97% of couples were Muslims. Qualitative data indicates that Muslims are less inclined to use Modern Contraceptives. Most participants had no education. The regression model shows that all demographic characteristics were not significant in Model 3 for men. Socio-culturally, men who gave the reason of "unconcerned" for men's non-involvement in contraceptive adoption, had less odds of using modern contraception (AOR=0.19). Men with high subjective norms were more than 15 times more likely to use modern contraception. Female farmers were less likely to use contraceptives (AOR= 0.45). Women who reported that "nothing prevented men" from getting involved in contraceptive adoption had greater odds of adopting modern contraception (AOR= 11.15). Women with good perceived behavioral control were more likely to use modern contraception (AOR=5.03). Women with high enacted stigma and men and women with high interspousal communication were more likely to adopt modern contraception.

Conclusion: Taking cognizance of demographic and sociocultural characteristics and behavioral constructs is needed when determining the predictors of modern contraceptive use among couples in Northern Ghana.

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加纳北部夫妇使用现代避孕药具的人口、社会文化和行为预测因素。
背景:尽管加纳努力提高现代避孕药具的使用率,但其普及率仍然很低,尤其是在加纳北部。因此,本研究试图确定加纳北部夫妇使用现代避孕药具的预测因素。这项研究是一项更广泛研究的基线评估,该研究旨在确定一项干预措施的效果,以改善现代避孕措施的成果:研究采用横断面设计。采用多阶段抽样技术从 508 对夫妇(1016 名参与者)中收集数据;每对夫妇的两名成员分别接受访谈。采用单变量和逐步多变量逻辑回归来确定与现代避孕药具使用相关的预测因素。对定性数据进行了分析,以三角测量定量数据的结果:97%以上的夫妇是穆斯林。定性数据表明,穆斯林不太愿意使用现代避孕药具。大多数参与者未受过教育。回归模型显示,在模型 3 中,男性的所有人口统计学特征均不显著。从社会文化角度看,以 "不关心 "为由认为男性不参与避孕的男性使用现代避孕药具的几率较低(AOR=0.19)。主观规范高的男性使用现代避孕方法的几率是主观规范低的男性的 15 倍以上。女性农民使用避孕药具的几率较低(AOR=0.45)。认为 "没有什么能阻止男性 "参与避孕的女性采用现代避孕方法的几率更高(AOR= 11.15)。行为控制感知良好的女性更有可能使用现代避孕方法(AOR=5.03)。已颁布成见较高的女性和配偶间交流较多的男性和女性更有可能采用现代避孕方法:结论:在确定加纳北部夫妇使用现代避孕药具的预测因素时,需要认识到人口和社会文化特征以及行为结构。
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