Factors affecting unmet need for contraception among currently married fecund young women in Bangladesh

Abstract

Objectives: The aim of our study was to explore the factors associated with unmet need for contraception among currently married fecund women under age 25, in Bangladesh.

Methods: This study utilised a cross-sectional data (n = 4982) extracted from the Bangladesh Demographic and Health Survey (BDHS) 2011. Multinomial logistic regression was used to identify the determinants of unmet need for contraception among currently married fecund young women.

Results: The unmet need for contraception was 17% and contraceptive prevalence was 54% in this young group. Total demand for contraception was 71% and the proportion of demand satisfied was 77%. The results suggest that region, place of residence, religion, husband’s desire for children, visits of FP workers, decision-making power on child health care, reading about FP in newspaper/magazine and number of births in three years preceding the survey were significant predictors of unmet need for contraception.

Conclusions: The BDHS of 2011 found that unmet need for contraception among currently married, fecund women under 25 years old is higher than the national level, and hence different or more intensive programme initiatives are required for them than for older women. The present study identifies important predictors of unmet need for contraception among fecund married Bangladeshi women under age 25.

Chinese abstract

目的: 我们研究的目的是为探讨在孟加拉, 目前年龄在25岁以下的已婚育龄妇女对避孕需求无法满足的相关因素。

方法: 本研究采用的是来自2011年孟加拉国人口与健康普查(BDHS)的横截面数据(n = 4982)。用多元逻辑回归分析来确定目前无法满足已婚年轻妇女避孕需求的决定因素。

结果: 在年轻组未满足避孕需求的为17%, 避孕率为54%。避孕总需求为71%, 满意的需求比例为77%。结果表明, 地区、居住地、宗教、丈夫对孩子的渴望, 计划生育工作者考察, 对儿童保健的决策权, 在报纸/杂志上对FP的阅读和在三年前调查的出生数都是对避孕需求无法满足的显著预测因子。

结论: 2011年的BDHS发现目前在已婚的育龄妇女中, 年龄在25岁以下的对避孕需求无法满足程度要高于全国水平。因此她们比年龄大点的育龄妇女更需要不同且有更强化效果的倡议方案。本研究确定了在孟加拉已婚的育龄妇女中, 年龄小于25岁是对育龄女性无法满足避孕需求的重要预测因子。

Keywords:

• Unmet need
• contraception
• contraceptive demand
• family planning
• multinomial logistic regression
• Bangladesh

Disclosure statement

The authors declare that they have no conflict of interest.