Modern contraceptive use among women of reproductive age in Zimbabwe: analysis of 1999–2015 Zimbabwe Demographic Health Survey

Abstract

Introduction

Modern contraception use is the fundamental fulfilment of women’s rights to choose when and how many children to have. The study explored predictors of modern contraceptive use among women in Zimbabwe.

Method

Data from the 1999, 2005/2006, 2010/2011 and 2015 Zimbabwe Demographic and Health Survey (ZDHS) was used in a secondary analysis that involved 5474 women of reproductive age. The outcome measure was modern contraceptive use as reported by women. Multiple logistic regression was done to determine the predictors of modern contraceptive use.

Results

The trend showed that since 1999 to 2015 there has been a steadily increase in modern contraceptive use from 54.9% to 72.9%. The use of contraceptives was lower among age 40 to 49 years (aOR = 0.49, p = 0.001)], other religion (aOR = 0.34, p = 0.005), induced abortion (aOR = 0.70; p ≤ 0.001), desire for having children within 2 years (aOR = 0.21; p ≤ 0.001) and polygamy (aOR = 0.43; p ≤ 0.001). The odds of contraceptives used was higher among richer wealth index (aOR = 1.45, p = 0.017), partners with higher education (aOR = 2.00, p = 0.029)], parity 1–2 (aOR = 15.53; p ≤ 0.001), 3–4 (aOR = 19.60; p ≤ 0.001), 5 or more (aOR = 17.50; p ≤ 0.001)] and media exposure (aOR = 1.79; p = 0.003).

Conclusions

The study asserts that women’s financial status, partners educational level, and media exposure might be important in promoting the use of modern contraceptives among women in a union in Zimbabwe and other low-income and middle-income countries.

摘要

简介：现代避孕药具的应用是妇女选择何时生孩子和生多少孩子的权利的基本实现。这项研究探索了津巴布韦妇女应用现代避孕药具的预测因素。

方法：采用1999年、2005/2006年、2010/2011年和2015年津巴布韦人口与健康调查(ZDHS)的数据, 对5474名育龄妇女进行二次分析。结果衡量标准是妇女报告的现代避孕药具使用情况。采用多元logistic回归分析方法确定现代避孕药具使用的预测因素。

结果：从1999年到2015年, 现代避孕药具使用率从54.9%稳步上升到72.9%。40～49岁之间(AOR=0.49,P=0.001)、其他宗教(AOR=0.34,P=0.005)、人工流产(AOR=0.70；P0.001)、2年内生育意愿(AOR=0.21；P0.001)和一夫多妻制(AOR=0.43；P0.001)的妇女避孕药具的使用率低。在财富指数较高的人群(AOR=1.45,P=0.017)、受过高等教育的人群(AOR=2.00,P=0.029)、1-2胎(AOR=15.53,P0.001)和3-4胎(AOR=19.6）、5胎以上(AOR=17.50；P0.001)和接触媒体(AOR=1.79；P=0.003)的人群使用避孕药具的几率较高。

结论：该研究表明, 妇女的经济状况、伴侣的教育水平和媒体接触可能促进津巴布韦和其他低收入、中等收入国家妇女使用现代避孕药。

Keywords:

• Modern contraceptive use
• family planning
• Zimbabwe
• Africa

Acknowledgments

We thank the Demographic Health Survey Program (http://dhsprogram.com/) for the data.

Author contributions

Authors JL and BB conceived the study and JL drafted the research plan. Authors JL, YNA, and BB collated the data and finalised data analyses and manuscript write-up. JL obtained the data. JL performed the statistical analyses and YNA assisted with the interpretation of the results. JL drafted the first manuscript and was reviewed by all the authors. All authors contributed to the discussion of the paper, read, and approved the definitive version.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Data availability statement

The datasets generated and/or analysed during the current study are available in the [Zimbabwe Demographic Health Survey (ZDHS, 1999, 2005/06, 2010/11 and 2015)] repository, [accessible online http://dhsprogram.com/].

Additional information

Funding

The authors declare that they received no funding for this work.