The Relationship of Educational Status with The Choice of Different Contraceptive Methods in Women of Reproductive Age
DOI:
https://doi.org/10.36283/ziun-pjmd14-4/075Keywords:
Contraception, Contraception Methods, Patient Education, Combined Oral Contraceptive PillsAbstract
Background: The selection of contraceptive methods is often shaped by social and educational factors. In settings where women’s educational attainment remains limited, understanding how education influences contraceptive choices is essential for improving reproductive health strategies. This study aimed to examine the relationship between women’s educational status and the type of contraception used among women of reproductive age.
Methods: A descriptive cross-sectional study was conducted in the Department of Obstetrics and Gynecology, Khyber Teaching Hospital, Peshawar, from July to December 2023. A total of 144 women aged 18–40 years who were currently using contraception were enrolled through non-probability consecutive sampling. Data regarding the type of contraceptive method and level of education were collected and analyzed using SPSS version 25. The association between educational attainment and contraceptive method was assessed using chi-square tests, and p≤ 0.05 was considered significant.
Results: The mean age of participants was 30.1 ± 5.6 years, and the mean duration of contraceptive use was 3.2 ± 1.7 years. One-third of the women were uneducated, 48(33.3%), followed by those with primary education, 42(29.2%). Implants were the most commonly used method, 42(29.2%), followed by condoms, 34(23.6%). A statistically significant association was observed between educational level and the choice of contraceptive method (p = 0.036).
Conclusion: Educational background appeared to play a key role in shaping contraceptive preferences among women of reproductive age. Strengthening female education and awareness programs might support more informed reproductive health decisions in this population.
References
1. Hlongwa M, Thompson T, Makhunga S, Hlongwana K. Evidence on factors influencing contraceptive use and sexual behavior among women in South Africa: A scoping review. Medicine. 2020;99(12):e19490. Doi: https://doi.org/10.1097/md.0000000000019490
2. Cameron S, Glasier A, McDaid L, Radley A, Baraitser P, Stephenson J et al. Use of effective contraception following provision of the progestogen-only pill for women presenting to community pharmacies for emergency contraception (Bridge-It): a pragmatic cluster-randomised crossover trial. The Lancet. 2020;396(10262):1585-1594. doi:https://doi.org/10.1016/s0140-6736(20)31785-2
3. Ndikom, C., Ojo, O. Christiana, Ogbeye, G. Bolanle Women’s Choice, Satisfaction, and Compliance with Contraceptive Methods in Selected Hospitals of Ibadan, Nigeria. Journal of Midwifery and Reproductive Health, 2018; 6(1): 1113-1121. doi: 10.22038/jmrh.2017.9655
4. Mustafa R, Afreen U, Hashmi HA. Contraceptive knowledge, attitude and practice among rural women. J Coll Physicians Surg Pak. 2008 Sep;18(9):542-5. PMID: 18803890.
5. Loll D, Fleming PJ, Stephenson R, King EJ, Morhe E, Manu A, Hall KS. Factors associated with reproductive autonomy in Ghana. Cult Health Sex. 2021 Mar;23(3):349-366. doi: 10.1080/13691058.2019.1710567. Epub 2020 Apr 17. PMID: 32301400.
6. Engelbert Bain L, Amu H, Enowbeyang Tarkang E. Barriers and motivators of contraceptive use among young people in Sub-Saharan Africa: A systematic review of qualitative studies. PLoS One. 2021 Jun 4;16(6):e0252745. doi: 10.1371/journal.pone.0252745. PMID: 34086806; PMCID: PMC8177623.
7. Sarnak DO, Wood SN, Zimmerman LA, Karp C, Makumbi F, Kibira SPS, Moreau C. The role of partner influence in contraceptive adoption, discontinuation, and switching in a nationally representative cohort of Ugandan women. PLoS One. 2021 Jan 12;16(1):e0238662. doi: 10.1371/journal.pone.0238662. PMID: 33434205; PMCID: PMC7802956.
8. Magalona S, Byrne M, OlaOlorun FM, Mosso R, Omoluabi E, Moreau C, Bell SO. Contraceptive Use Before and After Abortion: A Cross-Sectional Study from Nigeria and Côte d'Ivoire. Stud Fam Plann. 2022 Sep;53(3):433-453. doi: 10.1111/sifp.12208. Epub 2022 Jul 20. PMID: 35856923; PMCID: PMC9545736.
9. Izugbara C, Wekesah FM, Sebany M, Echoka E, Amo-Adjei J, Muga W. Availability, accessibility and utilization of post-abortion care in Sub-Saharan Africa: A systematic review. Health Care Women Int. 2020 Jul;41(7):732-760. doi: 10.1080/07399332.2019.1703991. Epub 2019 Dec 19. PMID: 31855511.
10. Meherali S, Ali A, Khaliq A, Lassi ZS. Prevalence and determinants of contraception use in Pakistan: trend analysis from the Pakistan Demographic and Health Surveys (PDHS) dataset from 1990 to 2018. F1000Res. 2021 Aug 11;10:790. doi: 10.12688/f1000research.55204.1. PMID: 34527219; PMCID: PMC8411274.
11. Beyene KM, Bekele SA, Abu MK. Factors affecting utilization of modern contraceptive methods among women of reproductive age in Ethiopia. PLoS One. 2023 Nov 16;18(11):e0294444. doi: 10.1371/journal.pone.0294444. PMID: 37972013; PMCID: PMC10653405.
12. Nketiah-Amponsah E, Ampaw S, Twumasi Baffour P. Socioeconomic determinants of use and choice of modern contraceptive methods in Ghana. Trop Med Health. 2022 May 17;50(1):33. doi: 10.1186/s41182-022-00424-5. PMID: 35581604; PMCID: PMC9116020.
13. Woldeamanuel BT, Gessese GT, Demie TG, Handebo S, Biratu TD. Women's education, contraception use, and high-risk fertility behavior: A cross-sectional analysis of the demographic and health survey in Ethiopia. Front Glob Womens Health. 2023 Mar 1;4:1071461. doi: 10.3389/fgwh.2023.1071461. PMID: 36937044; PMCID: PMC10014881.
14. Karaoğlan D, Saraçoğlu DŞ. Women's socioeconomic status and choice of birth control method: an investigation for the case of Turkey. J Biosoc Sci. 2021 Jan;53(1):137-156. doi: 10.1017/S0021932020000103. Epub 2020 Mar 11. PMID: 32157984.
15. Forty J, Rakgoasi SD, Keetile M. Patterns and determinants of modern contraceptive use and intention to usecontraceptives among Malawian women of reproductive ages (15-49 years). Contracept Reprod Med. 2021 Jul 1;6(1):21. doi: 10.1186/s40834-021-00163-8. PMID: 34193289; PMCID: PMC8247247.
16. Negash WD, Eshetu HB, Asmamaw DB. Predictors of modern contraceptive use among reproductive age women in high fertility countries in sub-Saharan Africa: evidence from demographic and health surveys. BMC Womens Health. 2022 Dec 13;22(1):520. doi: 10.1186/s12905-022-02121-1. PMID: 36514075; PMCID: PMC9746200.
17. Mahfouz MS, Elmahdy M, Ryani MA, Abdelmola AO, Kariri SAA, Alhazmi HYA, Almalki SHM, Adhabi OM, Ali Hindi SM, Muqri NM, Towhary BA. Contraceptive Use and the Associated Factors among Women of Reproductive Age in Jazan City, Saudi Arabia: A Cross-Sectional Survey. Int J Environ Res Public Health. 2023 Jan 2;20(1):843. doi: 10.3390/ijerph20010843. PMID: 36613165; PMCID: PMC9820157.
18. Ahinkorah BO, Seidu AA, Armah-Ansah EK, Ameyaw EK, Budu E, Yaya S. Socio-economic and demographic factors associated with fertility preferences among women of reproductive age in Ghana: evidence from the 2014 Demographic and Health Survey. Reprod Health. 2021 Jan 2;18(1):2. doi: 10.1186/s12978-020-01057-9. PMID: 33388063; PMCID: PMC7777390.
19. Islam MA, Khan MNA, Raihan H, Barna SD. Exploring the Influencing Factors for Contraceptive Use among Women: A Meta-Analysis of Demographic and Health Survey Data from 18 Developing Countries. Int J Reprod Med. 2022 Nov 14;2022:6942438. doi: 10.1155/2022/6942438. PMID: 36419908; PMCID: PMC9678470.
20. Boah M, Adokiya MN, Hyzam D. Prevalence and factors associated with the utilisation of modern contraceptive methods among married women of childbearing age in Yemen: a secondary analysis of national survey data. BMJ Open. 2023 Jun 2;13(6):e071936. doi: 10.1136/bmjopen-2023-071936. PMID: 37270197; PMCID: PMC10254602.
21. Makumbi FE, Nabukeera S, Tumwesigye NM, Namanda C, Atuyambe L, Mukose A, Ssali S, Ssenyonga R, Tweheyo R, Gidudu A, Sekimpi C, Hashim CV, Nicholson M, Ddungu P. Socio-economic and education related inequities in use of modern contraceptive in seven sub-regions in Uganda. BMC Health Serv Res. 2023 Feb 28;23(1):201. doi: 10.1186/s12913-023-09150-y. PMID: 36855140; PMCID: PMC9972732.
22. Bolarinwa OA, Tessema ZT, Frimpong JB, Seidu AA, Ahinkorah BO. Spatial distribution and factors associated with modern contraceptive use among women of reproductive age in Nigeria: A multilevel analysis. PLoS One. 2021 Dec 8;16(12):e0258844. doi: 10.1371/journal.pone.0258844. PMID: 34879066; PMCID: PMC8654187.
23. Tampah-Naah AM, Yendaw E, Sumankuuro J. Residential status and household wealth disparities in modern contraceptives use among women in Ghana: a cross-sectional analysis. BMC Womens Health. 2023 Oct 24;23(1):550. doi: 10.1186/s12905-023-02684-7. PMID: 37875940; PMCID: PMC10594689.
24. D'Souza P, Bailey JV, Stephenson J, Oliver S. Factors influencing contraception choice and use globally: a synthesis of systematic reviews. Eur J Contracept Reprod Health Care. 2022 Oct;27(5):364-372. doi: 10.1080/13625187.2022.2096215. Epub 2022 Sep 1. PMID: 36047713.
25. Feriani P, Yunitasari E, Efendi F, Krisnana I, Ernawati R, Tianingrum NA, Safaah N. A Systematic Review of Determinants Influencing Family Planning and Contraceptive Use. Iran J Nurs Midwifery Res. 2024 Sep 4;29(5):596-607. doi: 10.4103/ijnmr.ijnmr_321_23. Erratum in: Iran J Nurs Midwifery Res. 2024 Nov 20;29(6):759. doi: 10.4103/ijnmr.ijnmr_393_24. PMID: 39478710; PMCID: PMC11521132
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