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Predictors of discontinuation of contraceptive use among Nigerian women: Results of 2013 Nigeria Demographic and Health Surveys
Authors: Azuike E.C., Ikeako L.C., Ezeobi I., Ezebialu I.U., Umeobika J.C., Obi K.M., Anene J.O., and Azuike E.D.
Source: Journal of Scientific Research and Studies, 4(7): 171-176;
Topic(s): Contraception
Unintended pregnancy
Country: Africa
Published: JUL 2017
Abstract: Unintended pregnancy is a major public health problem that affects not only the individuals directly involved but also the society indirectly. The best approach to reduction of unintended pregnancies is the use of contraceptives. This study used a secondary analysis of data from 2013 Nigeria Demographic and Health Survey dataset. Only the 29,990 women who were in a union were included. Data were analysed using Stata data analysis software Version 12.1, and some basic characteristics of the women were explored. Frequencies and percentages were also displayed in tables. Binomial logistic regression was used to determine the predictors of discontinuation of contraceptives among the women. Among the 29,990 women who participated in the study, 4,080 reported contraception discontinuation, giving a contraception discontinuation rate of 13.6%. The commonest method discontinued was the withdrawal method (18.53%) and the least discontinued method was the diaphragm (0.07%). The commonest reason for discontinuation was the intention to get pregnant (49.58%), followed by occurrence of pregnancy while using a contraceptive method (16.18%). The predictors of contraception discontinuation were: the women’s age, the women’s residence (urban/rural), education, number of children < 5 years, marital duration, the women’s occupation, the men’s occupation and wealth index. In conclusion, understanding the predictors of contraception discontinuation will help in planning of interventions to reduce contraception discontinuation, while trying to increase uptake of contraception and reduce unmet need for contraception. We recommend further studies to find out the direction of the effect of the predictors of contraception discontinuation. Key words: Predictors, discontinuation, contraceptives, Nigeria.