Determinants of Contraceptive Usage among Married Women in Shiraz, Iran

Document Type: Original Research Article

Authors

1 PhD Candidate of Demography, University of Science Malaysia, Malaysia & Lecturer, Department of Sociology and Social Planning, Shiraz University, Shiraz, Iran

2 PhD of Development Studies, Senior Lecturer, Department of Development Planning and Management, University of Science Malaysia, Malaysia

3 PhD of Urban and Regional Planning, Associate Professor, Department of Development Planning and Management, University of Science Malaysia, Malaysia

4 PhD of Urban and Regional Planning, Senior Lecturer, Department of Development Planning and Management, University of Science, Malaysia

5 PhD of Demography, Associate Professor, Department of Sociology and Social Planning, Shiraz University, Shiraz, Iran

Abstract

Background & aim: Contraceptive usage is a central part of the quality of care in the provision of family services. Currently, this issue has gained much importance since the Iranian policy makers are changing their policies about family planning and contraceptives accessibility. Regarding this, the aim of this study was to determine the rate of contraceptive usage and the factors affecting contraceptive use among the married women of reproductive age in Shiraz County, Iran.
Methods: This cross-sectional study was conducted on 626 married women of reproductive age (i.e., 15-49 years) living in Shiraz County (including Shiraz city and the rural areas) using the quantitative survey method. Sampling was performed using multi-stage cluster and purposive sampling techniques. The sample size was determined based on the Krejcie and Morgan’s formula. The data were collected through a questionnaire filled out by some interviewers. Data analysis was performed both descriptively (i.e., frequency and percentage) and analytically (i.e., Chi-square and logistic regression tests) using the SPSS version 20.
Results: According to the results of this study, the main predictors of contraceptive usage were couple agreement on contraception method, the number of actual births, women’s authority, knowledge and positive attitude about contraceptives, and the number of desired children.
Conclusion: Regarding the new population policies, the Iranian policy makers should be aware of the different aspects of family planning programs, particularly those targeting the contraceptive usage.

Keywords


  1. Furedi A. Unplanned pregnancy: your choices: a practical guide to accidental pregnancy. Oxford: Oxford University Press; 1996.
  2. Ghodsi Z, Hojjatoleslami S. Knowledge of students about patient rights and its relationship with some factors in Iran. Procedia-Social and Behavioral Sciences. 2012; 31:345-348.
  3. Cleland J, Conde-Agudelo A, Peterson H, Ross J, Tsui A. Contraception and health. The Lancet. 2012; 380(9837):149-156.
  4. Almualm A, Khamis Y. Knowledge, attitude and practice of husbands towards modern family planning in Mukalla, Yemen. [Doctoral Dissertation]. Malaysia: University Sains Malaysia; 2007.
  5. Cohen SA. Family planning and safe motherhood: dollars and sense. Guttmacher Policy Review. 2010; 13(2):12-16.
  6. Alkema L, Kantorova V, Menozzi C, Biddlecom A. National, regional, and global rates and trends in contraceptive prevalence and unmet need for family planning between 1990 and 2015: a systematic and comprehensive analysis. The Lancet. 2013; 381(9878):1642-1652.
  7. Randall E. Family planning programmes review. London: Population Matters; 2012.
  8. Roudi-Fahimi F. Iran's family planning program: responding to a nation's needs. Washington, DC: Population Reference Bureau; 2002.
  9. Motlaq ME, Eslami M, Yazdanpanah M, Nakhaee N. Contraceptive use and unmet need for family planning in Iran. International Journal of Gynecology & Obstetrics. 2013; 121(2):157-161.
10. Krejcie RV, Morgan DW. Determining sample size for research activities. Educational and Psychological Measurement. 1970; 30(3):607-610.

11. Bryman A, Bell E. Business research methods. Oxford: Oxford University Press; 2015.

12. Nunnally JC, Bernstein IH. Psychometric theory. New York: McGraw-Hill; 1978.

13. Gujarati DN. Data disc to accompany basic econometrics. New York: Tata McGraw-Hill; 2003.

14. Medina I. Predicting transition to postsecondary programs of GED® earners in a college setting. [Doctoral Dissertation]. Florida, USA: Nova Southeastern University; 2014.

15. Goldberg HI, Toros A. The use of traditional methods of contraception among Turkish couples. Studies in Family Planning. 1994; 1:122-128.

16. Myntti C, Ballan A, Dewachi O, El-Kak F, Deeb ME. Challenging the stereotypes: men, withdrawal, and reproductive health in Lebanon. Contraception. 2002; 65(2):165-170.

17. Mehryar A, Aghajanian A, Delavar B, Eini-Zinab H, Kazemipour S. Continuing use of a traditional method (withdrawal) in a high contraceptive prevalence country, Iran: Correlates and consequences. The XXV General Population Conference of the International Union for the Scientific Study of Population, Tours, France; 2006.

18. Kowal D. Coitus interrupts (withdrawal). Contraceptive technology. 18th ed. New York: Ardent Media Inc; 2004. P. 311-315.

19. Bommaraju A. Determinants of contraceptive choice: factors affecting contraceptive nonuse among urban women utilizing title X services. [Doctoral Dissertation]. Ohio, USA: University of Cincinnati; 2013.

20. Rahnama P, Hidarnia A, Shokravi FA, Kazemnejad A, Ghazanfari Z, Montazeri A. Withdrawal users' experiences of and attitudes to contraceptive methods: a study from Eastern district of Tehran, Iran. BMC Public Health. 2010; 10(1):779.

21. Azari S, Shahnazi M, Farshbafkhalili A, Abbasnezhad O. Reasons for choosing the traditional method (withdrawal) as contraception among women in Tabriz/Iran. International Journal of Women’s Health and Reproduction Sciences. 2014; 2(5):297-300.

22. World Health Organization. World population prospects: the 2008 revision. New York: Department for Economic and Social Affairs; 2009.

23. Erfani A, Yuksel‐Kaptanoglu I. The use of withdrawal among birth limiters in Iran and Turkey. Studies in Family Planning. 2012; 43(1):21-32.

24. Ehsanpour S, Mohammadifard M, Shahidi S, Nekouyi NS. A comparative study on attitude of contraceptive methods users towards common contraceptive methods. Iranian Journal of Nursing and Midwifery Research. 2011; 15(Suppl 1):363.

25. Easterlin RA. An economic framework for fertility analysis. Studies in Family Planning. 1975; 6(3):54-63.

26. Barooti E, Sadeghi N, Karimi-Zarchi M, Soltani HR. Rate of use of contraceptive methods and risk factors in Tehran, the capital of Iran, in 2010 compared to other cities and regions. Clinical and Experimental Obstetrics & Gynecology. 2011; 38(4):408-411.

27. Chintsanya J. Trends and Correlates of contraceptive use among married women in Malawi. Maryland, USA: Evidence from 2000-2010 Malawi Demographic and Health Surveys; 2013.

28. Esber A, Foraker RE, Hemed M, Norris A. Partner approval and intention to use contraception among Zanzibari women presenting for post-abortion care. Contra-ception. 2014; 90(1):23-28.

29. McDonald P. Low fertility and the state: the efficacy of policy. Population and Development Review. 2006; 32(3):485-510.

30. Hijazi HH. Factors affecting contraceptive use among women of reproductive age in northern Jordan. New York: A Framework for Health Policy Action; 2012.

31. Rahman H, Khalda E, Kar S, Kharka L, Bhutia GP. Knowledge of, attitudes toward, and barriers to the practice of emergency contraception among women in Sikkim, India. International Journal of Gynecology & Obstetrics. 2013; 122(2):99-103.

32. Shahamfar J, Kishore J, Shokhvash B, Motlaq ME, Eslami M, Yazdanpanah M, et al. Effects of educational intervention on male participation in family planning in Iran. Health and Population: Perspectives and Issues. 2015; 30(4):292-299.