Factors associated with the use of modern contraceptive methods in Peruvian women of reproductive age
Keywords:
Anticonceptivos, asociación, factores sociodemográficos, mujeresAbstract
Introduction: Modern contraceptive methods are a health strategy that reduces maternal mortality. However, there are more than 250 million women in the world with unmet needs for contraceptive methods.
Objective: To determine the factors associated with the use of modern contraceptive methods in women treated at the Andahuaylas Health Center, in 2023.
Methods: A cross-sectional, retrospective analytical study was conducted, with a non-probabilistic convenience sampling of 177 women aged 15 to 49 years. For the bivariate analysis, the chi-square statistic of independence was used. Each factor was evaluated separately, to determine its association with the dependent variable. The independent variables that were statistically significant were taken to the final multivariate logistic regression model. The level of statistical significance established was p<0.05, with confidence intervals (CI) of 95%. The SPSS version 25 program was used.
Results: Being in a relationship (aOR: 7.1; CI: 2.3-22.0; P=0.00), professing the Catholic confession (aOR: 6.3; CI: 2.0-19.8; P=0.00), speaking Spanish (aOR: 3.1; CI: 1.0-9.2; P=0.00), not having been a victim of domestic violence (aOR: 11.6; CI: 3.2-41.6; P=0.00) and previous use of modern contraceptives (aOR: 6.1; CI: 2.3-16.3; P=0.00) had a positive association with the use of modern contraceptives.
Conclusions: The factors that were associated with the use of modern contraceptive methods were: being in a relationship, speaking Spanish language, not suffering family violence and having previously used contraceptives, which increases the probability of use them among women of the Andahuaylas Health Center.
Downloads
References
Khan MN, Harris M, Loxton D. Modern Contraceptive Use Following an Unplanned Birth in Bangladesh: An Analysis of National Survey Data. Perspect Sex Reprod Health. 2020;46:77-87. DOI: 10.1363/46e8820.
Fondo de Población de las Naciones Unidas. Estado de la población mundial 2022: Visibilizar lo invisible: La necesidad para poner fin a la crisis desatendida de los embarazos no intencionales [Internet]. Nueva York: UNFPA; 2022 [citado 22/05/2024]. Disponible en: https://www.unfpa.org/sites/default/files/pub-pdf/ES_SWP22%20report_0.pdf
Koch M, Nayiga H, Yates A, et al. FIGO and ICM joint statement on contraception: 2024. Int J Gynaecol Obstet. 2024. DOI: 10.1002/ijgo.15936.
Haakenstad A, Angelino O, Irvine CMS, et al. Measuring contraceptive method mix, prevalence, and demand satisfied by age and marital status in 204 countries and territories, 1970-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2022;400(10348):295-327. DOI: 10.1016/S0140-6736(22)00936-9.
United Nations Department of Economic and Social Affairs, Population Division. World Family Planning 2022: Meeting the changing needs for family planning: Contraceptive use by age and method [Internet]. New York: United Nations; 2022 [citado 13/11/2024]. Disponible en: https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/files/documents/2023/Feb/undesa_pd_2022_world-family-planning.pdf
Bearak J, Popinchalk A, Ganatra B, et al. Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990-2019. Lancet Glob Health. 2020;8(9):e1152-61. DOI: 10.1016/S2214-109X(20)30315-6.
Organización Mundial de la Salud. Un nuevo estudio de la OMS relaciona las altas tasas de embarazos no planificados con las deficiencias de los servicios de planificación familiar [Internet]. Ginebra: Organización Mundial de la Salud; 2019 [citado 19/12/2023]. Disponible en: https://www.who.int/es/news/item/25-10-2019-high-rates-of-unintended-pregnancies-linked-to-gaps-in-family-planning-services-new-who-study
Organización Mundial de la Salud. Embarazo en la adolescencia [Internet]. Ginebra: Organización Mundial de la Salud; 2024 [citado 22/05/2024]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/adolescent-pregnancy
Díaz-Alvites AL, Yrala-Castillo G, Al-kassab-Córdova A, et al. Associated factors, inequalities, and spatial distribution of the use of modern contraceptive methods among women of reproductive age in Peru: a population-based cross-sectional study. BMC Public Health. 2022;22(1):2267. DOI: 10.1186/s12889-022-14629-0.
Ponce de Leon RG, Ewerling F, Serruya SJ, et al. Contraceptive use in Latin America and the Caribbean with a focus on long-acting reversible contraceptives: prevalence and inequalities in 23 countries. Lancet Glob Health. 2019;7(2):e227-35. DOI: 10.1016/S2214-109X(18)30481-9.
United Nations, Department of Economic and Social Affairs, Population Division. Trends in Contraceptive Use Worldwide 2015 [Internet]. New York: United Nations; 2015 [citado 05/01/2024]. Disponible en: https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/undesa_pd_report_2015_trends_contraceptive_use.pdf
Fagan T, Dutta A, Rosen J, et al. Family Planning in the Context of Latin America’s Universal Health Coverage Agenda. Glob health sci pract [Internet]. 2017 [citado 05/01/2024];5(3):382-98. Disponible en: https://www.ghspjournal.org/content/5/3/382
The Global Health Observatory. SDG Indicator 3.7.1: Proportion of women of reproductive age (aged 15-49 years) who have their need for family planning satisfied with modern methods [Internet]. Geneva: World Health Organization; 2024 [citado 19/12/2023]. Disponible en: https://www.who.int/data/gho/indicator-metadata-registry/imr-details/4988
Organización Panamericana de la Salud. Planificación familiar: Un manual mundial para proveedores [Internet]. 3ª ed. Washington, DC: Organización Panamericana de la Salud; 2019 [citado 25/05/2024]. Disponible en: https://iris.paho.org/handle/10665.2/51918
Fondo de Población de las Naciones Unidas Perú. Consecuencias socioeconómicas del embarazo y la maternidad adolescente en Perú [Internet]. San Isidro, Perú: UNPFA; 2020 [citado 19/12/2023]. Disponible en: https://peru.unfpa.org/sites/default/files/pub-pdf/estudio_csemap_ver_digital_1.pdf
Soriano-Moreno DR, Soriano-Moreno AN, Mejia-Bustamante A, et al. Factors associated with highly effective contraceptive use among reproductive-age women in Peru: Evidence from a nationwide survey. Eur J Obstet Gynecol Reprod Biol [Internet]. 2020 [citado 19/12/2023];245:114-20. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0301211519305846?via%3Dihub
Vela-Ruiz JM, Rivadeneyra-Romero R, De La Cruz-Vargas JA, et al. Factores asociados al uso de métodos anticonceptivos en mujeres en edad fértil de 15 a 49 años según encuesta demográfica en Perú. Rev Cuerpo Med HNAAA. 2022;15(2):180-4. DOI: 10.35434/rcmhnaaa.2022.152.1174.
Gebrekidan H, Alemayehu M, Debelew GT. Individual and community level factors associated with modern contraceptive utilization among women in Ethiopia: Multilevel modeling analysis. PloS One. 2024;19(5):e0303803. DOI: 10.1371/journal.pone.0303803.
Demeke H, Legese N, Nigussie S. Modern contraceptive utilization and its associated factors in East Africa: Findings from multi-country demographic and health surveys. PloS One. 2024;19(1):e0297018. DOI: 10.1371/journal.pone.0297018.
Pereira-Salgado A, Mader P, O’Callaghan C, et al. Religious leaders’ perceptions of advance care planning: a secondary analysis of interviews with Buddhist, Christian, Hindu, Islamic, Jewish, Sikh and Bahá’í leaders. BMC Palliat Care. 2017;16(1):79. DOI: 10.1186/s12904-017-0239-3.
Barro A, Nana NG, Soubeiga D, et al. Knowledge, beliefs and perceptions of religious leaders on modern contraceptive use in Burkina Faso: a qualitative study. Pan Afr Med J. 2021;39(216). DOI: 10.11604/pamj.2021.39.216.27082.
Herrera-Añazco P, Benites-Zapata VA, Hernández AV. Association between the Non-use of Health Services and Maltreatment Based on Ethnicity in Peru. J Health Care Poor Underserved. 2022;33(1):234-52. DOI: 10.1353/hpu.2022.0018.
Baritwa MS, Joho AA. Intimate partner violence influences modern family planning use among married women in Tanzania: cross-sectional study. BMC Public Health. 2024;24(1):421. DOI: 10.1186/s12889-024-17666-z.
Sileo KM, Muhumuza C, Wanyenze RK, et al. A pilot quasi-experimental controlled trial of a community-based, multilevel family planning intervention for couples in rural Uganda: evidence of feasibility, acceptability, and effect on contraceptive uptake among those with an unmet need for family planning. Contraception [Internet]. 2023 [citado 03/06/2024];125:110096. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37355086/
Aychew EW, Bekele YA, Ayele AD, et al. Utilization of long-acting contraceptive methods and associated factors among married women in Farta Woreda, Northwest Ethiopia: a community-based mixed method study. BMC Womens Health. 2022;22(1). DOI: 10.1186/s12905-022-02092-3.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Revista Médica Electrónica (Medical Electronic Journal)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All content published in this journal is Open Access, distributed under the terms of the CC BY-NC 4.0 License.
It allows:
- Copy and redistribute published material in any medium or format.
- Adapt the content.
This will be done under the following terms:
- Attribute the authors' credits and indicate whether changes were made, in which case it must be in a reasonable way.
- Non-commercial use.
- Recognize the journal where it is published.
The copyrights of each article are maintained, without restrictions.