Factors associated with contraceptive use in a rural area in Western Cape Province

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dc.contributor.authorPeer, N
dc.contributor.authorMorojele, N
dc.contributor.authorLondon, L
dc.date.accessioned2021-10-08T07:18:03Z
dc.date.available2021-10-08T07:18:03Z
dc.date.issued2013
dc.description.abstractBACKGROUND: Safe and effective contraceptive use can substantially improve women's reproductive health. Although the contraceptive prevalence rate (CPR) in South Africa is comparable to rates globally, inequalities in CPR affect poor and rural women. This study aimed to determine the CPR and factors associated with contraceptive use in a rural district of Western Cape Province. METHOD: Cross-sectional survey data based on 412 face-to-face interviews with female participants between 18 and 44 years of age were collected in 2006 for a primary fetal alcohol syndrome prevention study in a rural district in Western Cape Province. The study used effective contraception (ECC) as the outcome variable. ECC included use of oral contraceptives, condoms, injectables or sterilisation. Independent variables included socio-demographic factors, substance use, psychosocial factors, community factors, childbearing characteristics and partner characteristics. RESULTS: Women were more likely to use ECC if they reported high self-esteem (compared with low or moderate self-esteem (prevalence risk ratio (PRR)=1.23; 95% confidence interval (CI) 0.99 - 1.53); if they strongly or moderately agreed that their culture entitled men to make decisions regarding child-bearing compared with those who disagreed (PRR=1.28; 95% CI 0.96 - 1.71); and if they had one child or more compared with no children (PRR=1.62; 95% CI 1.24 - 2.11). CONCLUSION: The CPR for sexually active women in this study was low at 39.3%. To promote contraceptive use in similar rural populations, family planning programmes should focus on increasing men's approval of contraception, improving partner communication around family planning and bolstering women's confidence in their reproductive decision-making, and particularly their self-esteem. There should be greater focus on nulliparous women.
dc.identifier.apacitationPeer, N., Morojele, N., & London, L. (2013). Factors associated with contraceptive use in a rural area in Western Cape Province. <i>South African Medical Journal</i>, 103(6), 406 - 177. http://hdl.handle.net/11427/34895en_ZA
dc.identifier.chicagocitationPeer, N, N Morojele, and L London "Factors associated with contraceptive use in a rural area in Western Cape Province." <i>South African Medical Journal</i> 103, 6. (2013): 406 - 177. http://hdl.handle.net/11427/34895en_ZA
dc.identifier.citationPeer, N., Morojele, N. & London, L. 2013. Factors associated with contraceptive use in a rural area in Western Cape Province. <i>South African Medical Journal.</i> 103(6):406 - 177. http://hdl.handle.net/11427/34895en_ZA
dc.identifier.issn0038-2469
dc.identifier.ris TY - Journal Article AU - Peer, N AU - Morojele, N AU - London, L AB - BACKGROUND: Safe and effective contraceptive use can substantially improve women's reproductive health. Although the contraceptive prevalence rate (CPR) in South Africa is comparable to rates globally, inequalities in CPR affect poor and rural women. This study aimed to determine the CPR and factors associated with contraceptive use in a rural district of Western Cape Province. METHOD: Cross-sectional survey data based on 412 face-to-face interviews with female participants between 18 and 44 years of age were collected in 2006 for a primary fetal alcohol syndrome prevention study in a rural district in Western Cape Province. The study used effective contraception (ECC) as the outcome variable. ECC included use of oral contraceptives, condoms, injectables or sterilisation. Independent variables included socio-demographic factors, substance use, psychosocial factors, community factors, childbearing characteristics and partner characteristics. RESULTS: Women were more likely to use ECC if they reported high self-esteem (compared with low or moderate self-esteem (prevalence risk ratio (PRR)=1.23; 95% confidence interval (CI) 0.99 - 1.53); if they strongly or moderately agreed that their culture entitled men to make decisions regarding child-bearing compared with those who disagreed (PRR=1.28; 95% CI 0.96 - 1.71); and if they had one child or more compared with no children (PRR=1.62; 95% CI 1.24 - 2.11). CONCLUSION: The CPR for sexually active women in this study was low at 39.3%. To promote contraceptive use in similar rural populations, family planning programmes should focus on increasing men's approval of contraception, improving partner communication around family planning and bolstering women's confidence in their reproductive decision-making, and particularly their self-esteem. There should be greater focus on nulliparous women. DA - 2013 DB - OpenUCT DP - University of Cape Town IS - 6 J1 - South African Medical Journal LK - https://open.uct.ac.za PY - 2013 SM - 0038-2469 T1 - Factors associated with contraceptive use in a rural area in Western Cape Province TI - Factors associated with contraceptive use in a rural area in Western Cape Province UR - http://hdl.handle.net/11427/34895 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34895
dc.identifier.vancouvercitationPeer N, Morojele N, London L. Factors associated with contraceptive use in a rural area in Western Cape Province. South African Medical Journal. 2013;103(6):406 - 177. http://hdl.handle.net/11427/34895.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Public Health and Family Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.sourceSouth African Medical Journal
dc.source.journalissue6
dc.source.journalvolume103
dc.source.pagination406 - 177
dc.source.urihttps://dx.doi.org/10.7196/SAMJ.6201
dc.subject.otherAdolescent
dc.subject.otherAdult
dc.subject.otherChi-Square Distribution
dc.subject.otherContraception Behavior
dc.subject.otherCross-Sectional Studies
dc.subject.otherFemale
dc.subject.otherHumans
dc.subject.otherInterviews as Topic
dc.subject.otherLogistic Models
dc.subject.otherMale
dc.subject.otherPrevalence
dc.subject.otherRural Population
dc.subject.otherSouth Africa
dc.subject.otherSurveys and Questionnaires
dc.titleFactors associated with contraceptive use in a rural area in Western Cape Province
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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