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Repeat Use of Emergency Contraceptive Pills In Urban Kenya and Nigeria.
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- Author(s): Chin-Quee, Dawn; L’Engle, Kelly; Otterness, Conrad; Mercer, Sarah; Chen, Mario
- Source:
International Perspectives on Sexual & Reproductive Health. Sep2014, Vol. 40 Issue 3, p127-134. 8p. 5 Charts, 1 Graph. - Source:
- Additional Information
- Subject Terms: CLUSTER analysis (Statistics); CONFIDENCE intervals; EMERGENCY contraceptives; INTERVIEWING; METROPOLITAN areas; MULTIVARIATE analysis; QUESTIONNAIRES; RESEARCH funding; STATISTICAL sampling; SCALE analysis (Psychology); HUMAN sexuality; STATISTICS; WOMEN'S health; MULTIPLE regression analysis; SOCIOECONOMIC factors; FAMILY planning; DESCRIPTIVE statistics; ODDS ratio
- Subject Terms:
- Abstract: CONTEXT: Little is known about the frequency and patterns of use of emergency contraceptive pills among women in urban Kenya and Nigeria. METHODS: To recruit women who had used emergency contraceptive pills, individuals aged 18–49 were intercepted and interviewed at shopping venues in Nairobi, Kenya, and Lagos, Nigeria, in 2011. Information was collected on 539 Nairobi and 483 Lagos respondents’ demographic and behavioral characteristics, attitudes toward the method, and frequency of use. Multinomial logistic regression analyses were used to identify associations between these characteristics and frequency of pill use. RESULTS: Eighteen percent of the women interviewed in Nairobi and 17% in Lagos had ever used emergency contraceptive pills. On average, these respondents had used the pills less than once per month, but greater use and acceptance were seen in Lagos. In multivariate analysis, women who had sex at least once in a typical week were generally more likely than others to have used the pills 2–5 times in the last six months, rather than once or never, or to have used them six or more times. Furthermore, Lagos respondents who said their main contraceptive method was the condom, the pill or injectable, or a natural method were generally less likely than those who did not report these methods to have used the emergency pills multiple times in the last six months. CONCLUSIONS: Repeated use of emergency contraceptive pills was not common in this sample. [ABSTRACT FROM AUTHOR]
- Abstract: Contexto: Poco se sabe sobre la frecuencia y patrones de uso que las mujeres en zonas urbanas de Kenia y Nigeria hacen de las píldoras de anticoncepción de emergencia. Métodos: Para reclutar mujeres que habían usado píldoras de anticoncepción de emergencia, en 2011 se interceptó y entrevistó a mujeres en edades de 18 a 49 años en centros comerciales en Nairobi, Kenia y Lagos, Nigeria. Se recolectó información sobre características demográficas y conductuales, actitudes hacia el método y frecuencia de uso de 539 personas entrevistadas en Nairobi y 483 en Lagos. Se utilizaron análisis de regresión logística multinomial para identificar asociaciones entre estas características y la frecuencia en el uso de la anticoncepción de emergencia. Resultados: Dieciocho por ciento de las mujeres interceptadas en Nairobi y 17% en Lagos habían usado alguna vez píldoras anticonceptivas de emergencia. En promedio, estas personas entrevistadas habían usado las píldoras menos de una vez por mes, pero se observó un mayor uso y aceptación en Lagos. En los análisis multivariados, las mujeres que tenían relaciones sexuales al menos una vez en una semana típica, tuvieron en general una mayor probabilidad que otras de haber usado las píldoras de 2 a 5 veces en los últimos seis meses, en vez de una sola vez o nunca, o de haberlas usado seis o más veces. Además, las personas entrevistadas en Lagos que dijeron que su principal método anticonceptivo era el condón, la píldora o el inyectable, o un método natural, en general tuvieron una menor probabilidad que quienes no reportaron el uso de estos métodos de haber usado las píldoras de emergencia en múltiples ocasiones en los últimos seis meses. Conclusiones: El uso repetido de las píldoras de anticoncepción de emergencia no fue común en esta muestra. [ABSTRACT FROM AUTHOR]
- Abstract: Contexte: La fréquence et les tendances du recours à la pilule contraceptive d’urgence parmi les femmes du Kenya et du Nigéria urbains ne sont guère documentées. Méthodes: Pour le recrutement d’utilisatrices de la pilule contraceptive d’urgence, des femmes de 18 à 49 ans ont été abordées et interviewées dans les centres commerciaux de Nairobi (Kenya) et de Lagos (Nigéria) en 2011. Une information relative aux caractéristiques démographiques et comportementales de 539 et 483 répondantes à Nairobi et à Lagos, respectivement, à leurs attitudes à l’égard de la méthode et à la fréquence de leur recours à la méthode, a été collectée. Les associations entre ces caractéristiques et la fréquence du recours à la pilule ont été identifiées par analyses de régression logistique multinomiale. Résultats: Des femmes abordées à Nairobi et à Lagos, 18% et 17%, respectivement, avaient jamais eu recours à la pilule contraceptive d’urgence. En moyenne, ces répondantes y avaient eu recours moins d’une fois par mois, bien qu’un plus haut niveau d’usage et d’acceptation aient été observés à Lagos. Dans l’analyse multivariée, les femmes qui avaient des rapports sexuels au moins une fois par semaine ordinaire se sont révélées généralement plus susceptibles que les autres d’avoir eu recours à la pilule deux à cinq fois au cours des six derniers mois écoulés, plutôt qu’une fois ou jamais, ou au moins six fois. De plus, les répondantes de Lagos ayant indiqué comme méthode de contraception principale le préservatif, la pilule ou l’injectable, ou une méthode naturelle, se sont révélées généralement moins susceptibles que celles n’ayant pas déclaré ces méthodes d’avoir eu recours à la pilule d’urgence à plusieurs reprises durant les six derniers mois. Conclusions: Le recours répété à la pilule contraceptive d’urgence ne s’est pas avéré courant dans cet échantillon. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of International Perspectives on Sexual & Reproductive Health is the property of Guttmacher Institute, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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