The applications of multilevel mixed-effects logistic regression model on the assessment of the factors that affect the use of contraceptive method among women of reproductive age in Ethiopia
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Abstract
Background: Rapid population growth, which in many instances far outstrips economic growth and environmental sustainability, is the reality in most developing countries of sub-Saharan Africa .Ethiopia is the second most populous country in the sub-Saharan Africa next to Nigeria, with population growth rate of 2.6 percent per year and the total fertility rate approximate to5. The main objective of this study would be to assessing the factors which affect the use of contraceptive method among women of reproductive age in Ethiopia.
Method: A cross-sectional study was conducted among 6141 women enrolled in Ethiopia demographic and health survey of 2019 which nested under nine regions and 2 administrative cities. Binary and multilevel mixed effect logistic regression was carried out for variables to assessing associated factors with the use of contraceptive method among women of reproductive age and its regional variations at ascertained of 5% level.
Result: Result of this study show that wealth index of Women, religion, education level and place of residence had significant effect on use of contraceptive method when regional heterogeneity was included at 5% level of significance. Odds of Women who live in middle and poor households were about 0.841 and 0.860 times less likely to be use contraceptive method than that of women who live in rich households respectively. The associated odds for women who live in rural were 1.382 times more likely to have to use contraceptive method as compared to women who live in urban.
Conclusion: The contraceptive use of women has significant association with geographical regions. use of contraceptive is likely to increase when woman educational level increases. This is because they understand the benefits and the side effects of contraceptives better when they are more educated. Women’s wealth status shows statistically significant effect on the utilization of contraception, the higher the level of women wealth status, the more they used contraception. This stud recommended that education about the importance of having smaller families should be intensified in communities. Furthermore, campaigns to empower women such as emphasis on their education, encouraging gender balance by changing community attitude towards position/status of women in a household and in a society as a whole should be strengthened.
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