Factors associated with continuation of hormonal contraceptives among married women of reproductive age in Gilgit, Pakistan: a community-based case-control study

Fazila Bibi, Sarah Saleem, Shiyam S. Tikmani, Shafquat Rozi

Research output: Contribution to journalArticlepeer-review

Abstract

Objective This study aimed to determine the factors associated with continuation of hormonal contraceptive methods among married women of Gilgit, Pakistan at least 6 months after their initiation. Design Unmatched case-control study. Setting Community settings of Gilgit, Pakistan from 1 April 2021 to 30 July 2021. Participants The cases were married women of reproductive age who, at the time of interview, were using a hormonal method of contraception for at least 6 months continuously, and controls were married women of reproductive age who had used a hormonal method in the past and currently were using a non-hormonal method for at least 6 months. Primary and secondary outcome measures OR for continuation of hormonal contraceptive. Results The factors significantly associated with continuous use of hormonal contraceptive methods for our sample from Gilgit were the family planning centre's distance from home (adjusted OR (AOR) 6.33, 95% CI 3.74 to 10.71), satisfaction with current method used (AOR 3.64, 95% CI 2.06 to 6.44), visits to the family planning centre to avail services (AOR 1.86, 95% CI 1.07 to 3.45) and relatively older age of women (AOR 1.07, 95% CI 1.02 to 1.12). In addition, women with formal education (AOR 0.27, 95% CI 0.12 to 0.6) were less likely to use a modern contraceptive method. Conclusion Continuation of using a hormonal method was associated with easy access to family planning centres, satisfaction with the current method and frequent visits to the family planning centres. Continuation of using a hormonal method was also seen in women with low education status. The importance of the presence of family planning centres near residential areas cannot be emphasised more. This does not only provide easy access to family planning methods, but also reassure women of continuation of modern methods when they face any unpleasant effects while using these.

Original languageEnglish
Article numbere075490
JournalBMJ Open
Volume13
Issue number11
DOIs
Publication statusPublished - 23 Nov 2023

Keywords

  • GYNAECOLOGY
  • Health Services Accessibility
  • REPRODUCTIVE MEDICINE
  • Reproductive medicine
  • SEXUAL MEDICINE

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