Factors influencing unmet need for contraception amongst adolescent girls and women in Cambodia
Background Unmet need is the gap between women’s need and their practice of using contraception. Unmet need for contraception in female adolescents and women in Cambodia is a public health concern which may lead to unintended pregnancies or abortions that can contribute to maternal morbidity and mor...
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doaj-2f15000169d64479bcb5a4453925ba6e2020-11-25T03:35:29ZengPeerJ Inc.PeerJ2167-83592020-10-018e1006510.7717/peerj.10065Factors influencing unmet need for contraception amongst adolescent girls and women in CambodiaFarwa Rizvi0Joanne Williams1Steven Bowe2Elizabeth Hoban3Faculty of Health, School of Health and Social Development, Deakin University, Burwood, Victoria, AustraliaDepartment of Health Sciences and Biostatistics, Faculty of Health, Arts & Design, Swinburne University of Technology, Hawthorne, Victoria, AustraliaDeakin Biostatistics unit, Faculty of Health, School of Health and Social Development, Deakin University, Burwood, Victoria, AustraliaConsultant at Faculty of Health, School of Health and Social Development, Deakin University, Burwood, Victoria, AustraliaBackground Unmet need is the gap between women’s need and their practice of using contraception. Unmet need for contraception in female adolescents and women in Cambodia is a public health concern which may lead to unintended pregnancies or abortions that can contribute to maternal morbidity and mortality. Methods Bronfenbrenner’s Social Ecological Model was used as a theoretical framework to analyze data from the 2014 Cambodian Demographic and Health Survey to ascertain demographic and social factors potentially associated with unmet need for contraception. Bivariate and weighted multiple logistic regression analyses with adjusted odds ratios (AOR) were conducted for 4,823 Cambodian, sexually active females aged 15–29 years. Results The percentage of unmet need for contraception was 11.7%. At the individual level of the Social Ecological Model, there was an increased likelihood of unmet need in adolescent girls 15–19 years and women 20–24 years. Unmet need was decreased in currently employed women. At the microenvironment level, there was an increased likelihood of unmet need with the husband’s desire for more children and when the decision for a woman’s access to healthcare was made by someone else in the household. At the macroenvironment level, unmet need was decreased in women who could access a health facility near their residence to obtain medical care. There were no urban rural differences found in the Cambodian sample population. Conclusion Unmet need for contraception in Cambodian females adolescents and women is associated with younger age, unemployment and low personal autonomy for accessing healthcare but not with education or wealth status. There is a need to implement culturally appropriate reproductive and sexual health literacy programs to increase access to modern contraception and to raise women’s autonomy.https://peerj.com/articles/10065.pdfContraceptionReproductive and sexual healthFamily planningPersonal autonomyUnintended pregnanciesAdolescents |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Farwa Rizvi Joanne Williams Steven Bowe Elizabeth Hoban |
spellingShingle |
Farwa Rizvi Joanne Williams Steven Bowe Elizabeth Hoban Factors influencing unmet need for contraception amongst adolescent girls and women in Cambodia PeerJ Contraception Reproductive and sexual health Family planning Personal autonomy Unintended pregnancies Adolescents |
author_facet |
Farwa Rizvi Joanne Williams Steven Bowe Elizabeth Hoban |
author_sort |
Farwa Rizvi |
title |
Factors influencing unmet need for contraception amongst adolescent girls and women in Cambodia |
title_short |
Factors influencing unmet need for contraception amongst adolescent girls and women in Cambodia |
title_full |
Factors influencing unmet need for contraception amongst adolescent girls and women in Cambodia |
title_fullStr |
Factors influencing unmet need for contraception amongst adolescent girls and women in Cambodia |
title_full_unstemmed |
Factors influencing unmet need for contraception amongst adolescent girls and women in Cambodia |
title_sort |
factors influencing unmet need for contraception amongst adolescent girls and women in cambodia |
publisher |
PeerJ Inc. |
series |
PeerJ |
issn |
2167-8359 |
publishDate |
2020-10-01 |
description |
Background Unmet need is the gap between women’s need and their practice of using contraception. Unmet need for contraception in female adolescents and women in Cambodia is a public health concern which may lead to unintended pregnancies or abortions that can contribute to maternal morbidity and mortality. Methods Bronfenbrenner’s Social Ecological Model was used as a theoretical framework to analyze data from the 2014 Cambodian Demographic and Health Survey to ascertain demographic and social factors potentially associated with unmet need for contraception. Bivariate and weighted multiple logistic regression analyses with adjusted odds ratios (AOR) were conducted for 4,823 Cambodian, sexually active females aged 15–29 years. Results The percentage of unmet need for contraception was 11.7%. At the individual level of the Social Ecological Model, there was an increased likelihood of unmet need in adolescent girls 15–19 years and women 20–24 years. Unmet need was decreased in currently employed women. At the microenvironment level, there was an increased likelihood of unmet need with the husband’s desire for more children and when the decision for a woman’s access to healthcare was made by someone else in the household. At the macroenvironment level, unmet need was decreased in women who could access a health facility near their residence to obtain medical care. There were no urban rural differences found in the Cambodian sample population. Conclusion Unmet need for contraception in Cambodian females adolescents and women is associated with younger age, unemployment and low personal autonomy for accessing healthcare but not with education or wealth status. There is a need to implement culturally appropriate reproductive and sexual health literacy programs to increase access to modern contraception and to raise women’s autonomy. |
topic |
Contraception Reproductive and sexual health Family planning Personal autonomy Unintended pregnancies Adolescents |
url |
https://peerj.com/articles/10065.pdf |
work_keys_str_mv |
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