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. 2015 Jan 29:6:13-19.
doi: 10.2147/OAJC.S76070. eCollection 2015.

Prevalence and associated factors of contraceptive discontinuation and switching among Bangladeshi married women of reproductive age

Rashidul Alam Mahumud  1 , Md Golam Hossain  2 , Abdur Razzaque Sarker  1 , Md Nurul Islam  2 , Md Ripter Hossain  2 , Aik Saw  3 , Jahangir Am Khan  1   4
Affiliations

Prevalence and associated factors of contraceptive discontinuation and switching among Bangladeshi married women of reproductive age

Rashidul Alam Mahumud et al. Open Access J Contracept. .

Abstract

Introduction: Contraceptive discontinuation is a worldwide incident that may be connected with low incentive to avoid pregnancy. Contraceptive discontinuation highly contributes to unplanned pregnancy and unwanted births.

Objectives: The objective of this study was to observe the prevalence of discontinuation and switching of contraceptive methods among Bangladeshi married women. In addition, the sociodemographic factors associated with contraceptive discontinuation and switching were assessed.

Methods: Secondary cross-sectional data was used in this study. A total of 16,273 married Bangladeshi women of reproductive age (15-49 years) were considered in the present study, from the Bangladesh Demographic and Health Survey, 2011. Logistic regression models were used to determine the relationships between key sociodemographic factors and user status.

Results: The prevalence of discontinuation and switching of contraceptive method among women were 38.4% and 15.4%, respectively. The logistic regression model demonstrated that women in early reproductive years (25-29 years and 30-34 years) significantly more often (odds ratio [OR] =0.84 and 0.71, respectively) discontinued use of contraceptives. Significantly higher rates of discontinuation were pronounced among women who used the pill (OR =0.72) and injectable contraception users (OR =0.60), had small family size (OR =0.49), lived in a rural community (OR =1.65), and who were less educated (OR =1.55).

Conclusion: Contraceptive discontinuation may reflect an association among less education, currently married, and smaller family size. Awareness of contraceptive methods can decrease the burden of unplanned pregnancies and thus progresses the family planning program.

Keywords: BDHS; contraceptive discontinuation; logistic regression; odds ratio; prevalence; switching.

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Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Reasons for contraceptive discontinuation by reproductive-aged married women in Bangladesh. Abbreviation: IUD, intrauterine device.
See this image and copyright information in PMC

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