Factors associated with the current use of modern contraceptives among unmarried sexually active women in Geita region, Tanzania
摘要
Unplanned pregnancies pose a significant public health threat in low and middle-income countries including Tanzania. Most of these pregnancies end up in unsafe abortions and increase maternal morbidity and mortality. Despite the government’s effort to promote the use of modern contraceptives in order to attain access to sexual and reproductive health services for all, the utilization among sexually active unmarried women was still very low.
ObjectiveThis study aimed to determine factors associated with the current use of modern contraceptives among unmarried sexually active women (15–49 years) in Geita, Tanzania.
Material and methodsThis was a cross-sectional study. Data were collected using a structured self-administered questionnaire. Descriptive statistics were summarized using frequencies and proportions for categorical variables. The chi-square test and logistic regression analysis were used to investigate factors associated with the current use of modern contraceptives.
ResultsA total of 194 respondents participated in the study. The demographic profile indicated a predominantly young population, with 60.8% aged 15–24 years. Modern contraceptive use was reported by 35.6% of respondents. Key factors associated with contraceptive use included age, relationship status, and communication with sexual partners. Younger women (15–24 years) were less likely to use modern contraceptives compared to older women (35–49 years) (AOR = 0.25, 95% CI 0.06–0.996). Women in sexual relationships were more likely to use contraceptives than those not in relationships (AOR = 2.04, 95% CI 1.05–3.97). Partner communication also significantly increased contraceptive use (AOR = 1.90, 95% CI 1.02–3.55).
ConclusionThe use of modern contraceptives among unmarried sexually active women in Geita region was still low. Age, relationship status, and communication with partners were significant factors associated with modern contraceptive use. Comprehensive sexual and reproductive health education, outreach programs, and supportive policies should be implemented to promote open communication and access to modern contraceptives for unmarried sexually active women, particularly those aged 15–24.