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Contextual influences on modern contraceptive use in sub-Saharan Africa
Rob Stephenson1, Angela Baschieri, Steve Clements
1Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Ga 30322, USA. rbsteph@sph.emory.edu
Objectives:
We examined the role of community-level factors in explaining geographic variations in modern contraceptive use in 6 African countries.
Methods:
We analyzed Demographic and Health Survey and contextual data sources with multilevel modeling techniques to identify factors contributing to geographic variations in women's use of modern contraceptives.
Results:
We found significant associations between several community-level factors and reported use of modern contraceptive methods. We also identified several pathways of influence between the community and the individual.
Conclusions:
Aspects of a community's sociocultural and economic environment appear to influence a woman's use of modern contraceptive methods.
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