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Factors associated with contraceptive use in Tehran, Iran
Seyed Mahdi Sadat-Hashemi1, Raheb Ghorbani, Hesamodin Askari Majdabadi
1Department of Social Medicine, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran. sadat-hashemi@sem-ums.ac.ir
Summary
Factors like age, education, and number of children significantly influence contraceptive use among Iranian couples. Understanding these elements is crucial for effective population control strategies and promoting family planning.
Area of Science:
- Reproductive Health
- Demography
- Public Health Policy
Background:
- Contraceptive use prevalence in Iran is suboptimal at 55.4%, despite government initiatives.
- Health concerns, side effects, method failure, and demographic factors impact contraceptive adoption.
- Key demographic influences include education, age, and the number of daughters.
Purpose of the Study:
- To identify and analyze the key factors influencing contraceptive use among Iranian couples.
- To provide insights for improving public health policies related to family planning and population control in Iran.
Main Methods:
- Analysis of data from the 'Study of Contraceptive Practice in Tehran' (1999-2000).
- Inclusion of 4042 women of reproductive age who had delivered in Tehran teaching hospitals.
- Data collection via questionnaires covering socio-demographic status, fertility history, and other characteristics.
Main Results:
- Multinomial logistic regression identified significant associations between contraceptive use and several factors.
- Woman's age, educational attainment (self or husband), prior awareness of methods, abortion history, and number of sons/daughters were significant predictors.
- These demographic and awareness factors play a critical role in contraceptive decision-making.
Conclusions:
- Multiple factors significantly affect the uptake and consistent use of contraceptive methods in Iran.
- Health policymakers must consider these identified factors to effectively promote contraception and achieve population control goals.
- Targeted interventions addressing education, awareness, and socio-demographic aspects are essential for enhancing contraceptive use.
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