Food Insecurity and Women's Choice of Reversible Contraceptives: Differential Effects by Maternal Age
Otobo I Ujah1, Pelumi Olaore2, Russell S Kirby2
1Department of Obstetrics and Gynecology, Federal University of Health Sciences, Otukpo 972261, Nigeria.
International Journal of Environmental Research and Public Health
|October 26, 2024
Summary
Food insecurity (FI) did not significantly impact reversible contraceptive use among Nigerian women. However, severe food insecurity was linked to lower use of less effective methods in women aged 25-34, though this finding was not statistically significant after adjustments.
Area of Science:
- Reproductive Health
- Public Health Nutrition
- Sociology of Health
Background:
- Food insecurity (FI) is a growing concern affecting women's health and well-being.
- Understanding the relationship between FI and contraceptive choices is crucial for reproductive health programs.
- Contraceptive use is vital for family planning and maternal health outcomes.
Purpose of the Study:
- To investigate the association between food insecurity and the use of reversible contraceptives among Nigerian women.
- To examine this relationship based on contraceptive method effectiveness.
- To analyze these associations within different maternal age groups.
Main Methods:
- Cross-sectional analysis of nationally representative data from Nigeria's Multiple Indicator Cluster Survey (MICS).
- Inclusion of partnered women aged 15-49 years, 2 years postpartum.
- Multivariable logistic regression analyses adjusted for multiple testing and stratified by maternal age.
Main Results:
- A high prevalence of food insecurity (74.1%) was observed in the study sample.
- No statistically significant association was found between food insecurity levels and overall reversible contraceptive use.
- Severe food insecurity showed a trend towards lower use of least effective methods among women aged 25-34, but this did not meet statistical significance after adjustments.
Conclusions:
- Food insecurity does not appear to be a significant factor influencing overall reversible contraceptive use in this population.
- Further research may be needed to explore nuanced relationships between specific levels of food insecurity and contraceptive method choices.
- Findings highlight the importance of considering socioeconomic factors in reproductive health interventions.
Keywords:
Food Insecurity Experience Scale (FIES)Multiple Indicator Cluster Survey (MICS)Nigeriacontraceptionmaterial hardshipMore Related Videos
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