Socio-demographic factors associated with current Depot Medroxyprogesterone Acetate (DMPA) use in Leogane, Haiti: A secondary data analysis

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  • March 27, 2019
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  • Pathak, Prutha
    • Affiliation: Gillings School of Global Public Health, Department of Maternal and Child Health
Abstract
  • ObjectivesTo examine the association of women's socio-demographic factors and Depot Medroxyprogesterone Acetate (DMPA) knowledge with current DMPA utilization.MethodsSecondary analysis of data from a cross-sectional study of women conducted via translator-administered questionnaire in Leogane, Haiti, in 2015 and 2016. Logistic regression was performed to analyze associations of key factors including age, parity, educational status, male partner cohabitation and a calculated composite DMPA knowledge score with current DMPA use.ResultsThe analysis sample consisted of 516 women of reproductive age (15-45 years) using modern family planning methods. DMPA use was reported in 18% of women (n=91). Over half of the women had high knowledge of DMPA (54 %, n=278). Adjusting for covariates, the odds of DMPA use among parous women was more than three times the odds in nulliparous women (AOR = 3.22, 95 % CI = 1.22 -10.18, p <0.05). Women who lived with a male partner had higher odds of DMPA utilization than women who did not (AOR = 1.85, 95 % CI = 1.08 - 3.23 p<0.05). Women with primary education had 2.72 times the odds of DMPA use compared to women with no education (AOR = 2.72, 95 % CI = 1.93-7.79, P <0.05). High knowledge of DMPA was not statistically significantly associated with its use.ConclusionsParity, cohabiting with a male partner and educational status were statistically significantly associated with current DMPA use. Increased utilization in parous women, in women living with a male partner and in women with primary education compared to no education, may arise from convenient access, issues of secrecy or privacy or cultural barriers that need further elucidation to meet women’s reproductive health needs.
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  • Paper type: Original research
Advisor
  • Peterson, Herbert
Degree
  • Master of Public Health
Academic concentration
  • Maternal and Child Health
Degree granting institution
  • University of North Carolina at Chapel Hill
Graduation year
  • 2018
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  • eabe4b77-6b02-4951-a442-b504d8c7bf5e

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