Rural women's socio-demographic and cultural determinants on contraceptive uptake in The Gambia: community-based cross-sectional study

Table 4.

Socio-cultural and proximate factors associated with contraceptiveuptakes

  Socio-cultural and proximate factors Yes (n=193) No (n=441) Total (N=634)
  n (%) n (%) n (%)

Societies support on use of contraceptive methods        
  Yes 101 (37.3) 170 (62.7) 271 (100.0) 10.426 0.005*
  No 74 (25.4) 217 (74.6) 291 (100.0)    
  I don't know 18 (25.0) 54 (75.0) 72 (100.0)    
Traditional /cultural beliefs against contraceptive usage        
  Yes 108 (28.6) 269 (78.4) 377 (100.0) 1.436 0.488
  No 62 (33.3) 124 (66.7) 186 (100.0)    
  I don't know 23 (32.4) 48 (67.6) 71 (100.0)    
Partner support on the use of contraceptive methods        
  Yes 97 (56.1) 76 (43.9) 173 (100.0) 76.750 <0.001*
  No 67 (23.8) 215 (76.2) 282 (100.0)    
  I don't know 29 (16.2) 150 (83.8) 179 (100.0)    
Who decides on contraceptive uptake (n=481)        
  Husband/partner alone 47 (31.5) 102 (68.5) 149 (100.0) 36.512 <0.001*
  Wife alone 67 (50.4) 66 (49.6) 133 (100.0)    
  Both wife and husband/partner 70 (51.9) 65 (48.1) 135 (100.0)    
  Healthcare providers 3 (10.3) 26 (89.7) 29 (100.0)    
  Not using contraceptives 6 (17.1) 29 (82.9) 35 (100.0)    
Are contraceptives harmful or has side effect? (n=481)        
  Yes 115 (40.6) 168 (59.4) 283 (100.0)   0.957†
  No 75 (39.5) 115 (60.5) 190 (100.0)    
  I don't know 3 (37.5) 5 (62.5) 8 (100.0)    
Are contraceptives beneficial? (n=481)          
  Yes 184 (42.8) 246 (57.2) 430 (100.0) 11.997 0.001*
  No 9 (17.6) 42 (82.4) 51 (100.0)    
Know about Contraceptives          
  Yes 193 (40.1) 288 (59.9) 481 (100.0)   <0.001†*
  No 0 (0.0) 153 (100.0) 153 (100.0)    
Heard of Contraceptives          
  Yes 192 (31.8) 411 (68.2) 603 (100.0)   <0.001†*
  No 1 (3.2) 30 (96.8) 31 (100.0)    
Affordability of contraceptive          
  Yes 173 (52.7) 155 (47.3) 328 (100.0) 159.633 <0.001*
  No 20 (6.5) 286 (93.5) 306 (100.0)    
Sexually active          
  Yes 193 (32.8) 396 (67.2) 589 (100.0)   <0.001†*
  No 0 (0.0) 45 (100.0) 45 (100.0)    
Frequency of sex          
  Every time (everyday) 5 (38.5) 8 (61.5) 13 (100.0)   <0.001†*
  Most times (>once per week) 112 (32.8) 229 (67.2) 341 (100.0)    
  Occasionally (at least twice per month) 50 (38.8) 79 (61.2) 129 (100.0)    
  Rarely 26 (24.5) 80 (75.5) 106 (100.0)    
  Never 0 (0.0) 45 (100.0) 45 (100.0)    
Used contraceptive before          
  Yes 187 (63.8) 106 (36.2) 293 (100.0) 286.669 <0.001*
  No 6 (1.8) 335 (98.2) 341 (100.0)    
Frequency of using contraceptives          
  Every time 5 (55.6) 4 (44.4) 9 (100.0)   <0.001†*
  Most times 35 (83.3) 7 (16.7) 42 (100.0)    
  Occasionally 113 (83.7) 22 (16.3) 135 (100.0)    
  Rarely 38 (39.2) 59 (60.8) 97(100.0)    
  Never 2 (0.6) 349 (99.4) 351 (100.0)    
Getting contraceptives when due          
  Yes 167 (70.5) 70 (29.5) 237 (100.0) 286.311 <0.001*
  No 26 (6.5) 371 (93.5) 397 (100.0)    
Discuss FP with partner          
  Yes 119 (50.0) 119 (50.0) 238 (100.0) 68.836 <0.001*
  No 74 (18.7) 322 (81.3) 396 (100.0)    
Reasons for not discussing with partners (n=396)        
  He does not approve it 29 (20.9) 110 (79.1) 139 (100.0) 33.405 <0.001*
  It is against cultural norms 13 (12.3) 93 (87.7) 106 (100.0)    
  He will regard me as a player 22 (46.8) 25 (53.2) 47 (100.0)    
  It is against my religious beliefs 10 (9.6) 94 (90.4) 104 (100.0)    
Preference of FP service provider          
  Female service providers for women 63 (24.2) 197 (75.8) 260 (100.0)   0.005†*
  Male service providers for men 31 (44.9) 38 (55.1) 69 (100.0)    
  Community based distributors 4 (40.0) 6 (60.0) 10 (100.0)    
  No sex preference 95 (32.2) 200 (67.8) 295 (100.0)    
Person to contact about contraceptives          
  Husband/partner 21 (28.0) 54 (72.0) 75 (100.0)   <0.001†*
  Relatives 6 (16.2) 31 (83.8) 37 (100.0)    
  Male friends 8 (80.0) 2 (20.0) 10 (100.0)    
  Female friends 31 (23.0) 104 (77.0) 135 (100.0)    
  Healthcare providers 126 (35.2) 232 (64.8) 358 (100.0)    
  My parents (mother) 1 (5.3) 18 (94.7) 19 (100.0)    
Who decides on the number of children to have        
  Husband/partner 69 (31.4) 151 (68.6) 220 (100.0)   0.012†*
  Myself 75 (37.9) 123 (62.1) 198 (100.0)    
  Family/close relatives 3 (37.5) 5 (62.5) 8 (100.0)    
  Parents 3 (16.7) 15 (83.3) 18 (100.0)    
  Not in any relationship/marriage 6 (14.6) 35 (85.4) 41 (100.0)    
  God decides 37 (24.8) 112 (75.2) 149 (100.0)    
Ever informed your partner of using contraceptives        
  Yes 112 (53.1) 99 (46.9) 211 (100.0) 76.547 <0.001*
  No 81 (19.1) 342 (80.9) 423 (100.0)    
What you do when you don’t have Contraceptives from clinics      
  Purchase from the pharmacy 118 (55.4) 95 (44.6) 213 (100.0)   <0.001†*
  Use of alternative methods 20 (64.5) 11 (35.5) 31 (100.0)    
  Do not use any methods 30 (12.9) 203 (87.1) 233 (100.0)    
  Asked my partner to use protection 20 (13.4) 129 (86.6) 149 (100.0)    
  I wait for new supplies 5 (62.5) 3 (37.5) 8 (100.0)    

* Statistical significance

† Fisher’s exact test