Assessing The Relationship Between Attitude and The Use of Contraception, Factors Associated with The Use of Contraceptives and Factors Associated with Attitudes Towards Contraceptive Use Among Women in Nigeria: A Cross-Sectional Online Study
Creators: name: LASISI, G.E
name: IKHUMETSE A. A
name: AMINUWA H. A
Publisher: name: gjrpublication
Year: 2024

description: BackgroundGlobal reproductive health outcomes are significantly impacted by the availability and use of contraception. Despite attempts to increase the availability of contraceptives in Nigeria, the rates of their use remain below the desired level. This situation has led to a significant number of maternal deaths and unwanted births. Attitudes toward contraception have a significant impact on how individuals behave and make decisions about its use. Gaining a comprehensive understanding of the intricate relationship between attitudes and contraceptive practices among Nigerian women is crucial in order to develop impactful treatments and policies that can improve reproductive health outcomes.

ObjectivesTo examine factors associated with the use of contraceptives among Nigerian women, to examine factors associated with attitudes towards contraceptive use among women in Nigeria and examine the relationship between attitudes towards contraceptives and the use of contraceptives among women in Nigeria. Material and method This is a descriptive cross-sectional online survey that was done with 144 respondents using the convenience sampling technique. The date was obtained using the Qualtrics platform and analysed using the SPSS software.

ResultThe statistical analysis reveal that accessibility to healthcare, B=-1.93 = 1.93,/ SE =.87, Wald = 4.99, df = 1, p ≤ 0.05, Odd Ratio =.15, 95% Cl =.03,.79, health insurance B=-2.08, SE=1.07, Wald=3.78, df=1, p ≤ 0.05, Odd Ratio=.13, 95% Cl=.02,1.01, partner support B=2.01, SE=.83, Wald=5.88, df=1, p ≤ 0.05, Odd Ratio=7.52, 95% Cl=1.47,38.42, and family size B=.88, SE=.43, Wald=4.14, df=1, p ≤ 0.05, Odd Ratio=2.40, 95% Cl=1.03,5.59). were the factors found to have significance associated with attitude towards contraception among Nigerian women. The findings indicated that partner support (B = 1.82, SE =.50, Wald = 12.94, df = 1, p ≤ 0.05, Odd Ratio = 6.172, 95% Cl = 2.29, 16.64) and health insurance (B = 1.32, SE =.52, Wald = 6.49, df = 1, p ≤ 0.05, Odd Ratio = 3.72, 95% Cl = 1.36, 10.24) were the only significant factors associated with the use of contraception among Nigerian women. Lastly, the findings show that there is no relationship between attitude and the use of contraception among Nigerian women. There was no significant difference between their mean scores (94.08 ± 6.41 and 91.70 ± 9.48; t (142) = 1.79, p ≤ 0.05, two-tailed). The magnitude differences in the means (mean difference = 2.37, 95% Cl (-.25, 4.10)) were very small (eta squared =.02). 

ConclusionPositive or negative attitudes towards contraception alone cannot determine its usage. The government of Nigeria should consider establishing a healthcare system focused on educating and encouraging the use of contraceptives. Additionally, implementing a healthcare insurance program would enable a greater number of women to access and utilize contraceptive methods. These measures are crucial for improving reproductive health outcomes in the country.