IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v21y2024i10p1343-d1495923.html
   My bibliography  Save this article

Food Insecurity and Women’s Choice of Reversible Contraceptives: Differential Effects by Maternal Age

Author

Listed:
  • Otobo I. Ujah

    (Department of Obstetrics and Gynecology, Federal University of Health Sciences, Otukpo 972261, Nigeria)

  • Pelumi Olaore

    (Chiles Center, College of Public Health, University of South Florida, Tampa, FL 33612, USA)

  • Russell S. Kirby

    (Chiles Center, College of Public Health, University of South Florida, Tampa, FL 33612, USA)

Abstract

We investigated the relationships between food insecurity (FI) and women’s choice of reversible contraceptives, overall and according to the level of method effectiveness, among partnered women of reproductive age in Nigeria. This population-based cross-sectional analysis used nationally representative data from Round 6 of the UNICEF-supported Multiple Indicator Cluster Survey (MICS) conducted in Nigeria. The sample included married or in-union women aged 15–49 years who reported a live birth in the last 2 years preceding the survey (unweighted N = 8496). Survey-weighted multivariable binomial and multinomial logistic regression analyses were performed to generate estimates of the association between FI (none, moderate, and severe) and reversible contraceptive use (overall and by method effectiveness). A Bonferroni correction was used to account for multiple testing. We stratified the models by maternal age to describe the experiences of women aged 15–24 years, 25–34 years, and 35–49 years. Overall, 6438 (74.1%) of the women in the sample experienced food insecurity (moderate, n = 2559, 30.7%; severe, n = 3879, 43.4%). In the adjusted model, we observed no statistically significant association between experiencing MFI and SFI and the use of reversible contraceptives (overall and specific) after adjustment for multiple testing. The stratified analyses showed that among women aged 25–34 years in the sample, those experiencing SFI in the past 12 months, compared to their food-secure counterparts, had significantly lower odds of reporting the use of a least effective contraceptive method (OR, 0.53; 95% CI, 0.34–0.83; p = 0.0052). However, this failed to reach the significance threshold upon adjustment for multiple testing. We found no significant association between the FI levels and use of reversible contraceptives (overall and specific) among partnered women (15–49 years) in Nigeria who were 2 years postpartum following a live birth and who were at risk of pregnancy.

Suggested Citation

  • Otobo I. Ujah & Pelumi Olaore & Russell S. Kirby, 2024. "Food Insecurity and Women’s Choice of Reversible Contraceptives: Differential Effects by Maternal Age," IJERPH, MDPI, vol. 21(10), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:10:p:1343-:d:1495923
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/21/10/1343/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/21/10/1343/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Elly Field, 2020. "Material Hardship and Contraceptive Use During the Transition to Adulthood," Demography, Springer;Population Association of America (PAA), vol. 57(6), pages 2057-2084, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kristen Lagasse Burke & R. Kelly Raley, 2022. "Declines in Non-marital Births Among Black Women Between 2004 and 2014: Are Recent Trends the Result of Increases in Contraception?," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(5), pages 2267-2288, October.
    2. Cha, Hyungmin, 2022. "Past, present, and future dimensions of socioeconomic status and sexual self-efficacy of young women during the transition into adulthood," Social Science & Medicine, Elsevier, vol. 306(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:21:y:2024:i:10:p:1343-:d:1495923. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.