Research Article

Contraceptive Method Utilization and Determinant Factors among Young Women (15-24) in Ethiopia: A Mixed-Effects Multilevel Logistic Regression Analysis of the Performance Monitoring for Action 2018 Household Survey

Table 4

Mixed-effects multilevel logistic regression analysis of the determinants of contraceptive method utilization among young women in Ethiopia, June-July, 2018.

VariablesContraceptive useCrude OR (95% CI)Model 1 (level 2 variables)
AOR (95% CI)
Model 2 (level 1 variables)
AOR (95% CI)
Model 3 (full model)
AOR (95% CI)
Yes (538)
(%)
No (444)
(%)

Level 2: higher (contextual) level variables
Place of residence
 Rural237 (46.0)166 (54.0)1.001.001.00
 Urban301 (64.5)166 (35.5)2.13 (1.64, 2.78)0.86 (0.53, 1.39)0.90 (0.53, 1.52)
Wealth quintiles
 Lowest quintile48 (38.7)76 (61.3)1.001.001.00
 Lower quintile45 (38.5)72 (61.5)0.99 (0.59, 1.66)1.40 (0.78, 2.53)1.41 (0.75, 2.68)
 Middle quintile66 (48.9)69 (51.1)1.51 (0.92, 2.48)1.69 (0.95, 2.98)1.59 (0.86, 2.95)
 Higher quintile134 (57.8)98 (42.2)2.17 (1.39, 3.38)2.50 (1.42, 4.37)2.00 (1.08, 3.72)
 Highest quintile245 (65.5)129 (34.5)3.01 (1.98, 4.58)3.82 (1.97, 7.41)2.83 (1.35, 5.95)
Religion
 Orthodox Christian310 (63.7)177 (36.3)1.001.001.00
 Muslim118 (36.0)210 (64.0)0.32 (0.24, 0.43)0.42 (0.29, 0.62)0.50 (0.33, 0.76)
 Protestant104 (67.1)51 (32.9)1.16 (0.79, 1.71)1.05 (0.64, 1.71)1.22 (0.72, 2.07)
 Others6 (50.0)6 (50.0)0.57 (0.18, 1.80)0.60 (0.17, 2.08)0.67 (0.17, 2.67)
Level 1: lower (individual) level variables
Age group (in years)
 15-19127 (49.2)131 (50.8)1.001.001.00
 20-24411 (56.8)313 (43.2)1.35 (1.02, 1.80)1.65 (1.14, 2.39)1.66 (1.14, 2.43)
Educational status
 No formal education62 (33.0)126 (67.0)1.001.001.00
 Primary (grade 1-8)249 (55.1)203 (44.9)2.49 (1.75, 3.56)1.49 (0.95, 2.34)1.19 (0.74, 1.92)
 Secondary (grade 9-12)147 (67.4)71 (32.6)4.21 (2.78, 6.38)1.76 (1.01, 3.08)1.16 (0.63, 2.14)
 Technic/college (12+)80 (64.5)4 4(35.5)3.40 (2.29, 5.96)1.08 (0.57, 2.05)1.67 (0.68, 2.34)
Marital status
 Never married83 (65.9)43 (34.1)1.78 (1.20, 2.64)2.37 (1.37, 3.80)1.61 (1.01, 2.81)
 Married or in union420 (52.0)387 (48.0)1.001.001.00
 Divorced35 (71.4)14 (28.6)2.31 (1.22, 4.35)3.05 (1.25, 7.48)3.20 (1.30, 7.09)
Family size
 1-2154 (63.1)90 (36.9)1.001.001.00
 3-4271 (54.7)224 (45.3)0.71 (0.52, 0.97)0.93 (0.57, 1.54)1.05 (0.63, 1.76)
 ≥5113 (46.5)130 (53.5)0.51 (0.35, 0.73)0.55 (0.33, 0.91)0.70 (0.42, 1.18)
Parity
 Nulipara (no birth)213 (59.3)146 (40.7)1.001.001.00
 1-2 births306 (54.6)254 (45.4)0.83 (0.63, 0.99)0.55 (0.33, 0.91)0.51 (0.30, 0.86)
 ≥3 births19 (30.2)44 (69.8)0.30 (0.17, 0.53)0.38 (0.17, 0.85)0.38 (0.17, 0.87)
Intended next birth
 Soon24 (17.6)112 (82.4)1.001.001.00
 After 2 years458 (62.2)278 (37.8)7.69 (4.83, 12.24)10.49 (6.02, 18.29)11.38 (6.46, 20.04)
 Not decided56 (50.9)54 (49.1)4.84 (2.72, 8.63)8.26 (4.12, 16.55)8.81 (4.32, 17.96)
Knowledge on contraceptive methods
 Poor knowledge106 (35.7)191 (64.3)1.001.001.00
 Good knowledge432 (63.1)253 (36.9)3.08 (2.32, 4.09)2.49 (1.73, 3.60)2.15 (1.47, 3.16)

Catholic, Jova, and Traditional.