Contextual influences on modern contraceptive use in sub-Saharan Africa

Am J Public Health. 2007 Jul;97(7):1233-40. doi: 10.2105/AJPH.2005.071522. Epub 2007 May 30.


Objectives: We examined the role of community-level factors in explaining geographic variations in modern contraceptive use in 6 African countries.

Methods: We analyzed Demographic and Health Survey and contextual data sources with multilevel modeling techniques to identify factors contributing to geographic variations in women's use of modern contraceptives.

Results: We found significant associations between several community-level factors and reported use of modern contraceptive methods. We also identified several pathways of influence between the community and the individual.

Conclusions: Aspects of a community's sociocultural and economic environment appear to influence a woman's use of modern contraceptive methods.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Africa South of the Sahara
  • Contraception Behavior / trends*
  • Developing Countries
  • Female
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Socioeconomic Factors