Assessing the Knowledge and Use of Contraception in Rural Haiti [14O]

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Abstract

INTRODUCTION:

Little is known about contraceptive use among women living in rural Haiti. This study sought to investigate women's attitudes and knowledge about contraception in a remote region of central Haiti, and to identify demographic and social factors that correlate with contraceptive use.

METHODS:

A short field survey was administered. Eligible subjects were female patients between 18–45 years old who live in the Central Plateau region of Haiti. All subjects were interviewed by the research team through certified Haitian Creole interpreters. Demographic data such as age, gravidity, parity, and highest education level was collected. Patients also were questioned about where they obtain information on contraception and factors that influence their decision to use contraception. A series of logistic regression analyses were performed to estimate associations between various demographic factors and contraception use.

RESULTS:

30 women were interviewed. Women aged 26–34 year old were more likely to have used contraception compared to younger women (odds ratio [OR] 11.57, 95% confidence interval [CI] 1.60–240.79, P=.04). Increasing gravidity was associated with increased contraception use (OR 2.63, 95% CI 1.4–6.7, P=.01). Women who completed seventh or eighth grade were less likely to have used contraception than those with no education, although this finding was not significant (OR 0.05, 95% CI 0.0012–0.75, P=.06).

CONCLUSION:

There was a surprising increase in contraception use with higher gravidity, and women who had a middle school education seemed to use contraception less than women who had no education. Though this was a small-scale study, these findings were unexpected and warrant further investigation.

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