{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T21:38:44Z","timestamp":1763156324386,"version":"3.37.3"},"reference-count":75,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2023,7,14]],"date-time":"2023-07-14T00:00:00Z","timestamp":1689292800000},"content-version":"unspecified","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aims to explore the factors associated with the permanent and long-acting reversible contraceptive (LARC) method use compared with short-acting reversible contraceptive (SARC) methods among Bangladeshi ever-married women aged 15\u221249 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross-sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>We used data from Bangladesh Demographic Health Survey (BDHS) 2017\u20132018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>A total of 9669 Bangladeshi reproductive-aged women who gave information on contraception use were the study participants. A multilevel multinomial logistic regression model was employed where the SARC method was considered as the base category and the cluster was considered as level-2 factor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the contraceptive users in Bangladeshi women, about 83.48% used the SARC method, while 11.34%, and 5.18% used permanent and LARC methods, respectively. Compared with SARC, women with no formal education and only primary education who were non-Muslims, and had parity of \u22653 had a higher likelihood of using both permanent and LARC methods. Women from the age group of 25\u201334 years (adjusted relative risk ratio (aRRR): 7.03, 95%\u2009CI: 4.17 to 11.85) and 35\u201349 years (aRRR: 12.53, 95%\u2009CI: 7.27 to 21.58) who were employed (aRRR: 1.19, 95%\u2009CI: 1.00 to 1.40), had media access (aRRR: 1.24, 95%\u2009CI: 1.03 to 1.49), gave birth in last 5 years (aRRR: 1.40, 95%\u2009CI: 1.11 to 1.76), whose contraception decision solely made by their husband (aRRR: 7.03, 95%\u2009CI: 5.15 to 9.60) and having high decision-making power (aRRR: 2.12, 95%\u2009CI: 1.62 to 2.77) were more likely to use permanent contraceptive methods. We observed that women from households with richer (aRRR: 0.65, 95%\u2009CI: 0.45 to 0.93) and richest (aRRR: 0.38, 95%\u2009CI: 0.23 to 0.63) wealth quintiles were less likely to use LARC methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study identified that women with no\/less education, non-Muslims, and having parity of \u22653 were more likely to use both permanent and LARC methods than SARC methods. Targeted interventions could be developed and implemented to promote personalised contraceptive use.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2023-073469","type":"journal-article","created":{"date-parts":[[2023,7,14]],"date-time":"2023-07-14T15:20:53Z","timestamp":1689348053000},"page":"e073469","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Permanent, long-acting and short-acting reversible contraceptive methods use among women in Bangladesh: an analysis of Bangladesh Demographic and Health Survey 2017\u20132018 data"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9929-1236","authenticated-orcid":false,"given":"Azaz Bin","family":"Sharif","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5812-5717","authenticated-orcid":false,"given":"Md Tamzid","family":"Hasan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6706-3052","authenticated-orcid":false,"given":"Md. 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