{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T03:26:01Z","timestamp":1778642761840,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>Background: Intrauterine device (IUD) is the second most commonly utilized modern family planning method in the world next to female sterilization. It is the most cost-effective, safe, long-lasting, rapidly reversible method of contraception, but only 2% of married women are using the IUD in Ethiopia. Objective: To assess the rate of IUD use and associated factors among married reproductive age women in Mettu rural community, Southwest Ethiopia. Methods: A community-based cross-sectional study was done among 501 married reproductive age women in Mettu rural district, Southwest Ethiopia from April to May 2018. Data were collected by using an interviewer-administrated questionnaire. Bivariate and multiple variable logistic regression analysis were employed. Results: Twenty-one (4.1%) women were currently using the IUD. Women\u2019s primary education, adjusted odds ratio (AOR) 4.40 (95% C.I 1.32-14.64); secondary and above education, AOR 5.05 (95% C.I 1.11-22.01); having favorable attitudes, AOR 3.24 (95% C.I 1.06-9.89); absence of myth and misconception, AOR 3.40 (95% C.I 1.23-9. 39); having discussion about IUD with women health development army, AOR 3.11 (95% C.I 1.02-9.49); and possessing more than 2 children AOR 3.48 (95% C.I 1.31-9.27) were positively associated with IUD utilization. Conclusion: Only 1 in 25 women was using an IUD. Sociodemographic factors (education and number of children) and behavioral factors (attitudes, myths, and misconceptions) were found to be significant predictors. Scientific community should explore the local contexts of intrauterine use in different parts of Ethiopia.<\/jats:p>","DOI":"10.1177\/2150132720904916","type":"journal-article","created":{"date-parts":[[2020,2,18]],"date-time":"2020-02-18T06:01:49Z","timestamp":1582005709000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["The Rate of Intrauterine Contraceptive Device Use and Associated Factors Among Married Women of Reproductive Age in Mettu Rural Community, Southwest Ethiopia"],"prefix":"10.1177","volume":"11","author":[{"given":"Shimelis","family":"Teshome","sequence":"first","affiliation":[{"name":"Health Science College, Mettu, Oromia, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ebissa","family":"Negera","sequence":"additional","affiliation":[{"name":"Mettu University, Mettu, Oromia, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tesfaye","family":"Sileshi","sequence":"additional","affiliation":[{"name":"Mettu University, Mettu, Oromia, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5682-6117","authenticated-orcid":false,"given":"Afework","family":"Tadele","sequence":"additional","affiliation":[{"name":"Jimma University, Jimma, Oromia, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,2,18]]},"reference":[{"key":"bibr1-2150132720904916","unstructured":"United Nations Fund for Population Activities. A deadly gap: meeting the unmet need for reproductive health care. https:\/\/www.unfpa.org\/sites\/default\/files\/resource-pdf\/EN-SRH%20fact%20sheet-DeadlyGap.pdf. Accessed January 22, 2020."},{"key":"bibr2-2150132720904916","volume-title":"Mobile for Reproductive Health (m4RH): How Mobile Messages are Improving Access to Family Planning","author":"United Nations Foundation","year":"2015"},{"key":"bibr3-2150132720904916","unstructured":"Gribble J, Haffey J. Reproductive health in sub-Saharan Africa. https:\/\/www.prb.org\/reproductivehealthafrica\/. Accessed January 22, 2020."},{"key":"bibr4-2150132720904916","unstructured":"Islamic Development Bank. World Bank Development Indicators. Ethiopia\u2014population (million)\u20142017. http:\/\/data.isdb.org\/pxfdrcg\/world-bank-development-indicators-wdi-2017-idb-aggregates?tsId=1029170. Published April 20, 2017. Accessed January 22, 2020."},{"key":"bibr5-2150132720904916","unstructured":"Federal Democratic Republic of Ethiopia. Ethiopia: Demographic and Health Survey 2016. Rockville, MD: The DHS Program ICF; 2016:16-18. https:\/\/dhsprogram.com\/pubs\/pdf\/FR328\/FR328.pdf. Accessed January 22, 2020."},{"key":"bibr6-2150132720904916","unstructured":"Federal Democratic Republic of Ethiopia Ministry of Health. National Guideline for Family Planning Services in Ethiopia. Addis Ababa, Ethiopia: Ministry of Health; 2011:10-23. https:\/\/stage.prb.org\/wp-content\/uploads\/2018\/05\/National-Guideline-for-Family-Planning-Services-in-Ethiopia-2011.pdf. Accessed January 22, 2020."},{"key":"bibr7-2150132720904916","doi-asserted-by":"publisher","DOI":"10.4172\/2167-0420.1000217"},{"key":"bibr8-2150132720904916","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-017-0432-9"},{"key":"bibr9-2150132720904916","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-12-6"},{"key":"bibr10-2150132720904916","unstructured":"Central Statistical Agency. Ethiopia: Demographic and Health Survey 2011. Addis Ababa, Ethiopia: Central Statistical Agency; 2012. https:\/\/dhsprogram.com\/pubs\/pdf\/FR255\/FR255.pdf. Accessed January 22, 2020."},{"key":"bibr11-2150132720904916","doi-asserted-by":"publisher","DOI":"10.25159\/2520-5293\/44"},{"key":"bibr12-2150132720904916","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6874-14-109"},{"key":"bibr13-2150132720904916","first-page":"36","volume":"2","author":"Gebreyesus B","year":"2015","journal-title":"Am J Adv Nurs Res"},{"key":"bibr14-2150132720904916","first-page":"22","volume":"2","author":"Okech TC","year":"2011","journal-title":"Int J Bus Soc Sci"},{"key":"bibr15-2150132720904916","unstructured":"Bikorimana E. Barriers to the use of long acting contraceptive methods among married women of reproductive age in Kicukiro District, Rwanda. Int J Sci Res Publ. 2015;5:513-521. http:\/\/www.ijsrp.org\/research-paper-1215\/ijsrp-p4878.pdf. 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