{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:27:21Z","timestamp":1790728041130,"version":"4.1.0"},"reference-count":62,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T00:00:00Z","timestamp":1611792000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T00:00:00Z","timestamp":1611792000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Public Health"],"published-print":{"date-parts":[[2021,12]]},"abstract":"Abstract<\/jats:title>\n Background<\/jats:title>\n Utilization of modern contraceptives is still low in low-and middle-income countries, although fertility and population growth rates are high. In Senegal, modern\u00a0contraceptive utilization is low, with few studies focusing on its associated factors. This study examined modern contraceptive use and its associated factors among married women in Senegal.<\/jats:p>\n <\/jats:sec>\n Methods<\/jats:title>\n Data from the 2017 Continuous Demographic and Health Survey (C-DHS) on 11,394 married women was analysed. We examined the associations between the demographic and socioeconomic characteristics of women and their partners and modern contraceptive use using multilevel logistic regression models. Adjusted odds ratios with 95% confidence intervals (CI) were estimated.<\/jats:p>\n <\/jats:sec>\n Results<\/jats:title>\n The utilization of modern contraceptives among married women was 26.3%. Individual level factors associated with modern contraceptive use were women\u2019s age (45\u201349\u2009years-aOR\u2009=\u20090.44, 0.30\u20130.63), women\u2019s educational level (higher-aOR\u2009=\u20091.88, 1.28\u20132.76) husband\u2019s educational level (higher-aOR\u2009=\u20091.43, 1.10\u20131.85)), number of living children (5 or more children-aOR\u2009=\u200933.14, 19.20\u201357.22), ideal number of children (2 children-aOR\u2009=\u20091.95, 1.13\u20133.35),\u00a0desire to have more children (wants no more-aOR\u2009=\u20092.46, 2.06\u20132.94), ethnicity (Diola-aOR\u2009=\u20090.70, 0.50\u20130.99), media exposure (yes-aOR\u2009=\u20091.44, 1.16\u20131.79)), wealth index (richer-aOR\u2009=\u20091.31, 1.03\u20131.67) and decision making power of women (decision making two-aOR\u2009=\u20091.20, 1.02\u20131.41). Whereas, region (Matam-aOR\u2009=\u20090.35, 0.23\u20130.53), place of residence (rural-aOR\u2009=\u20090.76, 0.63\u20130.93), community literacy level (high-aOR\u2009=\u20091.31, 1.01\u20131.71) and community knowledge level of modern contraceptives (high-aOR\u2009=\u20091.37, 1.13\u20131.67) were found as significant community level factors.<\/jats:p>\n <\/jats:sec>\n Conclusions<\/jats:title>\n The findings indicate that both individual and community level factors are significantly associated with modern contraceptive use\u00a0among married women in Senegal. Interventions should focus on enhancing literacy levels of women, their husbands and communities. Furthermore, strengthening awareness and attitude towards family planning should be given priority, especially in rural areas and regions with low resources.<\/jats:p>\n <\/jats:sec>","DOI":"10.1186\/s12889-021-10252-7","type":"journal-article","created":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T13:06:26Z","timestamp":1611839186000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":60,"title":["Modern contraceptive utilization and its\u00a0associated factors among married women in Senegal: a multilevel analysis"],"prefix":"10.1186","volume":"21","author":[{"given":"Betregiorgis","family":"Zegeye","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bright Opoku","family":"Ahinkorah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dina","family":"Idriss-Wheeler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Comfort Z.","family":"Olorunsaiye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas Kofi","family":"Adjei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4876-6043","authenticated-orcid":false,"given":"Sanni","family":"Yaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,1,28]]},"reference":[{"issue":"9837","key":"10252_CR1","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1016\/S0140-6736(12)60478-4","volume":"380","author":"SQ Ahmed","year":"2012","unstructured":"Ahmed SQ, Liu LL, Tsui AO. 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