|The Prevalence and Determinants of the Use of Withdrawal to Avoid Pregnancy in Tabriz city, Iran|
|Hajiieh Bibi Razeghi Nasrabad1, Malihe Alimondegari2, Zeinab Mohseni Nejhad2|
|1Department of Demography, National Population Studies and Comprehensive Management Institute, Iran
2Department of Demography, Faculty of Social Sciences Yazd University, Iran
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Keywords : Traditional method, Fertility, Withdrawal, Contraceptive Method, Iran
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Objectives: Despite increasing knowledge about family planning and modern contraceptive methods and high failure rates of traditional method, a significant percentage of couples use withdrawal for contraception. The main purpose of this paper is to examine the determinants of the use of withdrawal to avoid pregnancy in Tabriz city.
Materials and Methods: The source data is a survey titled on "The Gap between Actual and Ideal Fertility in Tabriz city" in 2017. The sample consists of 383 married women aged 15-49. Multivariate logistic regression analyses were employed to determine factors associated with using withdrawal as a contraceptive method.
Results: About 19.5% of the women were relying on withdrawal. 55 % reported currently using a modern method to avoid pregnancy and 25.5% of women did not use any method. Multivariate logistic regression showed childless, university educated, 15-24 aged, and who born in urban area had higher likelihood to use withdrawal rather than modern contraceptive methods (p-value<0.05).
Conclusion: The use of the traditional method in Iran and the city of Tabriz continues and its rate is increasing. Regarding to higher proportion of withdrawal use among better educated women due to fear of side effects of other methods, the providers of family planning and reproductive health services should be sensitive to the women’s concern and provide programs to decrease unmet need of family planning
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