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Prevalence, Correlates, and Barriers of Contraceptive Use among Women Attending Primary Health Centers in Aljouf Region, Saudi Arabia

Research Authors
Doaa M. Abdel-Salam, Ibrahim A. Albahlol , Reem B. Almusayyab, Nouf F. Alruwaili, Manar Y. Aljared, Maram S. Alruwaili and Renad M. Alnasser
Research Journal
International Journal of Environmental Research and Public Health (IJERPH)
(ISSN: 1660-4601)
Research Member
Research Publisher
MDPI
Research Rank
1
Research Vol
17 (10)
Research Website
https://www.mdpi.com/1660-4601/17/10/3552
Research Year
2020
Research_Pages
3552; (1-11)
Research Abstract

Abstract: (1) Backgrounds and Objectives: with the rapid alteration in the socio-demographic pattern
of the Saudi community, particularly the changes concerned with women’s education and work
force, contraceptive use must be a fundamental aspect in the life of women in reproductive age.
The present study aimed to identify the prevalence and correlates of contraceptive use among women
attending primary health centers in Aljouf region, Saudi Arabia, and to determine the perceived
barriers of stopping or not using contraceptive methods in this population. (2) Methods: a primary
health center-based cross-sectional study was conducted among 369 women of reproductive age.
Data collection was done by using structured questionnaires distributed during face to face interviews
with the participants. Data were analyzed using the SPSS program, version 24. (3) Results: most
of the participants (n = 166; 45%) were current contraceptive users and 32.2% (n = 119) reported
previous use of contraceptive methods. Pills were the most frequently used method (n = 203; 71.2%)
and intrauterine devices (IUDs) came next (n = 67; 23.5%) while surgery was the least common
method among the respondents (n = 3; 1.1%). Logistic regression analysis showed that the significant
predictors of contraceptive use were: age > 35 years (odds ratio (OR): 4.52; confidence interval (CI):
1.56–15.42), Children number  4 (odds ratio (OR): 1.41; confidence interval (CI): 1.06–1.92) and
monthly income  5000 Saudi Riyal (RS) (odds ratio (OR): 2.29; confidence interval (CI): 1.24–8.27).
The most perceived barriers towards contraceptive utilization were cultural, demographic, medical,
administrative, and barriers related to the method itself. The least reported barriers were psychosocial
and physical. (4) Conclusions: the present study showed a high prevalence of contraceptive use
among Saudi women in Aljouf region, Saudi Arabia. The study recommended sustained e orts to
increase population awareness of the importance of family planning. Policymakers should discover
the barriers that prevent contraceptive utilization by women.