Let's Talk About Sex: Improving Measurement of Contraceptive Use in Cross-Sectional Surveys by Accounting for Sexual Activity Recency

Suzanne O. Bell; Elizabeth Larson; Shannon N. Wood; Performance Monitoring for Action Principal Investigators Group

doi:10.9745/GHSP-D-21-00597

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FIGURE 1
Contraceptive Prevalence Using Current Use, Use at Last Sex, and a Comprehensive Measure by Marital Status and Site
Abbreviation: DRC, Democratic Republic of the Congo.
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FIGURE 2
(A) Contraceptive Prevalence Using Current Use, Use at Last Sex, and a Comprehensive Measure by Whether Woman Had Sex in Last Month, and Site, Among Married Women; (B) Contraceptive Prevalence Using Current Use, Use at Last Sex, and a Comprehensive Measure by Whether Woman Had Sex in Last Month, and Site, Among Unmarried Women
Abbreviation: DRC, Democratic Republic of the Congo.
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FIGURE 3
Contraceptive Method Mix Among Women Using Contraception According to Current Use and At Last Sex Measures, by Site
Abbreviations: DRC, Democratic Republic of the Congo; LARC, long-acting reversible contraceptive.

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TABLE 1.

Contraceptive Prevalence Using Current Use, Use at Last Sex, and a Composite Measure Among All Presumably Fecund Women Aged 15–49 Years Who Have Ever Had Sex, by Site

	Burkina Faso (N=5,016) % (95% CI)	Côte d'Ivoire (N=3,320) % (95% CI)	DRC: Kinshasa (N=1,950) % (95% CI)	DRC: Kongo Central (N=1,555) % (95% CI)	Kenya (N=7,380) % (95% CI)	Nigeria: Kano (N=738) % (95% CI)	Nigeria: Lagos (N=1,126) % (95% CI)	Niger (N=851) % (95% CI)	Uganda (N=2,922) % (95% CI)
Current contraceptive use	35.4 (31.8, 39.1)	36.34 (32.9, 39.7)	57.24 (53.2, 61.1)	45.74 (38.7, 52.9)	58.84 (56.9, 60.6)	14.04 (9.6, 19.9)	48.84 (44.9, 52.6)	31.74 (27.7, 35.9)	46.94 (42.6, 51.2)
Contraceptive use at last sex	30.44 (26.6, 34.6)	30.14 (26.5, 34.0)	58.14 (54.3, 61.8)	37.04 (30.8, 43.7)	55.04 (52.3, 57.6)	10.04 (6.1, 16.0)	44.54 (40.6, 48.4)	25.14 (20.4, 30.5)	49.54 (45.3, 53.7)
Comprehensive contraceptive use	39.64 (35.8, 43.6)	39.84 (36.3, 43.3)	63.84 (59.8, 67.6)	50.84 (43.9, 57.6)	65.64 (63.7, 67.4)	14.64 (10.1, 20.6)	53.84 (50.0, 57.6)	34.04 (30.3, 38.0)	55.84 (52.4, 59.2)

Abbreviations: CI, confidence interval; DRC, Democratic Republic of the Congo.

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TABLE 2.

Marital Status and Sexual Recency of Presumably Fecund Women Aged 15–49 Years Who Have Ever Had Sex, by Site

	Burkina Faso (N=5,016) % (95% CI)	Côte d'Ivoire (N=3,320) % (95% CI)	DRC: Kinshasa (N=1,950) % (95% CI)	DRC: Kongo Central (N=1,555) % (95% CI)	Kenya (N=7,380) % (95% CI)	Nigeria: Kano (N=738) % (95% CI)	Nigeria: Lagos (N=1,126) % (95% CI)	Niger (N=851) % (95% CI)	Uganda (N=2,922) % (95% CI)
Currently married/cohabiting	86.04 (83.8, 88.0)	67.84 (64.6, 70.9)	49.54 (46.1, 52.9)	67.54 (62.4, 72.3)	68.54 (67.0, 70.1)	94.04 (90.7, 96.1)	71.74 (68.6, 74.7)	84.64 (80.4, 87.9)	67.04 (61.0, 72.5)
Had sex in last month
All women	60.24 (56.3, 63.9)	66.44 (63.7, 68.9)	68.14 (64.9, 71.1)	72.24 (68.7, 75.4)	69.74 (68.2, 71.2)	84.34 (80.9, 87.2)	68.34 (65.0, 71.3)	68.44 (63.0, 73.3)	64.94 (58.6, 70.8)
Married/cohabiting	63.24 (58.9, 67.4)	76.44 (72.8, 79.6)	85.64 (83.4, 87.5)	85.04 (81.0, 88.3)	85.44 (83.9, 86.7)	88.44 (84.6, 91.4)	81.24 (78.2, 83.9)	79.34 (73.2, 84.3)	82.54 (79.0, 85.5)
Not married/cohabiting	41.54 (35.9, 47.2)	45.24 (41.7, 48.8)	50.94 (46.0, 55.9)	45.54 (39.4, 51.6)	35.54 (32.7, 38.4)	20.94 (7.3, 47.0)	35.54 (30.3, 41.1)	8.84 (4.2, 17.6)	29.24 (20.2, 40.3)