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Table 4 Multivariate analysis of clinic, couple and individual-level factors associated with LARC uptake after the intervention

From: Uptake of long acting reversible contraception following integrated couples HIV and fertility goal-based family planning counselling in Catholic and non-Catholic, urban and rural government health centers in Kigali, Rwanda

 

Bivariate models

Final multivariate model

 

95% CI

  

95% CI

 

cORa

LLb

ULc

p-value

aORd

LLb

ULc

p-value

Clinic Location*Clinic Religion

        

 Non-Catholic vs Catholic in Urban Clinics

8.26

4.86

14.04

< 0.0001

4.16

2.34

7.39

< 0.0001

 Non-Catholic vs Catholic in Rural Clinics

2.22

1.58

3.11

< 0.0001

1.47

1.01

2.16

0.0447

 Urban vs Rural in Non-Catholic Clinics

5.62

3.28

9.63

< 0.0001

2.84

1.58

5.11

0.0005

 Urban vs Rural in Catholic Clinics

1.51

1.09

2.09

0.0128

1.01

0.70

1.46

0.9666

Couple HIV Status

 M-F-

ref

–

–

–

    

 M + F+

0.84

0.58

1.22

0.3602

    

 M + F-

0.48

0.33

0.68

< 0.0001

    

 M-F+

0.74

0.51

1.06

0.1017

    

Man on ARV

 Yes

1.63

1.27

2.10

0.0001

    

 No

ref

–

–

–

    

Man Age (per one year increase)

0.97

0.96

0.98

< 0.0001

0.97

0.95

0.99

0.0011

Woman Age (per one year increase)

0.97

0.95

1.00

0.0242

    

Cohabitation (per one year increase)

0.95

0.92

0.97

< 0.0001

    

Man’s Years in Kigali (per one year increase)

0.98

0.97

0.99

< 0.0001

    

Woman’s Years in Kigali per one year increase)

0.98

0.97

0.99

0.0018

    

Number of Biological Children (per each child increase)

0.89

0.82

0.98

0.0123

    

Number of Children in Household (per each child increase)

0.87

0.81

0.94

0.0005

    

Man’s Highest Education Completed

 None

1.64

1.25

2.14

0.0004

1.39

1.01

1.90

0.0451

 Primary/Secondary/Higher

ref

–

–

–

    

Woman’s Highest Education Completed

 None

1.35

1.04

1.75

0.0228

1.53

1.13

2.08

0.0067

 Primary/Secondary/Higher

ref

–

–

–

    

Man Reads Kinyarwanda

 Easily/With Difficulty

ref

–

–

–

    

 Not at all

1.49

1.08

2.06

0.0149

    

Man Reads French

 Easily/With Difficulty

ref

–

–

–

    

 Not at all

1.57

1.13

2.17

0.0069

    

Couple Religion

 Both Catholic/Other

1.92

1.42

2.59

< 0.0001

1.53

1.09

2.16

0.0152

 Woman Catholic/Other, Man Pentecostal/Seven Day Adventist/Jehovah’s Witnesses/Anglican/Baptist/Muslim/No religion

2.46

1.44

4.20

0.001

2.05

1.13

3.74

0.0190

 Man Catholic/Other, Woman Pentecostal/Seven Day Adventist/Jehovah’s Witnesses/Anglican/Baptist/Muslim/No religion

1.54

1.07

2.22

0.0205

1.40

0.92

2.13

0.1212

 Both Pentecostal/Seven Day Adventist/Jehovah’s Witnesses/Anglican/Baptist/Muslim/No religion

ref

–

–

–

    

Man frequency of attending religious services

 Once a week or less often

1.75

1.31

2.34

0.0001

    

 More than once a week

ref

–

–

–

    

Woman frequency of attending religious services

 Once a week or less often

1.73

1.33

2.52

< 0.0001

    

 More than once a week

ref

–

–

–

    

Plan to have more children together

 Yes/unsure

1.33

1.03

1.7

0.0285

    

 No

ref

–

–

–

    

Contraceptive on day of enrollment

 Injectable

0.45

0.3

0.66

< 0.0001

0.55

0.35

0.87

0.0096

 Condoms

0.53

0.37

0.76

0.0005

0.59

0.39

0.89

0.0113

 OCP

0.91

0.49

1.67

0.7601

1.21

0.61

2.40

0.5935

Other/None

ref

–

–

–

    

Couple previously discussed IUD and/or implant

 Yes

11.85

8.28

16.95

< 0.0001

7.59

5.18

11.13

< 0.0001

 No

ref

–

–

–

    

Man heard of implant and concerned about side effects

 No

1.62

1.16

2.26

0.0042

    

 Yes

ref

–

–

–

    

Woman heard of implant and concerned about negative side effects

 No

2.05

1.55

2.72

< 0.0001

1.49

1.07

2.07

0.0193

 Yes

ref

–

–

–

    

Woman heard of IUD and concerned about negative side effects

 No

1.63

1.15

2.31

0.0059

    

 Yes

ref

–

–

–

    
  1. The following variables were not significant in bivariate analyses and are not tabled: woman HIV+ or on ARV, man wants more children, woman wants more children, woman previously used IUD, woman previously used implant, preferred timing of last pregnancy, man concerned about negative side effects of IUD
  2. aCrude odds ratio
  3. bLower limit for 95% confidence interval (CI)
  4. cUpper limit for 95% confidence interval (CI)
  5. dAdjusted odds ratio
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Reproductive Health

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