Determinants of Time from Last Birth to the First Use of Contraceptives: Evidence from the Egypt Demographic and Health Survey
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Date
2022-07
Journal Title
Journal ISSN
Volume Title
Type
Article
Publisher
Horizon Research Publishing
Series Info
Universal Journal of Public Health;10(4): 329-338, 2022
Scientific Journal Rankings
Abstract
Multilevel survival models can be applied
where the data have the hierarchical nature. Three common
models are used in this case. They are the discrete time
survival models with mixed effects, the Cox proportional
hazard model with mixed effects and the Weibull survival
model with mixed effects. The Egyptian Demographic
Health Survey (EDHS 2014) data target 21,762
ever-married women aged 15-49. This article aims to
determine the factors that may affect the time from the last
birth of a woman to the first use of contraceptives. Due to
the hierarchical nature of EDHS data, multilevel survival
analysis is employed. The above three models are applied
to EDHS 2014 data. The Weibull survival model with
mixed effects proved to be the best model to fit the survival
time. Moreover, it is found that only 25% of the sampled
women have not used contraceptives until almost one year
from their last birth. In addition, attaining higher education,
increasing the age at first sex and breastfeeding contribute
to the more efficient use of contraceptives. In addition, the
article recommends enhancing family planning campaigns
which have a powerful impact on the behavior of women in
Egypt for the optimal use of contraceptives.
Description
Keywords
Contraceptives, Kaplan-Meier Estimate, Cox Proportional Hazard Model Mixed Effects Models, Multilevel Survival Analysis