Spatial distribution and multilevel analysis of factors associated with long-acting reversible contraceptive use among sexually active women of reproductive age in Nigeria

. 2023 Jun 2;81:99. doi: 10.1186/s13690-023-01110-6

Text box 1. Contributions to the literature
• Research has shown how long-acting reversible contraceptives (LARCs) among women efficiently avert child and maternal adverse health outcomes. However, there is no specific study in Nigeria that has examined the use of LARCs among sexually active reproductive-age women using spatial analysis and multilevel analysis. • This study’s results showed an unequal distribution of LARC use across the regions in Nigeria. Cosmopolitan states were found to have low LARC utilisation. • Women with a prior history of pregnancy termination were less likely to use LARCs, indicating a need for closer investigation to understand context-specific factors associated with LARC use in these regions.

Text box 1. Contributions to the literature

• Research has shown how long-acting reversible contraceptives (LARCs) among women efficiently avert child and maternal adverse health outcomes. However, there is no specific study in Nigeria that has examined the use of LARCs among sexually active reproductive-age women using spatial analysis and multilevel analysis.

• This study’s results showed an unequal distribution of LARC use across the regions in Nigeria. Cosmopolitan states were found to have low LARC utilisation.

• Women with a prior history of pregnancy termination were less likely to use LARCs, indicating a need for closer investigation to understand context-specific factors associated with LARC use in these regions.