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Background: Family planning improves the health outcomes of mothers and children and reduces pregnancy-related morbidity and mortality, and the economic costs of early pregnancy. Objective: Describe the effect of the age of marriage on contraceptive behaviors. Methods: A cross-sectional study was conducted in a systematic randomly selected five rural primary health care centers in Giza governorate, Egypt to estimate the use of family planning methods among two subgroups using an adapted questionnaire:  female married before 18 Y and that married ≥18 Y. A structured interview conducted among 650 females in reproductive age. Results: Pregnancy number and family size were significantly higher among female married before 18years (3.3±1.9) and (4.8±1.6) versus (2.7±1.5) and (4.4±1.3). Family planning use after first and second child were lower among early married females (84.3%) and (82.5%) versus (85.2%) and (87.4%) of their counterparts married ≥18 Y respectively with no statistically significant differences. The bivariate analysis showed that the likelihood of using a family planning method after the first child was higher among educated women and women with an educated husband than among illiterate women and women with non-educated husband [COR, 2.6; 95% CI,1.5-4.5] and [COR,1.7; 95% CI,1.1-2.9] respectively. Conclusions: Family planning method use was particularly low among females married before 18 and consequently, their family size and their pregnancy number were high. Education is a significant determinant of the age of marriage and of FP use. These factors should be considered during the design of short- term and long-term family planning strategies to effectively increase family planning methods use among early married females especially in conservative contexts.

Assessment of Contraception Use among Early Married Females in Rural Districts in Giza Governorate, Egypt