Associations between Contraceptive Decision-Making and Marital Contraceptive Communication and use in Rural Maharashtra, India.
Stud Fam Plann
; 53(4): 617-637, 2022 12.
Article
em En
| MEDLINE
| ID: mdl-36193029
ABSTRACT
Women's contraceptive decision-making control is crucial for reproductive autonomy, but research largely relies on the Demographic and Health Survey (DHS) measure which asks who is involved with decision-making. In India, this typically assesses joint decision-making or male engagement. Newer measures emphasize female agency. We examined three measures of contraceptive decision-making, the DHS and two agency-focused measures, to assess their associations with marital contraceptive communication and use in rural Maharashtra, India. We analyzed follow-up survey data from women participating in the CHARM2 study (n = 1088), collected in June-December 2020. The survey included the DHS (measure 1), Reproductive Decision-Making Agency (measure 2), and Contraceptive Final Decision-Maker measures (measure 3). Only Measure 1 was significantly associated with contraceptive communication (adjusted odds ratio [AOR] 2.75, 95 percent confidence interval [CI] 1.69-4.49) and use (AOR 1.73, 95 percent CI 1.14-2.63). However, each measure was associated with different types of contraceptive use Measure 1 with condom (adjusted relative risk ratio [aRRR] 1.99, 95 percent CI 1.12-3.51) and intrauterine device (IUD) (aRRR 4.76, 95 percent CI 1.80-12.59), Measure 2 with IUD (aRRR 1.64, 95 percent CI 1.04-2.60), and Measure 3 with pill (aRRR 2.00, 95 percent CI 1.14-3.52). Among married women in Maharashtra, India, male engagement in decision-making may be a stronger predictor of contraceptive communication and use than women's agency, but agency may be predictive of types of contraceptives used.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Casamento
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Anticoncepcionais
Tipo de estudo:
Etiology_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Female
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Humans
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Male
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article