Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Measuring Women's Covert Use of Modern Contraception in Cross‐Sectional Surveys

Bibliographic Data

ID10797574
AuthorsIfta Choiriyyah (0009-0003-9142-2523, corresponding author), Stan Becker (0000-0002-3251-9152)
Year2018
Volume49
Issue2
Pages143-157
Publication date2018-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueStudies in Family Planning (JOURNAL)
Journal identifiersISSN: 0039-3665 • E-ISSN: 1728-4465
PublisherWiley (PUBLISHER • GB)
DOI10.1111/sifp.12053
PMID29845621
OpenAlexW2807423343
LanguageEN
Citations received16
References cited23

A proportion of women in couples use contraception without their partners’ knowledge. There are two principal ways to measure this covert use in cross‐sectional surveys like the Demographic and Health Surveys (DHS). First is a direct question, “Does your husband/partner know that you are using a method of family planning?” Second is an indirect method: the reports of both partners to the question on contraceptive use are matched, and if the woman reports a modern contraceptive method and the male partner reports nonuse, her use is considered covert. For 21 DHS surveys for which both estimates could be made, there are large discrepancies between the two. We found that a proxy variable—responses to the question, “Would you say that using contraception is mainly your decision, mainly your husband's/partner's decision, or did you both decide together?”—has high sensitivity and specificity for classifying those in the open category for both methods and those in the covert category for both methods. Recommendations are that the direct question be reinstated in the DHS and that the indirect method not be used by itself but in conjunction with the decision‐making variable

Covert · Cross-sectional study · Environmental health · Family planning · Population · Proxy (statistics · Research methodology · Sociology · Statistics · Demographic Trends and Gender Preferences · Demography · Global Maternal and Child Health · Mathematics · Medicine · Psychology · Reproductive Health and Contraception

  • From negotiation to secrecy

    Open Access•Naa Adjeley Mensah•Critical Public Health•2026

  • Self-injected contraceptives

    Open Access•Shannon N Wood, Sophia Magalona et al.•BMJ Global Health•2022

  • Effects of Condom Availability on Their Use

    Ignacio Franco Vega•Basic and Applied Social Psychology•2025

  • Concordance in spousal reports of current contraceptive use in India

    Open Access•Dipti Govil, Nidhi Khosla•Journal of Biosocial Science•2021

  • Covert contraceptive use among women with a previous unintended pregnancy in Nigeria

    Open Access•Otobo I Ujah, Jason L Salemi et al.•Journal of Biosocial Science•2025

  • Measuring contraceptive use in a displacement-affected population using the Multiple Indicator Cluster Survey

    Open Access•Rosanna Le Voir•Journal of Migration and Health•2022

  • Covert use of reversible contraceptive methods and its association with husband’s egalitarian gender attitude in India

    Open Access•Minakshi Vishwakarma, Chander Shekhar•BMC Public Health•2022

  • Covert use of contraception in three sub-Saharan African countries

    Open Access•Simon Peter Sebina Kibira, Cary Karp et al.•BMC Public Health•2020

  • Understanding the Link Between Reproductive Coercion and Covert Use of Contraception as a Safety Strategy for Women Experiencing Violence in Nairobi's Urban Informal Settlements

    Open Access•Shannon N Wood, S Rachel Kennedy et al.•Violence Against Women•2022

  • Violent instability and modern contraception

    Open Access•Orsola Torrisi•World Development•2024

  • A Panel Study of Fertility Preferences and Contraceptive Dynamics in the Presence of Competing Pregnancy Risks in Uganda

    Open Access•Dana O Sarnak, Amy O Tsui et al.•Demography•2021

  • Empowerment as an Outcome and a Process

    Open Access•Mahua Mandal, Lauren Gilliss et al.•Studies in Family Planning•2025

  • Perceptions of Partners’ Fertility Preferences and Women's Covert Contraceptive Use in Eight Sub‐Saharan African Countries

    Open Access•Dana O Sarnak, Alison Gemmill•Studies in Family Planning•2022

  • Is the Decision Not to Use Contraception an Indicator of Reproductive Agency

    Open Access•Madeleine Short Fabic, Lotus Mcdougal et al.•Studies in Family Planning•2023

  • I am the master key that opens and locks

    Open Access•Cary Karp, Celia Karp et al.•Social Science & Medicine•2020

  • Cameroon's slow fertility transition

    Jean-Christophe Fotso, J G Cleland et al.•Population Studies•2024

  • Pregnancy coercion, intimate partner violence and unintended pregnancy

    Open Access•Elizabeth Miller, Michele R Decker et al.•Contraception•2010

  • Household Bargaining and Excess Fertility

    Nava Ashraf, Erica Field et al.•American Economic Review•2014

  • Covert Use of Topical Microbicides

    Open Access•Cynthia Woodsong•Perspectives on Sexual and…•2004

  • Couples and Reproductive Health

    Stan Becker•Studies in Family Planning•1996

  • Covert Use of Topical Microbicides

    Open Access•Cynthia Woodsong•Perspectives on Sexual and…•2004

  • Domestic Violence and Contraceptive Use in a Rural Indian Village

    Open Access•Lyndsey Wilson-Williams, Rob Stephenson et al.•Violence Against Women•2008

  • Encouraging Contraceptive Uptake by Motivating Men to Communicate About Family Planning

    Dominick Shattuck, Brad Kerner et al.•American Journal of Public Health•2011

  • Sampling Weights for Analyses of Couple Data

    Open Access•Stan Becker, Amanda M Kalamar et al.•Demography•2018

  • Obstacles to Contraceptive Use in Pakistan

    Open Access•John B Casterline, Zeba A Sathar et al.•Studies in Family Planning•2001

  • Covert Contraceptive Use

    Ann Biddlecom, Ann E Biddlecom et al.•Studies in Family Planning•1998

  • The Effect of Power in Sexual Relationships on Sexual and Reproductive Health

    Open Access•Ann K Blanc•Studies in Family Planning•2001

  • Domestic Violence, Contraceptive Use, and Unwanted Pregnancy in Rural India

    Open Access•Rob Stephenson, Michael A Koenig et al.•Studies in Family Planning•2008

  • Husbands' and Wives' Reports of Contraceptive Use

    Open Access•Stan Becker, Elizabeth Costenbader•Studies in Family Planning•2001

  • A Qualitative Study of Clandestine Contraceptive Use in Urban Mali

    Open Access•Sarah Castle, Mamadou Konaté et al.•Studies in Family Planning•1999

  • Women's Fears and Men's Anxieties

    Open Access•Ayaga A Bawah, Patricia Akweongo et al.•Studies in Family Planning•1999

  • Negotiating Reproductive Outcomes in Uganda

    Ann K Blanc, Brent Wolff et al.•Studies in Family Planning•1997

  • Degrees of disclosure

    Open Access•Nuriye Sahin‐Hodoglugil, Nuriye Nalan Sahin-Hodoglugil et al.•Social Science & Medicine•2009

  • Female control of sexuality

    Open Access•Gill Green, Robert Pool et al.•Social Science & Medicine•2001

  • The Continuing Demographic Transition

    Tim Dyson, Gavin W Jones et al.•Population and Development Review•1998

Unique citing works16
Citations per year2,67
Citation span2020 - 2026 (7)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 16
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae