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

Dados Bibliográficos

ID10795939
AutoresDana O Sarnak (0000-0003-3976-4860, Department of Population Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA, autor correspondente), Alison Gemmill (0000-0001-5879-9730, Department of Population Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA)
Ano2022
Volume53
Fascículo3
Páginas527-548
Data de publicação2022-09-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoStudies in Family Planning (JOURNAL)
Identificadores do periódicoISSN: 0039-3665 • E-ISSN: 1728-4465
EditoraWiley (PUBLISHER • GB)
DOI10.1111/sifp.12206
PMID35767464
OpenAlexW4283720850
IdiomaEN
Citações recebidas5
Referências citadas46

Covert use of contraception is a common but underreported and understudied phenomenon where one partner uses contraception without the other's knowledge. We used Demographic and Health Survey couple data to examine the relationship between wives’ perceptions of husbands’ fertility preferences and type of contraceptive use (overt vs. covert) in Benin, Ethiopia, Kenya, Mali, Nigeria, Sierra Leone, Uganda, and Zambia using logistic regression. Wives who perceived that their husbands wanted more children than them had increased odds of using covertly, compared to those who perceived that husbands wanted the same number of children in all countries except Benin, and the strength of the relationships ranged from adjusted odds ratio (aOR) 2.89 (95 percent confidence interval (CI) 1.75–4.76) in Zambia to aOR 4.01 (95 percent CI 1.68–9.58) in Mali. Wives who reported not knowing their husbands’ fertility preferences had increased odds of using covertly compared to wives who perceived that their husbands wanted the same number of children in all countries except Zambia, ranging from aOR 2.02 (95 percent CI 1.11–3.69) in Ethiopia to aOR 3.82 (95 percent CI 2.29–6.37) in Kenya. Our findings indicate that efforts to increase partner engagement to align couple's fertility preferences may encourage overt use

Confidence interval · Developing country · Economic growth · Environmental health · Family planning · Fertility · Logistic regression · Odds · Odds ratio · Population · Research methodology · Sierra leone · Socioeconomics · Sociology · Adolescent Sexual and Reproductive Health · Demographic Trends and Gender Preferences · Demography · Global Maternal and Child Health · Medicine