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How It Was and How It Should Be

Moving Toward a Better Measurement of Contraceptive Prevalence Among Unmarried Women

Bibliographic Data

ID10797044
AuthorsApoorva Jadhav (0000-0002-3627-3268, corresponding author), Madeleine Short Fabic (0000-0001-9553-4635), Kerry MacQuarrie, Kerry L D MacQuarrie (0000-0002-2855-9370)
Year2025
Volume56
Issue3
Pages454-469
Publication date2025-09-01
Open AccessYes
TypeARTICLE
VenueStudies in Family Planning (JOURNAL)
Journal identifiersISSN: 0039-3665 • E-ISSN: 1728-4465
PublisherWiley (PUBLISHER • GB)
DOI10.1111/sifp.70028
PMID40624791
OpenAlexW4412093494
LanguageEN
Citations received1
References cited22

Contraceptive prevalence among unmarried women—calculated from the response to a version of the question— “Are you or your partner currently doing something or using any method to delay or avoid getting pregnant?” is most accurately measured among those who report sexual recency within the previous four weeks. This approach, long adopted by The Demographic and Health Surveys Program (DHS), has recently been adopted by groups such as FP2030 and Track20. Since this shift toward increased standardization, the DHS Program has included in its core questionnaire questions to better capture contraceptive use at last sex. We use these new DHS data from seven countries to explore whether a composite contraceptive use measure (i.e., current contraceptive use + contraceptive use at last sex) provides a more meaningful assessment of contraceptive use among unmarried women. Based on our findings, we recommend that the family planning field adopt the composite contraceptive use measure as its standard approach for measuring contraceptive prevalence among unmarried women. Our findings provide a guide for more accurately measuring, reporting, and most importantly, understanding the contraceptive practices of unmarried women

Environmental health · Family medicine · Family planning · Population · Reproductive health · Research methodology · Adolescent Sexual and Reproductive Health · Demography · Global Maternal and Child Health · Medicine · Reproductive Health and Contraception

  • Traditional or Modern Contraception? Association Between Health Worker Contact and Contraceptive Choice in India

    Open Access•Nandita Bhan, Nicole E Johns et al.•Studies in Family Planning•2026

  • Contraception for adolescents in low and middle income countries

    Open Access•Venkatraman Chandra‐Mouli, Donna R McCarraher et al.•Reproductive Health•2014

  • The State of Adolescent Sexual and Reproductive Health

    Open Access•Mengjia Liang, Sandile Simelane et al.•Journal of Adolescent Health•2019

  • Unmet Need and Sex

    Open Access•Suzanne O Bell, David Bishai•Studies in Family Planning•2017

  • Introduction to the Special Issue

    Open Access•Jeffrey B Bingenheimer, Karen Hardee et al.•Studies in Family Planning•2023

Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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