Couple's concordance and discordance in household decision-making and married women's use of modern contraceptives in Bangladesh

Uddin, J; Hossin, MZ; Pulok, MH

Couple's concordance and discordance in household decision-making and married women's use of modern contraceptives in Bangladesh

Uddin, J Hossin, MZ Pulok, MH

Permalink

Publication Type:: Journal Article
Citation:: BMC Women's Health, 2017, 17 (1)
Issue Date:: 2017-11-09

Open Access

Copyright Clearance Process

Recently Added
In Progress
Open Access

This item is open access.

Adobe PDF

Download Submitted VersionAdobe PDF (421.95 kB)

View on publisher's site

View statistics

Full metadata record

Field	Value	Language
dc.contributor.author	Uddin, J	en_US
dc.contributor.author	Hossin, MZ	en_US
dc.contributor.author	Pulok, MH https://orcid.org/0000-0002-9168-5732	en_US
dc.date.available	2017-10-31	en_US
dc.date.issued	2017-11-09	en_US
dc.identifier.citation	BMC Women's Health, 2017, 17 (1)	en_US
dc.identifier.uri	http://hdl.handle.net/10453/124087
dc.description.abstract	© 2017 The Author(s). Background: Although a large body of studies documents that women's autonomy in the household is associated with better reproductive health outcomes, these studies typically examined autonomy only from women's point of view. The current study employs husband's and wife's perspectives together to examine the relationship between the decision-making arrangements in the household and the women's use of modern contraceptives in Bangladesh. Methods: The study used the couple dataset of 2007 Bangladesh Demographic and Health Survey. The sample was comprised of 3336 married couples. Binary logistic regression models were used to examine the associations between the selected items on household decision-making and the use of modern contraceptives. Results: Our results indicate that the couples disagree considerably as to who in the household exercises the decision-making power. The pattern of decision-making regarding visiting family and relatives emerged as an important predictor of use of modern contraceptives in the multivariate regression analysis. The results suggest that compared to the couple's concordant joint decision-making, the husband-only decision-making is associated with lower odds of contraceptives use (OR 0.49; 95% CI 0.28-0.85). Only a small part of this association is explained by spousal communication about family planning issues while the socio-demographic correlates hardly affected the association. On the contrary, the wife-only decision-making did not result in increased contraceptives use (OR 0.71; 95% CI 0.45-1.13). Conclusions: The study findings imply that women's greater autonomy may not necessarily result in improved reproductive health behavior, and therefore, a balance of power in the spousal relationship is warranted.	en_US
dc.relation.ispartof	BMC Women's Health	en_US
dc.relation.isbasedon	10.1186/s12905-017-0462-3	en_US
dc.subject.classification	Obstetrics & Reproductive Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Contraceptive Agents	en_US
dc.subject.mesh	Health Behavior	en_US
dc.subject.mesh	Contraception Behavior	en_US
dc.subject.mesh	Marriage	en_US
dc.subject.mesh	Spouses	en_US
dc.subject.mesh	Social Perception	en_US
dc.subject.mesh	Decision Making	en_US
dc.subject.mesh	Socioeconomic Factors	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Bangladesh	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Young Adult	en_US
dc.subject.mesh	Reproductive Health	en_US
dc.title	Couple's concordance and discordance in household decision-making and married women's use of modern contraceptives in Bangladesh	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	17	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/DVC (International)
utslib.copyright.status	open_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	17	en_US

Abstract:

© 2017 The Author(s). Background: Although a large body of studies documents that women's autonomy in the household is associated with better reproductive health outcomes, these studies typically examined autonomy only from women's point of view. The current study employs husband's and wife's perspectives together to examine the relationship between the decision-making arrangements in the household and the women's use of modern contraceptives in Bangladesh. Methods: The study used the couple dataset of 2007 Bangladesh Demographic and Health Survey. The sample was comprised of 3336 married couples. Binary logistic regression models were used to examine the associations between the selected items on household decision-making and the use of modern contraceptives. Results: Our results indicate that the couples disagree considerably as to who in the household exercises the decision-making power. The pattern of decision-making regarding visiting family and relatives emerged as an important predictor of use of modern contraceptives in the multivariate regression analysis. The results suggest that compared to the couple's concordant joint decision-making, the husband-only decision-making is associated with lower odds of contraceptives use (OR 0.49; 95% CI 0.28-0.85). Only a small part of this association is explained by spousal communication about family planning issues while the socio-demographic correlates hardly affected the association. On the contrary, the wife-only decision-making did not result in increased contraceptives use (OR 0.71; 95% CI 0.45-1.13). Conclusions: The study findings imply that women's greater autonomy may not necessarily result in improved reproductive health behavior, and therefore, a balance of power in the spousal relationship is warranted.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/124087