Correlates of unmet need for contraception in Bangladesh: Does couples' concordance in household decision making matter?

Uddin, J; Pulok, MH; Sabah, MNU

Correlates of unmet need for contraception in Bangladesh: Does couples' concordance in household decision making matter?

Uddin, J Pulok, MH

Sabah, MNU

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Publication Type:: Journal Article
Citation:: Contraception, 2016, 94 (1), pp. 18 - 26
Issue Date:: 2016-07-01

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Field	Value	Language
dc.contributor.author	Uddin, J	en_US
dc.contributor.author	Pulok, MH https://orcid.org/0000-0002-9168-5732	en_US
dc.contributor.author	Sabah, MNU	en_US
dc.date.available	2016-02-21	en_US
dc.date.issued	2016-07-01	en_US
dc.identifier.citation	Contraception, 2016, 94 (1), pp. 18 - 26	en_US
dc.identifier.issn	0010-7824	en_US
dc.identifier.uri	http://hdl.handle.net/10453/50307
dc.description.abstract	© 2016 Elsevier Inc. All rights reserved. Introduction A large body of literature has highlighted that women's household decision-making power is associated with better reproductive health outcomes, while most of the studies tend to measure such power from only women's point of view. Using both husband's and wife's matched responses to decision-making questions, this study examined the association between couples' concordant and discordant decision makings, and wife's unmet need for contraception in Bangladesh. Methods This study used couple's data set (n = 3336) from Bangladesh Demographic and Health Survey of 2007. Multivariate logistic regression was used to examine the likelihood of unmet need for contraception among married women of reproductive age. Findings Study results suggested that couples who support the equalitarian power structure seemed to be more powerful in meeting the unmet demand for contraception. Logistic regression analysis revealed that compared to couple's concordant joint decision making, concordance in husband-only or other's involvement in decision making was associated with higher odds of unmet need for contraception. Wives exposed to family planning information discussed family planning more often with husbands, and those from richest households were less likely to have unmet need for contraception. Conclusion Couple's concordant joint decision making, reflecting the concept of equalitarian power structure, appeared to be a significant analytic category. Policy makers in the field of family planning may promote community-based outreach programs and communication campaigns for family planning focusing on egalitarian gender roles in the household.	en_US
dc.relation.ispartof	Contraception	en_US
dc.relation.isbasedon	10.1016/j.contraception.2016.02.026	en_US
dc.subject.classification	Obstetrics & Reproductive Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Contraception	en_US
dc.subject.mesh	Health Surveys	en_US
dc.subject.mesh	Multivariate Analysis	en_US
dc.subject.mesh	Logistic Models	en_US
dc.subject.mesh	Contraception Behavior	en_US
dc.subject.mesh	Marriage	en_US
dc.subject.mesh	Decision Making	en_US
dc.subject.mesh	Developing Countries	en_US
dc.subject.mesh	Socioeconomic Factors	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Family Planning Services	en_US
dc.subject.mesh	Health Services Needs and Demand	en_US
dc.subject.mesh	Bangladesh	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Young Adult	en_US
dc.title	Correlates of unmet need for contraception in Bangladesh: Does couples' concordance in household decision making matter?	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	94	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	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	closed_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	94	en_US

Abstract:

© 2016 Elsevier Inc. All rights reserved. Introduction A large body of literature has highlighted that women's household decision-making power is associated with better reproductive health outcomes, while most of the studies tend to measure such power from only women's point of view. Using both husband's and wife's matched responses to decision-making questions, this study examined the association between couples' concordant and discordant decision makings, and wife's unmet need for contraception in Bangladesh. Methods This study used couple's data set (n = 3336) from Bangladesh Demographic and Health Survey of 2007. Multivariate logistic regression was used to examine the likelihood of unmet need for contraception among married women of reproductive age. Findings Study results suggested that couples who support the equalitarian power structure seemed to be more powerful in meeting the unmet demand for contraception. Logistic regression analysis revealed that compared to couple's concordant joint decision making, concordance in husband-only or other's involvement in decision making was associated with higher odds of unmet need for contraception. Wives exposed to family planning information discussed family planning more often with husbands, and those from richest households were less likely to have unmet need for contraception. Conclusion Couple's concordant joint decision making, reflecting the concept of equalitarian power structure, appeared to be a significant analytic category. Policy makers in the field of family planning may promote community-based outreach programs and communication campaigns for family planning focusing on egalitarian gender roles in the household.

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http://hdl.handle.net/10453/50307