Women's Empowerment and Choice of Contraceptive Methods in Selected African Countries.

CONTEXT: It is generally believed that women's lack of decision-making power may restrict their use of modern contraceptives. However, few studies have examined the different dimensions of women's empowerment and contraceptive use in African countries. METHODS: Data came from the latest round of Dem...

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Publicado en:International Perspectives on Sexual & Reproductive Health Vol. 38; no. 1; pp. 23 - 34
Autores principales: Do, Mai, Kurimoto, Nami
Formato: research tables/charts Journal Article
Publicado: Guttmacher Institute, Inc. Mar2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2012
      vid: 38
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      pub: Guttmacher Institute, Inc.
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        atl: Women's Empowerment and Choice of Contraceptive Methods in Selected African Countries.
      aug:
        au:
          Do, Mai
          Kurimoto, Nami
        affil: Assistant professor, Department of Global Health Systems and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, USA.
      sug:
        subj:
          Women's Health Africa
          Contraception Utilization
          Empowerment
          Decision Making
          Human
          Africa
          Female
          Adolescence
          Young Adult
          Adult
          Middle Age
          Bivariate Statistics
          Multivariate Analysis
          Contraception Classification
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: CONTEXT: It is generally believed that women's lack of decision-making power may restrict their use of modern contraceptives. However, few studies have examined the different dimensions of women's empowerment and contraceptive use in African countries. METHODS: Data came from the latest round of Demographic and Health Surveys conducted between 2006 and 2008 in Namibia, Zambia, Ghana and Uganda. Responses from married or cohabiting women aged 15-49 were analyzed for six dimensions of empowerment and the current use of female-only methods or couple methods. Bivariate and multivariate multinomial regressions were used to identify associations between the empowerment dimensions and method use. RESULTS: Positive associations were found between the overall empowerment score and method use in all countries (relative risk ratios, 1.1-1.3). In multivariate analysis, household economic decision making was associated with the use of either female-only or couple methods (1.1 for all), as was agreement on fertility preferences (1.3-1.6) and the ability to negotiate sexual activity (1.1-1.2). In Namibia, women's negative attitudes toward domestic violence were correlated with the use of couple methods (1.1). CONCLUSIONS: Intervention programs aimed at increasing contraceptive use may need to involve different approaches, including promoting couples' discussion of fertility preferences and family planning, improving women's self-efficacy in negotiating sexual activity and increasing their economic independence.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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