Mobile phone and internet access as correlates of healthcare decision-making participation among married mothers in northern Nigeria.
In northern Nigeria, husbands independently make 61.1% of healthcare decisions, severely limiting mothers' participation. Drawing on Communication Privacy Management Theory (CPMT), this study examines whether communication technology access is associated with married mothers' healthcare decision-mak...
| Publicado en: | Discover Public Health Vol. 23; no. 1; pp. 1 - 17 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
4/22/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193167781&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193167781 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 30050774 NM7Z jtl: Discover Public Health issn: 30050774 maglogo: N pubinfo: dt: 4/22/2026 vid: 23 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 193167781 193167781 193167781 10.1186/s12982-026-01941-y 193167781 ppf: 1 ppct: 16 formats: tig: atl: Mobile phone and internet access as correlates of healthcare decision-making participation among married mothers in northern Nigeria. aug: au: Kazeem, Azeez affil: https://ror.org/031q21x57 University of Wisconsin-Milwaukee, Milwaukee, US sug: subj: Cellular Phone Utilization Internet Access Maternal Health Services Decision Making, Patient Patient Participation Marriage Mothers Psychosocial Factors Human Female Adolescence Adult Middle Age Nigeria Secondary Analysis Cross Sectional Studies Socioeconomic Factors Educational Status Parity Spouses Culture Health Services Accessibility Residence Characteristics Communication Cluster Sample Chi Square Test Multivariate Analysis Bivariate Statistics Multiple Logistic Regression Confidence Intervals Odds Ratio Statistical Significance Data Analysis Software Descriptive Statistics Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female ab: In northern Nigeria, husbands independently make 61.1% of healthcare decisions, severely limiting mothers' participation. Drawing on Communication Privacy Management Theory (CPMT), this study examines whether communication technology access is associated with married mothers' healthcare decision-making participation where cultural norms mandate collective decision-making. We hypothesized that technology access is positively associated with higher reported participation (H1), and that number of children contextualizes this relationship (H2). Secondary analysis of 2018 Nigeria Demographic and Health Survey data (N = 17,118) employed survey-weighted logistic regression to model reported healthcare participation (deciding alone or jointly with husband) across three groups: no technology access (reference), phone-only access, and combined phone-internet access. Combined access was significantly associated with higher participation (H1 supported), though the cross-sectional design permits correlational inference only. Number of children moderated the phone-only association (H2 partially supported) but not the combined access association. The findings suggest that women with mobile phone and internet access were more likely to report involvement in healthcare decisions, consistent with relative participation operating within culturally mandated co-ownership constraints. These findings carry implications for health policy discussions concerning women's decisional participation in patriarchal contexts. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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