Factors associated with reported modern contraceptive use among married men in Afghanistan

Autor: Elizabeth Costenbader, Alissa Bernholc, Shafiqullah Hemat, Sediq Seddiqi, Mario Chen, Catherine Packer, Catherine S. Todd, Ross McIntosh, Sayed Haroon Rastagar
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
Rural Population
medicine.medical_specialty
Health Knowledge
Attitudes
Practice
Internally displaced persons (IDP)
Adolescent
Population
Reproductive medicine
Intimate Partner Violence
lcsh:Gynecology and obstetrics
03 medical and health sciences
Young Adult
0302 clinical medicine
Afghan
medicine
Humans
030212 general & internal medicine
Marriage
education
Contraception Behavior
lcsh:RG1-991
Reproductive health
education.field_of_study
Refugees
Male engagement in family planning
030219 obstetrics & reproductive medicine
business.industry
Public health
Research
Age Factors
Afghanistan
Obstetrics and Gynecology
Gender
Men
Middle Aged
Health Surveys
Infant mortality
Contraceptive use
Cross-Sectional Studies
Fertility
Reproductive Medicine
Family planning
Domestic violence
Psychology
business
Demography
Decision-making
Zdroj: Reproductive Health, Vol 17, Iss 1, Pp 1-11 (2020)
Reproductive Health
ISSN: 1742-4755
Popis: Background Afghanistan has high maternal and infant mortality which is in part driven by high fertility and low modern contraceptive use. Using modern contraceptive methods can reduce maternal and infant mortality, however there are several barriers to modern contraceptive use in Afghanistan. Married men have the potential to hinder or facilitate their wives’ contraceptive use. Internally displaced persons (IDP), a growing population in Afghanistan, are rarely included in reproductive health research. We explored whether married men’s, including IDPs’, gender-related attitudes and other factors were associated with reported modern contraceptive use to inform programming to meet reproductive health needs of married couples. Methods Cross-sectional study using data from 885 married men determined to have contraceptive need in seven Afghan provinces. We explored associations between sociodemographic factors, IDP status, wives’ involvement in household decision-making and men’s attitudes towards intimate partner violence (IPV) with reported modern contraceptive use using logistic regression analysis. Results Most men (78%) had ≥2 children, 60% reported any formal education, and 30% reported being IDPs. Only 38% of married men and 24% of IDPs with contraceptive need reported using modern contraception with their wives. Most (80% overall, 63% of IDPs) reported their wives’ involvement in some/all household decisions, while 47% overall and 57% of IDPs reported IPV was justified in one or more listed circumstances. In bivariate analysis, men responding that IPV was not justified in any listed circumstance were more likely and IDPs less likely to report modern contraceptive use. In multivariable analysis, involvement by wives in household decision-making (AOR 2.57; 95% CI: 1.51, 4.37), owning a radio and/or television (AOR 1.69; 95% CI: 1.10, 2.59), having more children, age, and province of interview were independently associated with reported modern contraceptive use, while IDP status was not. Conclusions Our findings reflect positive associations between wives’ participation in household decisions and mass media exposure (television/radio ownership) with reported modern contraceptive use. Reproductive health initiatives engaging men to promote communication within couples and through mass media channels may further increase modern contraceptive use and advance Afghanistan’s family planning goals. As fewer IDPs owned a radio/television, additional outreach methods should be tested for this group.
Databáze: OpenAIRE
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