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 |
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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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