Having a say matters: influence of decision-making power on contraceptive use among Nigerian women ages 35-49 years
Research suggests that women of reproductive age who are involved in household decision-making are more likely than those who are not involved to be able to control their fertility. Little is known, however, about this relationship among women at the upper end of the reproductive spectrum. The aim o...
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| description | Research suggests that women of reproductive age who are involved in household decision-making are more likely than those who are not involved to be able to control their fertility. Little is known, however, about this relationship among women at the upper end of the reproductive spectrum. The aim of this study was to determine the association between household decision-making power and modern contraceptive use among Nigerian women ages 35-49 years.
A descriptive, cross-sectional study involving a secondary analysis of data from the Nigerian 2008 Demographic and Health Survey was conducted among women ages 35-49 years who were considered to be in need of contraception. The outcome was modern contraceptive use while the main independent variable was a woman's household decision-making power score, constructed using principal component analysis. Multivariate logistic regression was performed to determine whether the women's household decision-making power score, categorized into tertiles, was independently associated with modern contraceptive use. Data were weighted and adjusted for the complex survey design.
Prevalence of modern contraceptive use among Nigerian women deemed to be in need of contraception in this study was 18.7%. Multivariate logistic regression showed that women's decision-making power remained statistically significantly associated with modern contraceptive use, even after adjusting for age, education, religion, polygyny, parity, wealth and domicile. Women who were in the highest decision-making power tertile had more than one and a half times the odds of using modern contraception compared with women in the lowest tertile [Adjusted Odds Ratio = 1.70; 95% Confidence Interval = 1.31-2.21, p |
| doi_str_mv | 10.1371/journal.pone.0098702 |
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A descriptive, cross-sectional study involving a secondary analysis of data from the Nigerian 2008 Demographic and Health Survey was conducted among women ages 35-49 years who were considered to be in need of contraception. The outcome was modern contraceptive use while the main independent variable was a woman's household decision-making power score, constructed using principal component analysis. Multivariate logistic regression was performed to determine whether the women's household decision-making power score, categorized into tertiles, was independently associated with modern contraceptive use. Data were weighted and adjusted for the complex survey design.
Prevalence of modern contraceptive use among Nigerian women deemed to be in need of contraception in this study was 18.7%. Multivariate logistic regression showed that women's decision-making power remained statistically significantly associated with modern contraceptive use, even after adjusting for age, education, religion, polygyny, parity, wealth and domicile. Women who were in the highest decision-making power tertile had more than one and a half times the odds of using modern contraception compared with women in the lowest tertile [Adjusted Odds Ratio = 1.70; 95% Confidence Interval = 1.31-2.21, p<0.001].
Older Nigerian women who are involved in making household decisions are also able to make decisions related to their fertility. Programs in Nigeria focused on increasing modern contraceptive use should include strategies to increase women's status through encouraging more visible involvement in decision-making across different spheres of their lives.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0098702</identifier><identifier>PMID: 24897300</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Age ; Birth control ; Confidence intervals ; Contraception ; Contraception - methods ; Contraception Behavior ; Contraceptive Agents - administration & dosage ; Contraceptives ; Cross-Sectional Studies ; Data processing ; Decision analysis ; Decision Making ; Decisions ; Demographics ; Family Planning Services ; Female ; Fertility ; Humans ; Independent variables ; Infertility ; Medicine and Health Sciences ; Middle Aged ; Nigeria - epidemiology ; Odds Ratio ; People and Places ; Polygyny ; Population Surveillance ; Pregnancy ; Principal components analysis ; Regression analysis ; Religion ; Research and Analysis Methods ; Secondary analysis ; Social Sciences ; Socioeconomic Factors ; Stability ; Statistical analysis ; Surveys ; Womens health</subject><ispartof>PloS one, 2014-06, Vol.9 (6), p.e98702-e98702</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 OlaOlorun, Hindin. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 OlaOlorun, Hindin 2014 OlaOlorun, Hindin</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-929ae1719ee3ee8c88ad6baa406c42a078c689d178631db79a374e5e4fbe3f953</citedby><cites>FETCH-LOGICAL-c692t-929ae1719ee3ee8c88ad6baa406c42a078c689d178631db79a374e5e4fbe3f953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4045814/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4045814/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24897300$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Schlatt, Stefan</contributor><creatorcontrib>OlaOlorun, Funmilola M</creatorcontrib><creatorcontrib>Hindin, Michelle J</creatorcontrib><title>Having a say matters: influence of decision-making power on contraceptive use among Nigerian women ages 35-49 years</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Research suggests that women of reproductive age who are involved in household decision-making are more likely than those who are not involved to be able to control their fertility. Little is known, however, about this relationship among women at the upper end of the reproductive spectrum. The aim of this study was to determine the association between household decision-making power and modern contraceptive use among Nigerian women ages 35-49 years.
A descriptive, cross-sectional study involving a secondary analysis of data from the Nigerian 2008 Demographic and Health Survey was conducted among women ages 35-49 years who were considered to be in need of contraception. The outcome was modern contraceptive use while the main independent variable was a woman's household decision-making power score, constructed using principal component analysis. Multivariate logistic regression was performed to determine whether the women's household decision-making power score, categorized into tertiles, was independently associated with modern contraceptive use. Data were weighted and adjusted for the complex survey design.
Prevalence of modern contraceptive use among Nigerian women deemed to be in need of contraception in this study was 18.7%. Multivariate logistic regression showed that women's decision-making power remained statistically significantly associated with modern contraceptive use, even after adjusting for age, education, religion, polygyny, parity, wealth and domicile. Women who were in the highest decision-making power tertile had more than one and a half times the odds of using modern contraception compared with women in the lowest tertile [Adjusted Odds Ratio = 1.70; 95% Confidence Interval = 1.31-2.21, p<0.001].
Older Nigerian women who are involved in making household decisions are also able to make decisions related to their fertility. Programs in Nigeria focused on increasing modern contraceptive use should include strategies to increase women's status through encouraging more visible involvement in decision-making across different spheres of their lives.</description><subject>Adult</subject><subject>Age</subject><subject>Birth control</subject><subject>Confidence intervals</subject><subject>Contraception</subject><subject>Contraception - methods</subject><subject>Contraception Behavior</subject><subject>Contraceptive Agents - administration & dosage</subject><subject>Contraceptives</subject><subject>Cross-Sectional Studies</subject><subject>Data processing</subject><subject>Decision analysis</subject><subject>Decision Making</subject><subject>Decisions</subject><subject>Demographics</subject><subject>Family Planning Services</subject><subject>Female</subject><subject>Fertility</subject><subject>Humans</subject><subject>Independent variables</subject><subject>Infertility</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Nigeria - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OlaOlorun, Funmilola M</au><au>Hindin, Michelle J</au><au>Schlatt, Stefan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Having a say matters: influence of decision-making power on contraceptive use among Nigerian women ages 35-49 years</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-06-04</date><risdate>2014</risdate><volume>9</volume><issue>6</issue><spage>e98702</spage><epage>e98702</epage><pages>e98702-e98702</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Research suggests that women of reproductive age who are involved in household decision-making are more likely than those who are not involved to be able to control their fertility. Little is known, however, about this relationship among women at the upper end of the reproductive spectrum. The aim of this study was to determine the association between household decision-making power and modern contraceptive use among Nigerian women ages 35-49 years.
A descriptive, cross-sectional study involving a secondary analysis of data from the Nigerian 2008 Demographic and Health Survey was conducted among women ages 35-49 years who were considered to be in need of contraception. The outcome was modern contraceptive use while the main independent variable was a woman's household decision-making power score, constructed using principal component analysis. Multivariate logistic regression was performed to determine whether the women's household decision-making power score, categorized into tertiles, was independently associated with modern contraceptive use. Data were weighted and adjusted for the complex survey design.
Prevalence of modern contraceptive use among Nigerian women deemed to be in need of contraception in this study was 18.7%. Multivariate logistic regression showed that women's decision-making power remained statistically significantly associated with modern contraceptive use, even after adjusting for age, education, religion, polygyny, parity, wealth and domicile. Women who were in the highest decision-making power tertile had more than one and a half times the odds of using modern contraception compared with women in the lowest tertile [Adjusted Odds Ratio = 1.70; 95% Confidence Interval = 1.31-2.21, p<0.001].
Older Nigerian women who are involved in making household decisions are also able to make decisions related to their fertility. Programs in Nigeria focused on increasing modern contraceptive use should include strategies to increase women's status through encouraging more visible involvement in decision-making across different spheres of their lives.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24897300</pmid><doi>10.1371/journal.pone.0098702</doi><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Age Birth control Confidence intervals Contraception Contraception - methods Contraception Behavior Contraceptive Agents - administration & dosage Contraceptives Cross-Sectional Studies Data processing Decision analysis Decision Making Decisions Demographics Family Planning Services Female Fertility Humans Independent variables Infertility Medicine and Health Sciences Middle Aged Nigeria - epidemiology Odds Ratio People and Places Polygyny Population Surveillance Pregnancy Principal components analysis Regression analysis Religion Research and Analysis Methods Secondary analysis Social Sciences Socioeconomic Factors Stability Statistical analysis Surveys Womens health |
| title | Having a say matters: influence of decision-making power on contraceptive use among Nigerian women ages 35-49 years |
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