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Understanding Couples' Relationship Quality And Contraceptive Use in Kumasi, Ghana.
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- Author(s): Cox, Carie Muntifering; Hindin, Michelle J.; Otupiri, Easmo; Larsen-Reindorf, Roderick
- Source:
International Perspectives on Sexual & Reproductive Health. Dec2013, Vol. 39 Issue 4, p185-194. 10p. 4 Charts. - Source:
- Additional Information
- Subject Terms:
- Subject Terms:
- Abstract: CONTEXT: A wealth of data exist on knowledge, attitudes and practice related to contraceptive use; however, emotional aspects of relationships that may influence reproductive decision making are often overlooked. METHODS: Data from the 2010 Family Health and Wealth Survey were used in bivariate and multinomial logistic regression analyses to identify associations between relationship quality and current contraceptive use among 698 married or cohabiting couples in Kumasi, Ghana. Four scales measuring commitment, trust, constructive communication and destructive communication, as well as a question about relationship satisfaction, were the indicators of relationship quality. Current contraceptive use was divided into three categories: no use, reliance on a method that can be used without the partner's awareness (the injectable, pill, IUD, implant and diaphragm) and use of a method that both partners are typically aware of (periodic abstinence, withdrawal, condoms and spermicide). RESULTS: Overall contraceptive use was low-22% of women said they were currently using any method. In general, respondents reported high levels of relationship quality. Women's relationship satisfaction scores were positively associated with use of awareness methods rather than nonuse (relative risk ratio, 1.2). Men's trust scores were positively associated with use of nonawareness methods rather than nonuse (1.1), and men's constructive communication scores were associated with use of both types of method rather than nonuse (1.1 for each). CONCLUSIONS: Couples' relationship quality appears to be an important element in their decision making regarding contraceptive use, and should be taken into consideration in the design and implementation of family planning programs and policy. [ABSTRACT FROM AUTHOR]
- Abstract: Contexto: Existe un rico acervo de datos sobre conocimientos, actitudes y prácticas relacionados con el uso de anticonceptivos; sin embargo, los aspectos emocionales de las relaciones, que pueden influir en la toma de decisiones reproductivas, son a menudo ignorados. Métodos: Se usaron datos de la Encuesta de Salud y Riqueza Familiar de 2010, mediante un análisis de regresión logística bivariada y multinomial, con el fin de identificar correlaciones entre la calidad de la relación y el uso actual de anticonceptivos en 698 parejas de Kumasi, Ghana, que están casadas o viven en cohabitación. Los indicadores sobre la calidad de la relación consistieron en cuatro escalas para medir el compromiso, la confianza, la comunicación constructiva y la comunicación destructiva, y en una pregunta sobre la satisfacción general con la relación. El uso actual de anticonceptivos se dividió en tres categorías: no se usa ningún método; uso de un método discreto (inyectable, píldora, DIU, implante y diafragma); uso de un método evidente (abstinencia periódica, retiro, condones y espermicida). Resultados: El uso general de anticonceptivos es bajo: un 22% de las mujeres afirmaron estar usando algún método en la actualidad. En general, las personas participantes reportaron altos niveles de calidad para sus relaciones. Entre las mujeres, los puntajes de satisfacción con la relación están positivamente asociados con el uso de métodos evidentes, más que con el no uso (cociente de riesgo relativo, 1.2). Entre los hombres, los puntajes de confianza están positivamente asociados con el uso de métodos discretos, más que con el no uso (1.1), y los puntajes de comunicación constructiva, con el uso de ambos tipos de método, más que con el no uso (1.1 cada uno). Conclusiones: La calidad de la relación de las parejas parece ser un elemento importante en la toma de decisiones sobre el uso de anticonceptivos, y debe tomarse en cuenta en el diseño e implementación de los programas y políticas de planificación familiar. [ABSTRACT FROM AUTHOR]
- Abstract: Méthodes: La connaissance, les attitudes et les pratiques relatives à l'usage de la contraception sont abondamment documentées. Les aspects affectifs des relations susceptibles d'influencer la décision en matière de procréation sont cependant souvent omis. Méthodes: Les données de l'enquête 2010 sur la santé et la richesse des familles ont servi à la réalisation d'analyses de régression logistique bivariées et multinomiales, afin d'identifier les associations entre la qualité de la relation et la pratique contraceptive courante de 698 couples mariés ou en concubinage à Kumasi (Ghana). Les indicateurs de qualité de la relation se mesurent sur quatre échelles - engagement, confiance, communication constructive et communication destructive -, avec aussi une question de satisfaction au sein de la relation. La pratique contraceptive courante est répartie en trois catégories: aucune, méthode discrète (injectable, pilule, stérilet, implant et diaphragme) et méthode évidente (abstinence périodique, retrait, préservatif et spermicide). Résultats: La pratique contraceptive globale s'est révélée faible - avec 22% de femmes déclarant ne pratiquer aucune méthode au moment de l'enquête. En général, les répondants font état de hauts niveaux de qualité de la relation. Les cotes de satisfaction des femmes au sein de la relation présentent une association positive avec la pratique des méthodes évidentes plutôt que l'absence de pratique (rapport de risque relatif, 1,2). Côté masculin, les cotes de confiance sont associées positivement à la pratique des méthodes discrètes plutôt qu'à l'absence de pratique (1,1) et celles de communication constructive le sont aux deux types de méthodes plutôt qu'à l'absence de pratique (1,1 chacun). Conclusions: La qualité de la relation des couples semble jouer un rôle important dans leur décision relative à la pratique contraceptive. Il convient d'en tenir compte dans les efforts de conception et de mise en oeuvre des programmes et politiques de planification familiale. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of International Perspectives on Sexual & Reproductive Health is the property of Guttmacher Institute, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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