consistency in reporting contraception between spouses in bangladesh: evidence from recent...

Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health

survey

Mohammad Amirul Islam Sabu S. PadmadasPeter W.F. Smith

Division of Social Statistics, University of Southampton, SO17 1BJ, UK Contact: [email protected]

Paper presented at the BSPS Annual Conference, September 12-14, 2005

mailto:[email protected]

2

Outline of the presentation

Objectives of the research

Data used

Extent of inconsistency in reporting of contraception between spouses

Determinants of inconsistency

Inconsistency in reporting of condom use

Determinants of inconsistency in reporting of condom use

Conclusions

BSPS conference , 12-14 September, 2005

3

Objectives of the research

To determine the extent of inconsistency in reporting of contraception between spouses

To identify the determinants of such inconsistency

To further explore the inconsistency in reporting of condom use


4

Data used

The study is based on 1999-2000 BDHS which collected

A male data set of 2556 currently married men aged 15-59 years

A female data set of 10,544 ever married women aged 10-49 years

A couple data set (N=2249) is generated by linking the spouses. This is the

main source of information for this study


5

Contraceptive prevalence rate by sex


0

10

20

30

40

50

60

70

% u

se

Female Male

6BSPS conference , 12-14 September, 2005

Comparison of reported contraceptive use by spouses: percent distribution of couples according to husband’s and wife’s reported current contraceptive use status

11


Two level random intercept binary logistic regression model has been fitted

Response variable: Consistent use reporting (yes=1, no=0)

Independent variables:

Division: Barisal, Chittagong, Dhaka, Khulna, Rajshahi, Sylhet

Area of residence: urban, rural

Couple education: both have no education, only husband is educated,

only wife is educated, both educated

Number of living children: no children, 1-2, 3-4, 5 and more

Discussion of FP with partner: yes, no


12


A couple is more likely to report contraception consistently if -

They are from Sylhet, Rajshahi, Dhaka and Chittagong divisions, from rural

area, only wife is educated, have less than 5 children and discuss FP

Community effect is significant

Note: effects of changes of the reference categories for independent variables

with more than two categories have been evaluated


13

Inconsistency in reporting of condom use


Sample size selection

Couple (2249) Husbands (2249)Wives (2249)

Non-use

(911)

Using condom

(115)

Other methods

(1223)

Husband condom

(23)

Husband other (888)

Non-use

(786)

Using condom

(146)

Other methods

(1317)

Husband condom

(91)

Husband other (24)

Husband condom

(32)

Husband other

(1191)

Wife other

(1300)

Wife condom

(17)

Wife other (55)

Wife condom

(91)

Wife other (779)

Wife condom

(7)

Consistent report (91)

Husband condom wife did not (55)

Wife condom husband did not (24)

Either of the couple reported condom (170)

14

Inconsistency in condom reporting by partner's report of other method use or non-use

0

10

20

30

40

50

60

70

80

90

100

Husband reporting condom while wife did not Wife reporting condom while husband did not

%

Partner reported non-use Partner reported other male methods Partner reported other female methods


15


A multinomial logistic regression model has been fitted

Response variable: Inconsistent reporting of condom use

husband reporting condom while wife did not

wife reporting condom while husband did not

both reported condom (reference)

Independent variables:

Couple education*: both have no education, only husband is educated,

only wife is educated, both educated

Age difference between spouses*: less than 8, 8 or more

Area of residence: urban, rural

Discussion of FP with partner: yes, no * means significant in the

model


16


The regression results are presented in terms of estimated probabilities corresponding to the estimated coefficients

The estimated probabilities are calculated based on the reference couple’s characteristics

The characteristics of the reference couple:

couple is from rural area

only husband is educated

age difference between spouse is less than 8 years

couple does not discuss FP


17



0

10

20

30

40

50

60

70

80

Both reported condom Husband reported condomwhile wife did not

Wife reported condom whilehusband did not

Estim

ate

d p

robabili

ty (

%)

)

Both have no education

Only husband is educated (reference)

Only wife is educated

Both educated

18



0

10

20

30

40

50

60

70

80

Both reported condom Husband reportedcondom while wife did

not

Wife reported condomwhile husband did not

Estiim

ate

d pro

babili

ty (%

) .

8 or more years

Less than 8 years (reference)

19



0

10

20

30

40

50

60

70

80

Both reported condom Husband reported condomwhile wife did not

Wife reported condom whilehusband did not

Est

imate

d p

rob

abili

ty (%

)

.

Urban

Rural (reference)

20



0

10

20

30

40

50

60

70

80

Both reported condom Husband reportedcondom while wife did not

Wife reported condomwhile husband did not

Estim

ate

d p

robabili

ty (

%)

.

Discuss FP

Does not discuss FP (reference)

21

Conclusions

Inconsistency in reporting contraception is found to be 23.5%

The discrepancies are observed more where husbands reported method use but wife

reported non-use

Inconsistencies are more in reporting of use of condom, pill and periodic abstinence

Consistency in reporting of contraception is high among couples who are from Sylhet,

Dhaka, Rajshahi and Chittagong divisions, from rural areas, where only wife is

educated, have less number of children and discuss FP within couple

Couple education and age difference between spouses are significant determinants

of inconsistent reporting of condom use


consistency in reporting contraception between spouses in bangladesh: evidence from recent...

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