Consistency in reporting contraception between spouses in Bangladesh: evidence from recent...
-
Upload
thomas-howard -
Category
Documents
-
view
217 -
download
0
Transcript of Consistency in reporting contraception between spouses in Bangladesh: evidence from recent...
![Page 1: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/1.jpg)
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
![Page 2: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/2.jpg)
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
![Page 3: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/3.jpg)
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
BSPS conference , 12-14 September, 2005
![Page 4: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/4.jpg)
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
BSPS conference , 12-14 September, 2005
![Page 5: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/5.jpg)
5
Contraceptive prevalence rate by sex
BSPS conference , 12-14 September, 2005
0
10
20
30
40
50
60
70
% u
se
Female Male
![Page 6: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/6.jpg)
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
![Page 7: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/7.jpg)
7BSPS 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
![Page 8: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/8.jpg)
8BSPS 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
![Page 9: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/9.jpg)
9BSPS 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
![Page 10: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/10.jpg)
10BSPS 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
![Page 11: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/11.jpg)
11
Determinants of inconsistency
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
BSPS conference , 12-14 September, 2005
![Page 12: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/12.jpg)
12
Determinants of inconsistency
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
BSPS conference , 12-14 September, 2005
![Page 13: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/13.jpg)
13
Inconsistency in reporting of condom use
BSPS conference , 12-14 September, 2005
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)
![Page 14: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/14.jpg)
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
BSPS conference , 12-14 September, 2005
![Page 15: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/15.jpg)
15
Determinants of inconsistency in reporting of condom use
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
BSPS conference , 12-14 September, 2005
![Page 16: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/16.jpg)
16
Determinants of inconsistency in reporting of condom use
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
BSPS conference , 12-14 September, 2005
![Page 17: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/17.jpg)
17
Determinants of inconsistency in reporting of condom use
BSPS conference , 12-14 September, 2005
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
![Page 18: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/18.jpg)
18
Determinants of inconsistency in reporting of condom use
BSPS conference , 12-14 September, 2005
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)
![Page 19: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/19.jpg)
19
Determinants of inconsistency in reporting of condom use
BSPS conference , 12-14 September, 2005
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)
![Page 20: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/20.jpg)
20
Determinants of inconsistency in reporting of condom use
BSPS conference , 12-14 September, 2005
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)
![Page 21: Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S.](https://reader034.fdocuments.us/reader034/viewer/2022051820/5697bf881a28abf838c898c2/html5/thumbnails/21.jpg)
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
BSPS conference , 12-14 September, 2005