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Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical Analysis

Women’s fertility decision is quite difficult in male-dominant rural culture due to their poor reproductive autonomy. A cross-sectional survey was conducted in rural community of Bangladesh between November 2017 and February 2018 among 1285 respondents selected by multi-stage stratified sampling to...

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Autores principales: Alam, Muhammed Ashraful, Chamroonsawasdi, Kanittha, Chansatitporn, Natkamol, Munsawaengsub, Chokchai, Islam, Md Shafiqul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116072/
https://www.ncbi.nlm.nih.gov/pubmed/30065165
http://dx.doi.org/10.3390/bs8080068
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author Alam, Muhammed Ashraful
Chamroonsawasdi, Kanittha
Chansatitporn, Natkamol
Munsawaengsub, Chokchai
Islam, Md Shafiqul
author_facet Alam, Muhammed Ashraful
Chamroonsawasdi, Kanittha
Chansatitporn, Natkamol
Munsawaengsub, Chokchai
Islam, Md Shafiqul
author_sort Alam, Muhammed Ashraful
collection PubMed
description Women’s fertility decision is quite difficult in male-dominant rural culture due to their poor reproductive autonomy. A cross-sectional survey was conducted in rural community of Bangladesh between November 2017 and February 2018 among 1285 respondents selected by multi-stage stratified sampling to explore regional variations of rural women’s fertility control behavior and its determinants using hierarchical and other inferential statistics. Data collection was done by face-to-face interview using questionnaire. Average parity was 2.5 per woman and 41% respondents had three or more children. About 60% of them used modern contraceptives (MCs) and oral contraceptive pill (OCP) was their first choice. Male participation in contraceptive use was less than 5%. Regional variation, women’s empowerment, fertility control knowledge, family planning (FP) attitude, social influence, perceived behavioral control (PBC) and fertility intention were significant predictors of fertility control behavior (p < 0.05). Significant regional variations were determined in fertility control behavior of rural women (p < 0.05). Almost all of its predictors explained by Theory of Planned Behavior (TPB) also showed significant regional variations (p < 0.05). Current fertility control policy should be strengthened more not only to improve fertility behavior of rural women but also to establish regional equity in fertility control by improving their reproductive decision-making in a rational way.
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spelling pubmed-61160722018-08-31 Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical Analysis Alam, Muhammed Ashraful Chamroonsawasdi, Kanittha Chansatitporn, Natkamol Munsawaengsub, Chokchai Islam, Md Shafiqul Behav Sci (Basel) Article Women’s fertility decision is quite difficult in male-dominant rural culture due to their poor reproductive autonomy. A cross-sectional survey was conducted in rural community of Bangladesh between November 2017 and February 2018 among 1285 respondents selected by multi-stage stratified sampling to explore regional variations of rural women’s fertility control behavior and its determinants using hierarchical and other inferential statistics. Data collection was done by face-to-face interview using questionnaire. Average parity was 2.5 per woman and 41% respondents had three or more children. About 60% of them used modern contraceptives (MCs) and oral contraceptive pill (OCP) was their first choice. Male participation in contraceptive use was less than 5%. Regional variation, women’s empowerment, fertility control knowledge, family planning (FP) attitude, social influence, perceived behavioral control (PBC) and fertility intention were significant predictors of fertility control behavior (p < 0.05). Significant regional variations were determined in fertility control behavior of rural women (p < 0.05). Almost all of its predictors explained by Theory of Planned Behavior (TPB) also showed significant regional variations (p < 0.05). Current fertility control policy should be strengthened more not only to improve fertility behavior of rural women but also to establish regional equity in fertility control by improving their reproductive decision-making in a rational way. MDPI 2018-07-31 /pmc/articles/PMC6116072/ /pubmed/30065165 http://dx.doi.org/10.3390/bs8080068 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Alam, Muhammed Ashraful
Chamroonsawasdi, Kanittha
Chansatitporn, Natkamol
Munsawaengsub, Chokchai
Islam, Md Shafiqul
Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical Analysis
title Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical Analysis
title_full Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical Analysis
title_fullStr Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical Analysis
title_full_unstemmed Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical Analysis
title_short Regional Variations of Fertility Control Behavior among Rural Reproductive Women in Bangladesh: A Hierarchical Analysis
title_sort regional variations of fertility control behavior among rural reproductive women in bangladesh: a hierarchical analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116072/
https://www.ncbi.nlm.nih.gov/pubmed/30065165
http://dx.doi.org/10.3390/bs8080068
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