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Household Structure and Contraceptive Use in Nigeria

BACKGROUND: Contraceptive use in Nigeria has been consistently low despite its many benefits and several efforts by government and development partners to increase its uptake. According to the Nigeria Demographic and Health Survey, the use of any modern method staggeringly increased from 4 to 12% ov...

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Autores principales: Fadeyibi, Opeyemi, Alade, Mayowa, Adebayo, Samuel, Erinfolami, Temitope, Mustapha, Fatimah, Yaradua, Saudatu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9128017/
https://www.ncbi.nlm.nih.gov/pubmed/35620301
http://dx.doi.org/10.3389/fgwh.2022.821178
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author Fadeyibi, Opeyemi
Alade, Mayowa
Adebayo, Samuel
Erinfolami, Temitope
Mustapha, Fatimah
Yaradua, Saudatu
author_facet Fadeyibi, Opeyemi
Alade, Mayowa
Adebayo, Samuel
Erinfolami, Temitope
Mustapha, Fatimah
Yaradua, Saudatu
author_sort Fadeyibi, Opeyemi
collection PubMed
description BACKGROUND: Contraceptive use in Nigeria has been consistently low despite its many benefits and several efforts by government and development partners to increase its uptake. According to the Nigeria Demographic and Health Survey, the use of any modern method staggeringly increased from 4 to 12% over 28 years (1990–2018). Studies have identified factors at the individual, household, and societal levels that affect contraceptive use. While studies have also shown that decisions such as contraceptive behavior and acquisition of family skills may vary according to the individual or societal factors, there is a dearth of knowledge on how household structure and composition influence contraceptive use in Nigeria. This article seeks to contribute to the body of knowledge by exploring contraceptive use within the household context. METHOD: We used data from the 2018 Nigeria Demographic and Health Survey to examine the relationship between household structure and contraceptive use. We excluded pregnant and non-married women at the time of the survey from the sample and used multinomial regression analysis to examine the likelihood of using traditional or modern methods of contraception. RESULTS: Results show that having a large household size, and the presence of multiple wives in the household significantly reduces the likelihood of using any method of contraceptive. The result further shows a significant association between household wealth index and contraceptive use as the use of any method increases with household wealth index, with those from richest households being twice as likely as their counterparts in the poorest households to use traditional methods (OR:2.02, p < 0.05). Also, women living in households headed by older men (25 and above), households with under 5 children, and those living in rural areas have significantly reduced likelihood of using any method. CONCLUSION: This study highlights the dynamics of contraceptive use among married women considering household composition. While our study serves as a primer to understanding contraceptive use in households where a woman and her spouse are usual household members, improved family planning interventions to increase uptake through demand creation will require deeper and more comprehensive work to understand the dynamics among women in more complex household settings.
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spelling pubmed-91280172022-05-25 Household Structure and Contraceptive Use in Nigeria Fadeyibi, Opeyemi Alade, Mayowa Adebayo, Samuel Erinfolami, Temitope Mustapha, Fatimah Yaradua, Saudatu Front Glob Womens Health Global Women's Health BACKGROUND: Contraceptive use in Nigeria has been consistently low despite its many benefits and several efforts by government and development partners to increase its uptake. According to the Nigeria Demographic and Health Survey, the use of any modern method staggeringly increased from 4 to 12% over 28 years (1990–2018). Studies have identified factors at the individual, household, and societal levels that affect contraceptive use. While studies have also shown that decisions such as contraceptive behavior and acquisition of family skills may vary according to the individual or societal factors, there is a dearth of knowledge on how household structure and composition influence contraceptive use in Nigeria. This article seeks to contribute to the body of knowledge by exploring contraceptive use within the household context. METHOD: We used data from the 2018 Nigeria Demographic and Health Survey to examine the relationship between household structure and contraceptive use. We excluded pregnant and non-married women at the time of the survey from the sample and used multinomial regression analysis to examine the likelihood of using traditional or modern methods of contraception. RESULTS: Results show that having a large household size, and the presence of multiple wives in the household significantly reduces the likelihood of using any method of contraceptive. The result further shows a significant association between household wealth index and contraceptive use as the use of any method increases with household wealth index, with those from richest households being twice as likely as their counterparts in the poorest households to use traditional methods (OR:2.02, p < 0.05). Also, women living in households headed by older men (25 and above), households with under 5 children, and those living in rural areas have significantly reduced likelihood of using any method. CONCLUSION: This study highlights the dynamics of contraceptive use among married women considering household composition. While our study serves as a primer to understanding contraceptive use in households where a woman and her spouse are usual household members, improved family planning interventions to increase uptake through demand creation will require deeper and more comprehensive work to understand the dynamics among women in more complex household settings. Frontiers Media S.A. 2022-05-10 /pmc/articles/PMC9128017/ /pubmed/35620301 http://dx.doi.org/10.3389/fgwh.2022.821178 Text en Copyright © 2022 Fadeyibi, Alade, Adebayo, Erinfolami, Mustapha and Yaradua. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Global Women's Health
Fadeyibi, Opeyemi
Alade, Mayowa
Adebayo, Samuel
Erinfolami, Temitope
Mustapha, Fatimah
Yaradua, Saudatu
Household Structure and Contraceptive Use in Nigeria
title Household Structure and Contraceptive Use in Nigeria
title_full Household Structure and Contraceptive Use in Nigeria
title_fullStr Household Structure and Contraceptive Use in Nigeria
title_full_unstemmed Household Structure and Contraceptive Use in Nigeria
title_short Household Structure and Contraceptive Use in Nigeria
title_sort household structure and contraceptive use in nigeria
topic Global Women's Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9128017/
https://www.ncbi.nlm.nih.gov/pubmed/35620301
http://dx.doi.org/10.3389/fgwh.2022.821178
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