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

Consistency in reporting contraception between spouses in
Bangladesh: evidence from recent demographic and health
survey
Mohammad Amirul Islam
Sabu S. Padmadas
Peter 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
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
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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
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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
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To
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W
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Ab
St
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on
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St
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Female
Pe
ri o
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M
Fe
m
al
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D
In
je
ct
io
ns
IU
Pi
ll
% use
Contraceptive prevalence rate by sex
70
60
50
Male
40
30
20
10
0
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Comparison of reported contraceptive use by spouses: percent distribution of couples
according to husband’s and wife’s reported current contraceptive use status
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Comparison of reported contraceptive use by spouses: percent distribution of couples
according to husband’s and wife’s reported current contraceptive use status
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Comparison of reported contraceptive use by spouses: percent distribution of couples
according to husband’s and wife’s reported current contraceptive use status
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Comparison of reported contraceptive use by spouses: percent distribution of couples
according to husband’s and wife’s reported current contraceptive use status
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Comparison of reported contraceptive use by spouses: percent distribution of couples
according to husband’s and wife’s reported current contraceptive use status
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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
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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
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Inconsistency in reporting of condom use
Sample size selection
Couple (2249)
Wives (2249)
Husband
condom
(23)
Husbands (2249)
Non-use
Using condom
Other methods
Other methods
Using condom
Non-use
(911)
(115)
(1223)
(1317)
(146)
(786)
Husband
other
(888)
Husband
condom
(91)
Husband condom wife
did not (55)
Husband
other
(24)
Husband
condom
(32)
Husband
other
(1191)
Wife
other
(1300)
Wife
condom
(17)
Wife
other
(55)
Consistent report
(91)
Wife
condom
(91)
Wife
other
(779)
Wife
condom
(7)
Wife condom husband
did not (24)
Either of the
couple reported
condom (170)
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Inconsistency in condom reporting by partner's report of other
method use or non-use
Partner reported non-use
Partner reported other male methods
Partner reported other female methods
100
90
80
70
%
60
50
40
30
20
10
0
Husband reporting condom while wife did not
Wife reporting condom while husband did not
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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
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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
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Determinants of inconsistency in reporting of condom use
80
Both have no education
70
Estimated probability (%) )
Only husband is educated (reference)
60
Only wife is educated
50
Both educated
40
30
20
10
0
Both reported condom
Husband reported condom Wife reported condom while
while wife did not
husband did not
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Determinants of inconsistency in reporting of condom use
80
.
70
8 or more years
60
Estiimated probability (%)
Less than 8 years (reference)
50
40
30
20
10
0
Both reported condom
Husband reported
W ife reported condom
condom while wife did while husband did not
not
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Determinants of inconsistency in reporting of condom use
80
Estimated probability (%)
.
70
60
50
Urban
Rural (reference)
40
30
20
10
0
Both reported condom
Husband reported condom Wife reported condom while
while wife did not
husband did not
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Determinants of inconsistency in reporting of condom use
80
70
60
.
Discuss FP
Estimated probability (%)
Does not discuss FP (reference)
50
40
30
20
10
0
Both reported condom
Husband reported
condom while wife did not
Wife reported condom
while husband did not
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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
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