Association between Women's Perceptions of Domestic Violence and Choice of Contraceptive Method
Methods: Data were from the 2009-2011 Multiple Indicator Cluster Surveys for women in seven WCA countries (n=80,055). DV perception was measured as no, low, or high tolerance of wife beating. Contraceptive method was coded as none, traditional (e.g., periodic abstinence/rhythm, withdrawal), or modern (e.g., condom, the pill, diaphragm). Multinomial logistic regression estimated the odds of using traditional or modern methods versus none controlling for age, education, wealth, residence, parity, spousal age-difference and religion.
Results: Most women had no or low tolerance of DV (41%, 44%, respectively) and did not use contraception (81%). In adjusted results, women with low DV tolerance had lower odds of using traditional or modern methods compared to those with no tolerance (odds ratio, OR,=0.87; 95% confidence interval, CI:0.78,0.98; OR=0.86; 95% CI:0.78,0.95 respectively). Women with high DV tolerance had 28% lower odds of traditional method use, and 38% lower odds of modern method use compared to women with no tolerance (95% CI:0.60,0.90; 95% CI:0.59,0.88 respectively).
Conclusion: Tolerance of DV is a significant barrier to contraceptive use. Policies that seek to increase the prevalence of modern contraceptive use need to consider perceptions about DV that may affect women’s use of contraception.
Learning Areas:Implementation of health education strategies, interventions and programs
Provision of health care to the public
Public health or related public policy
Public health or related research
Describe the the association between women’s perception of domestic violence and contraceptive method choice.
Keyword(s): Contraception, Domestic Violence
Qualified on the content I am responsible for because: I am a PhD Candidate in Health Services Research at UNC Charlotte, and I have several years of field and research experience in maternal and child health in sub-Saharan Africa, including West and Central Africa.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.