TY - JOUR
T1 - Impact of male partner's awareness and support for contraceptives on female intent to use contraceptives in southeast Nigeria Health behavior, health promotion and society
AU - Ezeanolue, Echezona E.
AU - Iwelunmor, Juliet
AU - Asaolu, Ibitola
AU - Obiefune, Michael C.
AU - Ezeanolue, Chinenye O.
AU - Osuji, Alice
AU - Ogidi, Amaka G.
AU - Hunt, Aaron T.
AU - Patel, Dina
AU - Yang, Wei
AU - Ehiri, John E.
N1 - Funding Information:
This was a cross-sectional survey of 2468 pregnant women and their partners attending 40 churches in 40 communities, across 7 local government areas in Enugu State, southeast Nigeria. A final matched sample of 2393 men and their 2393 pregnant female partners with complete information was used for this analysis. The Healthy Beginnings Initiative (HBI) which provided the umbrella for this study was funded by the National Institutes of Health (NIH), and involved three steps: (a) church-organized prayer sessions for pregnant women that was used to recruit participants early in their pregnancy, (b) health education and integrated onsite laboratory tests (HIV, hepatitis B, and sickle cell genotype) implemented during church-organized baby showers to reduce stigma associated with HIV-only test, and (c) church-organized baby receptions, used for post-delivery follow-up and linkage to care [17]. Two women who were proficient in English and Ibo, the local language, were selected from each participating church and trained to serve as church-based health advisors (CHAs). They assisted with recruitment, informed consent procedures and questionnaire administration. The study was approved by the Institutional Review Board of the University of Nevada, Reno, and the Nigerian National Health Research Ethics Committee.
Funding Information:
The Healthy Beginning Initiative was funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), the National Institute of Mental Health (NIMH) and the President’s Emergency Plan for AIDS Relief (PEPFAR) under award number R01HD075050. Additional support for this study was provided by the HealthySunrise Foundation, TEND Foundation and Mapuije Foundation. The funding agencies played no role in the study conception, design, data collection, data analysis, data interpretation or writing of the report. We are grateful to the Catholic Bishop of Awgu diocese, Anglican Bishop of Enugu; Catholic Bishop of Enugu; Anglican Bishop of Oji-River. Their support was instrumental to the successful implementation of HBI. HBI implementation would not have been possible without the support and tireless effort of the priests at the participating churches. The Church-based Health Advisors (CHAs) took ownership of the program and made the process of recruitment and implementation smooth for the study team and participants. This study would have been impossible to conduct without the support of PeTR-GS (the local PEPFAR-supported partner) staff and volunteers.
Publisher Copyright:
© 2015 Ezeanolue et al.
PY - 2015/9/10
Y1 - 2015/9/10
N2 - Background: Despite the growing body of evidence on use of modern contraceptives among women in sub-Saharan African countries, little is known about the broader context in which female decision-making concerning contraceptive use occurs, particularly the role of their male partners' awareness and support of modern contraceptives. Methods: We conducted a cross-sectional survey of 2468 pregnant women and their male partners enrolled in the Healthy Beginning Initiative (HBI), an intervention to increase HIV testing among pregnant women in Enugu, southeast Nigeria. The aims of this study were to determine: 1) male partners' awareness of, and support for, female contraceptive methods, and 2) influence of male partners' contraceptive awareness and support on pregnant women's expressed desire to use contraception. We used logistic regression models to examine the association between male partners' awareness and support of modern contraceptives on their spouses' desire to use contraceptives. Results: Men's awareness of, and support for, use of modern contraceptives were significantly associated with their female partners' desire to use contraception. A majority of the men who were aware of modern contraceptives (66.5 %) and those who supported their spouses' use of contraception (72.5 %) had partners who expressed a desire to use contraception. Men who were aware of female contraception were 3 times more likely to have spouses who desired to use contraception (AOR∈=∈3.17, 95 % C.I: 2.70-3.75). In addition, men who showed support for their spouses' use of contraception were over 5 times more likely to have spouses who indicated a desire to use contraception (AOR∈=∈5.76, 95 % C.I: 4.82-6.88). Living in a household of 5 or more people (AOR∈=∈1.45, 95 % C.I: 1.23-1.72) and residing in an urban area (AOR∈=∈0.81, 95 % C.I: 0.67-0.97) were also significantly associated with women's expressed desire to use modern contraception. Conclusion: Men's awareness of, and support for, use of modern contraceptives were markedly associated with their spouses' desire to use contraception. This underscores the need for men's involvement in programs that seek to address women's uptake of contraception in low and middle income countries.
AB - Background: Despite the growing body of evidence on use of modern contraceptives among women in sub-Saharan African countries, little is known about the broader context in which female decision-making concerning contraceptive use occurs, particularly the role of their male partners' awareness and support of modern contraceptives. Methods: We conducted a cross-sectional survey of 2468 pregnant women and their male partners enrolled in the Healthy Beginning Initiative (HBI), an intervention to increase HIV testing among pregnant women in Enugu, southeast Nigeria. The aims of this study were to determine: 1) male partners' awareness of, and support for, female contraceptive methods, and 2) influence of male partners' contraceptive awareness and support on pregnant women's expressed desire to use contraception. We used logistic regression models to examine the association between male partners' awareness and support of modern contraceptives on their spouses' desire to use contraceptives. Results: Men's awareness of, and support for, use of modern contraceptives were significantly associated with their female partners' desire to use contraception. A majority of the men who were aware of modern contraceptives (66.5 %) and those who supported their spouses' use of contraception (72.5 %) had partners who expressed a desire to use contraception. Men who were aware of female contraception were 3 times more likely to have spouses who desired to use contraception (AOR∈=∈3.17, 95 % C.I: 2.70-3.75). In addition, men who showed support for their spouses' use of contraception were over 5 times more likely to have spouses who indicated a desire to use contraception (AOR∈=∈5.76, 95 % C.I: 4.82-6.88). Living in a household of 5 or more people (AOR∈=∈1.45, 95 % C.I: 1.23-1.72) and residing in an urban area (AOR∈=∈0.81, 95 % C.I: 0.67-0.97) were also significantly associated with women's expressed desire to use modern contraception. Conclusion: Men's awareness of, and support for, use of modern contraceptives were markedly associated with their spouses' desire to use contraception. This underscores the need for men's involvement in programs that seek to address women's uptake of contraception in low and middle income countries.
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UR - http://www.scopus.com/inward/citedby.url?scp=84941343117&partnerID=8YFLogxK
U2 - 10.1186/s12889-015-2216-1
DO - 10.1186/s12889-015-2216-1
M3 - Article
C2 - 26358642
AN - SCOPUS:84941343117
SN - 1471-2458
VL - 15
JO - BMC Public Health
JF - BMC Public Health
IS - 1
M1 - 879
ER -