Family planning use among young mothers in the peri-urban area of Osun State, Nigeria: the influence of spousal communication and attitude

Bolarinwa, Obasanjo Afolabi; Olaniyan, Akintayo; Saeed, Balsam Qubais; Olagunju, Olalekan Seun

doi:10.1108/jhr-11-2020-0574

Cited by 5 publications

(4 citation statements)

References 14 publications

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“…Yet, due to the stigmatisation and criminalisation of homosexuality in the country, most MSM practice bisexuality and despite their HIV status, have unprotected heterosexual relationships with married and unmarried females [16]. Males in Nigeria, as in other patriarchal societies, play an integral role in the acceptance and utilisation of contraceptives, including condoms by their partners [17]. MSMs, compared to the general population, do not perceive themselves at an increased risk of HIV infection, suggesting a low HIV-related knowledge [6,16] and therefore contributing to the higher burden of HIV prevalence among females and the country as a whole.…”

Section: Introductionmentioning

confidence: 99%

Association between knowledge of Human Immunodeficiency Virus transmission and consistent condom use among sexually active men in Nigeria: An analysis of 2018 Nigeria Demographic Health Survey

Bolarinwa

Ajayi

Sah

2022

PLOS Glob Public Health

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An estimated 1.7 million people were living with HIV in Nigeria in 2020, with over 86,000 people newly infected. Although the global rates of HIV have remained consistent over time, Nigeria has the second-highest number of people living with HIV and contributes to 9% of the global burden of HIV/AIDS. This is due to several structural and individual-level factors that limit knowledge of HIV and condom utilization. In this context, this study examines the association between knowledge about HIV transmission and consistent condom use among sexually active men in Nigeria. The data utilised in this study was sourced from the latest Nigeria Demographic and Health Survey conducted in 2018. The sample included a total of 9,346 men between the ages of 15–59 years who were sexually active at the time of data collection. Frequency distribution, univariate and multivariable analyses were performed at 95% confidence interval and p-value less than 0.05 to determine the association between the key independent variables and covariates. The results showed that 85.03% of sexually active men who had no knowledge of HIV engaged in inconsistent condom use. The key independent variable showed that sexually active men who had knowledge of HIV had higher odds [AOR = 1.37; 95%(CI = 1.10–1.72)] of consistent condom use compared to those without knowledge of HIV. However, sexually active men who were previously married [AOR = 0.38; 95%(CI = 0.24–0.61)], and those residing in the South Eastern region of Nigeria [AOR = 0.62; 95%(CI = 0.44–0.96)] had lower odds of consistent condom use. This study established the association between HIV knowledge and consistent condom use among sexually active males in Nigeria even after controlling for confounders. Educational level, wealth index, and ethnicity are also associated with condom use. This calls for the consideration of social determinants of health, localised and cultural health promotion and targeted public health strategies at all governmental levels to combat the HIV/AIDS epidemic in Nigeria.

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Section: Introductionmentioning

confidence: 99%

Association between knowledge of Human Immunodeficiency Virus transmission and consistent condom use among sexually active men in Nigeria: An analysis of 2018 Nigeria Demographic Health Survey

Bolarinwa

Ajayi

Sah

2022

PLOS Glob Public Health

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“…It has been documented that couples in the rural community discuss less with their spouse on family planning compared with those in the town. [8,19] Results from other studies shew dissimilarity with our own, Olaniyan et al in Southwestern Nigeria, [23] and Najafi-Sharjabad et al in Malaysia, [9] though the two research were carried out in towns. In the town/city means of livelihood is more expensive so couples need to plan and regulate the number of children and when they would like to have the children.…”

Section: Spousal Communicationmentioning

confidence: 65%

Misconceptions and Spousal Communication about Family Planning among Women of a Rural Community in Ekiti State, Nigeria

Abidemi

Oluseyi

Olayinka

2023

IJHS

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Purpose: Communication between the spouse on family planning issues predisposes to the approval of the man for the wife to use contraceptives. Most don’t even initiate communication as a result of misconceptions surrounding family planning. This study examined how misconception and spousal communication affect the use of family planning. Methods: The study was a cross sectional study carried out in a rural community. Multistage sampling technique was used in selecting 464 women of reproductive age group. A semi-structured questionnaire was used to collect information from the participants by trained research assistants. Data was entered into SPSS version 25 and analysis was carried out. Univariate analysis was done using mean, and tables, bivariate analysis was done using chi square and level of significance was set at p < 0.05. Results: The mean age of the respondents was 32.5 ± 8.1, 110 (23.7%) had ever used contraceptive. Out of the respondents, 150 (32.3%) agreed that family planning can cause infertility and 188 (40.5%) agreed that it makes women gain weight. One hundred and seventy-six (37.9%) had discussed family planning with their husbands out of which 167 (94.9%) got approval from them. Among respondents that discussed family planning with their husband, 66 (37.5%) of them had ever used family planning and those that didn’t discussed only 44 (15.3%) ever used contraceptive. This difference is statistically different with p value of p < 0.05. Unique Contribution to Theory, Policy and Practice: Spousal communication increases the utilization of family planning therefore; women should be encouraged to discuss with their husbands. This study will contribute to policy on improvement of family planning utilization when married couples are allowed to attend joint session focused on educating couples on the need, benefits and misconceptions surrounding family planning.

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“…Communication between spouses about utilization of FP services is an important intermediate step on the path to eventual adoption and sustained use of FP services. [37][38] Limitation: This study was based on verbal reports from the male participants who gave FP information about themselves and their spouses.…”

Section: Discussionmentioning

confidence: 99%

Determinants of Male Involvement in Family Planning Decision making in a Rural Community in Northern Nigeria

Oyefabi¹,

Dambo²,

Nwankwo³

et al. 2022

J. Com. Med. and PHC

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Background: Male involvement in family planning (FP) is most often associated with better health outcomes for the family. This study assessed male involvement in FP at Fadan Kamantan, a rural community in Zango Kataf Local Government Area of Kaduna State, North Western Nigeria. Methods: This was a community-based descriptive cross-sectional study conducted among 166 married men selected using multi-staged sampling technique. A set of structured, interviewer-administered questionnaires were used to obtain information from the respondents. Data was analyzed with IBM SPSS version 23.0 and STATA/SE 12. The level of statistical significance was set at p<0.05. Results: The mean age of respondents was 38 ±10.7 years. Current use of FP method by the respondents’ spouses was 80 (51%). One hundred and twenty-two (77.7%) of the men gave consent for their wives to attend the FP clinics, 60 (38.2%) ever followed wives to the FP clinics, 122 (77.7%) ever initiated FP discussion with their spouses, 14 (8.9%) initiated FP discussions all the time, husbands predominantly took FP decisions 89 (56.7%). Only 97 (58.4%) had good overall scores for male involvement in FP decision making. The odds for good male involvement in FP was 27 times higher for those who had tertiary education (AOR=27.00, 95%CI=2.95-247.44) compared to those with no formal education. Conclusion: The study showed that male involvement in FP was determined by educational status. The Local Government Authority should engage in health education on FP services targeted at men with lower educational status in this community.

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Family planning use among young mothers in the peri-urban area of Osun State, Nigeria: the influence of spousal communication and attitude

Cited by 5 publications

References 14 publications

Association between knowledge of Human Immunodeficiency Virus transmission and consistent condom use among sexually active men in Nigeria: An analysis of 2018 Nigeria Demographic Health Survey

Association between knowledge of Human Immunodeficiency Virus transmission and consistent condom use among sexually active men in Nigeria: An analysis of 2018 Nigeria Demographic Health Survey

Misconceptions and Spousal Communication about Family Planning among Women of a Rural Community in Ekiti State, Nigeria

Determinants of Male Involvement in Family Planning Decision making in a Rural Community in Northern Nigeria

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