Yadav Kapil, Singh Bir, Goswami Kiran
Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Indian J Community Med. 2009 Jul;34(3):188-91. doi: 10.4103/0970-0218.55281.
Is there agreement between husbands and wives regarding unmet need of family planning?
The unmet need of family planning is perceived more by women then their husbands.
A cross-sectional survey
Dayalpur village in Intensive field practice area of Comprehensive Rural Health Services project (CRHSP), Ballabgarh, Haryana.
July 2003- June 2005.
included 200 married couples selected by simple random sampling.
Level of agreement between husbands and wives was analyzed using Kappa statistics.
Unmet need for family planning was 11% (22 out of 200) for husbands and 17.5% (35 out of 200) for wives. The difference was seen both in unmet need for spacing (M-3.5% vs. F-6%) as well as limiting family size (M-7.5% vs. F-11.5%). Overall, 93.5% concordance was observed amongst husbands and wives. In all the cases where disagreement was seen (6.5%), wives reported having unmet need for contraception whereas their husbands perceived none. The unadjusted Kappa statistic was 0.73 and prevalence adjusted Kappa was 0.88.
Unmet need for family planning was significantly higher for wives compared to husbands. Despite high degrees of agreement amongst the couples, the nature of disconcordance reinforces the need for policy makers to take into account the perspective of men.
夫妻双方在计划生育未满足需求方面是否存在共识？
与丈夫相比，女性更能感受到计划生育的未满足需求。
1）确定夫妻双方计划生育的未满足需求。2）确定夫妻双方在计划生育未满足需求方面的共识程度。
横断面调查
哈里亚纳邦巴拉加尔综合农村卫生服务项目（CRHSP）强化实地实践区的达亚尔布尔村
2003年7月至2005年6月
通过简单随机抽样选取的200对已婚夫妇
使用卡帕统计分析夫妻双方的共识程度。
丈夫的计划生育未满足需求为11%（200人中22人），妻子为17.5%（200人中35人）。在生育间隔的未满足需求方面（男性3.5%对女性6%）以及限制家庭规模方面（男性7.5%对女性11.5%）均存在差异。总体而言，夫妻之间的一致性为93.5%。在所有出现分歧的情况（6.5%）中，妻子报告有避孕方面的未满足需求，而其丈夫则认为没有。未调整的卡帕统计量为0.73，患病率调整后的卡帕为0.88。
与丈夫相比，妻子的计划生育未满足需求显著更高。尽管夫妻之间有高度的一致性，但不一致的性质强化了政策制定者考虑男性观点的必要性。
