Centre for Development and Population Activities (CEDPA), Monitoring and Evaluation Department, Washington, DC 20036, USA.
Patient Educ Couns. 2010 Dec;81(3):402-8. doi: 10.1016/j.pec.2010.07.018. Epub 2010 Aug 16.
Family planning has several social and health benefits; it can reduce maternal mortality and the number of unplanned pregnancies, as well as increase educational and economic opportunities. Utilizing quantitative data from an endline household survey (July 2009) and data from focus group discussions, the Centre for Development and Population Activities (CEDPA) seeks to determine whether spousal communication increases contraceptive use among married women of child-bearing age in Nepal's Central Terai region.
Quantitative household survey and qualitative focus group discussions.
Women who discuss family planning with their husbands (OR=7.254), perceive husband approval on family planning (OR=5.558) and have born a son (OR=2.239) are more likely to use a modern contraceptive method. Qualitative data show that several other considerations can be motivating factors for contraceptive uptake.
While results do not explain the direction of causality, it is clear that spousal discussion and partner approval are significant in a woman's decision to use modern contraceptives in the Central Terai region of Nepal.
More research needs to be conducted on the effect of spousal communication and contraceptive use, in particular, the role of frequency, quality, and content of spousal communication, as well as individual motivations.
计划生育具有诸多社会和健康益处；它可以降低孕产妇死亡率和非计划妊娠的数量，同时增加教育和经济机会。中心发展与人口活动（CEDPA）利用来自最终线家庭调查（2009 年 7 月）的定量数据和焦点小组讨论的数据，旨在确定在尼泊尔中央特赖地区，夫妻间的沟通是否会增加育龄已婚妇女的避孕措施使用率。
定量家庭调查和定性焦点小组讨论。
与丈夫讨论计划生育的妇女（OR=7.254）、认为丈夫赞成计划生育（OR=5.558）且已生儿子的妇女（OR=2.239）更有可能使用现代避孕方法。定性数据表明，还有其他一些考虑因素可能是促使人们采取避孕措施的因素。
虽然结果并不能解释因果关系的方向，但显然在尼泊尔中央特赖地区，夫妻间的讨论和伴侣的认可对妇女使用现代避孕药具的决定有重要影响。
需要进一步研究夫妻沟通和避孕措施使用之间的关系，特别是夫妻沟通的频率、质量和内容，以及个人动机的作用。
