Blackstone Sarah R, Iwelunmor Juliet
Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois Urbana-Champaign, 123 Huff Hall, 1206S. 4th St., Champaign, IL 61802 USA.
Contracept Reprod Med. 2017 Jan 17;2:9. doi: 10.1186/s40834-017-0037-6. eCollection 2017.
Nigeria remains a focus for increasing contraceptive use, as it is one of the most populous countries in Sub-Saharan Africa. The objective of the current study was to investigate determinants of contraceptive use in Nigeria couples.
Using the 2013 Nigeria Demographic and Health Survey, we estimated the likelihood of contraceptive use based on concordance with male partner desire for family size, male and female fertility preferences, female decision making power, and male partner attitudes toward contraceptive use.
Male partner perception that decisions regarding health should be made jointly or primarily by women was positively associated with use. Women were less likely to use contraceptives in couples in which male partners had greater earning power. Finally, men who viewed contraceptives as an enabler for promiscuity had female partners less likely to use contraceptives.
These findings highlight the importance of male partners in women's contraceptive decision making.
尼日利亚仍是增加避孕药具使用的重点国家，因为它是撒哈拉以南非洲人口最多的国家之一。本研究的目的是调查尼日利亚夫妇使用避孕药具的决定因素。
利用2013年尼日利亚人口与健康调查，我们根据与男性伴侣对家庭规模的期望、男性和女性的生育偏好、女性的决策权以及男性伴侣对避孕药具使用的态度的一致性，估计了使用避孕药具的可能性。
男性伴侣认为健康方面的决定应由女性共同或主要做出，这与使用呈正相关。在男性伴侣收入能力较强的夫妇中，女性使用避孕药具的可能性较小。最后，将避孕药具视为滥交促成因素的男性，其女性伴侣使用避孕药具的可能性较小。
这些发现凸显了男性伴侣在女性避孕决策中的重要性。
