当丈夫反对计划生育时,避孕决策中的权力关系和谈判:尼日利亚西南部民族志案例夫妇数据的分析。

Power relations and negotiations in contraceptive decision-making when husbands oppose family planning: analysis of ethnographic vignette couple data in Southwest Nigeria.

机构信息

Department of Social Statistics and Demography and Centre for Global Health, Population, Poverty and Policy, University of Southampton, Southampton, UK.

Department of Obstetrics and Gynaecology, Ekiti State University, Ado-Ekiti, Nigeria.

出版信息

Cult Health Sex. 2019 Dec;21(12):1439-1451. doi: 10.1080/13691058.2019.1568576. Epub 2019 Feb 14.

Abstract

Contraceptive use in Nigeria has remained low at less than 15% for over two decades. Although husbands' opposition is acknowledged as one of the factors impeding women's contraceptive use, little is known about how wives negotiate when their husbands oppose family planning. We addressed this research gap by conducting thematic analyses of qualitative data from 30 interviews of married couples. We employed thematic analysis to identify relevant themes from the transcribed data. The findings clearly demonstrate attitudes highlighting an imbalance in power relations and contraceptive decision-making within marital relationships. By initially complying with the husband's wish as a 'sign of honour', and then making further attempts at convincing him about family planning use, a woman can achieve her contraceptive target, or through the involvement of a third party. Wives are less empowered to overtly use contraceptives when their husbands oppose family planning. However, there are accepted justifications for covert use. The findings underscore the need to strengthen family planning interventions to enable behavioural change among Nigerian men, promote gender and reproductive health rights, and empower women with better negotiation skills.

摘要

尼日利亚的避孕措施使用率在过去二十多年里一直低于 15%。尽管丈夫的反对被认为是阻碍妇女使用避孕措施的因素之一,但对于妻子在丈夫反对计划生育时如何进行协商,人们知之甚少。我们通过对 30 对已婚夫妇的访谈的定性数据进行主题分析,解决了这一研究空白。我们采用主题分析的方法,从转录数据中识别出相关主题。研究结果清楚地表明,在婚姻关系中,存在权力关系和避孕决策不平衡的态度。通过最初顺从丈夫的意愿(作为一种“荣誉的象征”),然后进一步说服他使用计划生育,可以实现妻子的避孕目标,或者通过第三方的介入。当丈夫反对计划生育时,妻子在公开使用避孕药具方面的权力就会减弱。然而,对于秘密使用避孕药具存在一些可接受的理由。这些发现强调需要加强计划生育干预措施,以使尼日利亚男性改变行为,促进性别和生殖健康权利,并赋予妇女更好的谈判技巧。

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