Centre for Midwifery, Maternal & Perinatal Health, Faculty of Health & Social Sciences, Bournemouth House, 19 Christchurch Road, Bournemouth University, Bournemouth, BH1 3LH England, UK.
Dorset County Hospital, Dorchester, UK.
Sex Reprod Healthc. 2020 Jun;24:100507. doi: 10.1016/j.srhc.2020.100507. Epub 2020 Mar 12.
Gender norms and roles influence many decisions related to reproductive health behaviours including contraceptive use. There are very few studies related to gender norms and decision-making in contraceptive use in Nepal, hence this paper addresses these issues in a quantitative study.
A secondary data analysis of a primary study conducted in 2012 as a quantitative cross-sectional study in four villages of a hilly district in Nepal. This study included data that were collected from either the woman or the man in 440 couples of childbearing age with at least one child. The secondary analysis included (adjusted) regression analysis to investigate factors associated with contraception use with the variables of interest being gender roles and decision-making, whilst considering demographic and socio-economic controls.
The secondary data analysis found gender roles were associated with current/ever use of contraceptives as reported by the respondents. Socio-economic factors such as husband's and wife's education and gender roles such as indicators showing sharing of childcare responsibilities affected contraceptive use positively. However, decision making regarding contraceptive use was not found to be associated with current/ever use of contraceptives.
Gender has a role in the use of contraceptive, however decision-making may not be associated with contraceptive use. Educational, health promotional and family planning programmes are recommended to promote use of contraceptives. It is important that husbands get involved in these programmes to encourage discussions related to contraceptive use.
性别规范和角色影响许多与生殖健康行为相关的决策，包括避孕措施的使用。尼泊尔很少有关于性别规范和避孕决策的研究，因此本文在一项定量研究中探讨了这些问题。
对尼泊尔一个丘陵地区四个村庄进行的一项 2012 年定量横断面研究的二次数据分析。这项研究包括了从至少有一个孩子的 440 对育龄夫妇中的女性或男性收集的数据。二次分析包括（调整后的）回归分析，以调查与避孕措施使用相关的因素，其中感兴趣的变量是性别角色和决策，同时考虑了人口统计学和社会经济因素的控制。
二次数据分析发现，性别角色与受访者报告的当前/曾经使用避孕药具有关。社会经济因素，如丈夫和妻子的教育程度，以及显示分担育儿责任的性别角色指标，对避孕药具的使用产生了积极影响。然而，关于避孕措施使用的决策与当前/曾经使用避孕药具之间没有关联。
性别在避孕措施的使用中起作用，但决策可能与避孕措施的使用无关。建议开展教育、健康促进和计划生育方案，以促进避孕药具的使用。让丈夫参与这些方案，鼓励他们讨论与避孕措施相关的问题非常重要。
