Department of Maternal and Child Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Glob Public Health. 2022 Jul;17(7):1282-1298. doi: 10.1080/17441692.2021.1922732. Epub 2021 May 3.
Most studies examining contraceptive use among women focus on their own fertility desires and family planning attitudes and do not incorporate the desires and attitudes of their partner. Using Demographic and Health Survey data from young couples (wife is aged 15-24) from six countries, we use descriptive and multivariate analyses to examine the association between couple-level fertility desires and current contraceptive use and women's future intention to use contraception. Results demonstrate that young couples want to have children immediately or may want to delay having children for two or more years; very few do not want (more) children. Discordant fertility desires were found in all countries. Compared to couples where both partners want a child soon, young couples that want to delay childbearing or where the husband wants a child, and the wife wants to delay or avoid childbearing are significantly more likely to use contraception. Similar results are found for women's intention to use contraception. When discordant fertility desires are associated with the outcomes, the young wife's fertility desire matters more than her husband's. Among young couples, promoting communication and positive social norms for delaying a first or second birth can lead to positive health outcomes for mothers and babies.
大多数研究都关注女性对生育的渴望和计划生育态度，而没有将伴侣的愿望和态度纳入其中。本研究使用来自六个国家的年轻夫妇（妻子年龄在 15-24 岁之间）的人口与健康调查数据，使用描述性和多元分析来检验夫妇层面的生育愿望与当前避孕措施使用情况以及女性未来使用避孕措施的意愿之间的关联。结果表明，年轻夫妇希望立即生育孩子，或者希望推迟生育两到三年；极少数夫妇不想要（更多）孩子。在所有国家都发现了生育愿望不一致的情况。与双方都希望尽快生育的夫妇相比，那些想要推迟生育或丈夫希望生育、而妻子希望推迟或避免生育的夫妇，更有可能使用避孕措施。对于女性使用避孕措施的意愿也有类似的结果。当生育愿望不一致与结果相关联时，年轻妻子的生育愿望比丈夫的更为重要。在年轻夫妇中，促进关于推迟第一胎或第二胎的沟通和积极的社会规范，可以为母亲和婴儿带来积极的健康结果。
