Department of Health Science and Biostatistics, Swinburne University of Technology, Melbourne, Victoria, Australia.
Charles Perkins Centre, The University of Sydney, School of Health Sciences, Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Int J Health Plann Manage. 2024 Sep;39(5):1503-1515. doi: 10.1002/hpm.3822. Epub 2024 Jul 20.
It is generally believed that gender inequality and women's lack of decision-making power may restrict women's use of modern contraception, leading to high rates of unwanted pregnancies, abortions, and deaths. Evidence shows that empowered women are more likely to use modern contraception methods, but few studies have investigated this across multiple domains of empowerment.
This study examined the associations between women's empowerment and modern contraception use in Bangladesh. Data from a sample of 16,834 married women aged 15-49 years from the Bangladesh Demographic and Health Survey 2017-2018 were analysed.
Complex survey weight adjusted logistic models were fitted to evaluate the associations after adjusting for clusters, strata, and sampling weights.
indicate that just over half of the married women (55.7%) had used modern contraception methods. Women's empowerment was associated with contraceptive use, especially decision-making power. Women who had medium or high autonomy of household decision making were likely to have 20% (AOR = 1.20; 95% CI: 1.04-1.39) and 27% (AOR = 1.27, 95% CI: 1.11-1.45) increased odds of using modern contraceptives compared to those who scored low in the decision-making domain. The findings demonstrated strong evidence of direct influence of women's decision-making power on modern contraception use. The results also found influence of several socio-demographic factors including area of residence, husband's age, wealth index and mobile phone ownership on the use of modern contraceptives.
Future interventions can focus on integrating women's empowerment into family planning programming, with a particular focus on enhancing women's autonomy in decision making.
人们普遍认为，性别不平等和女性缺乏决策权可能会限制女性使用现代避孕方法，导致意外怀孕、堕胎和死亡的比例居高不下。有证据表明，有权力的女性更有可能使用现代避孕方法，但很少有研究调查过多个赋权领域的这种情况。
本研究调查了孟加拉国妇女赋权与现代避孕方法使用之间的关联。使用 2017-2018 年孟加拉国人口与健康调查中 16834 名 15-49 岁已婚女性的样本数据进行分析。
采用复杂调查加权调整逻辑模型，在调整了聚类、分层和抽样权重后评估关联。
结果表明，略多于一半的已婚女性（55.7%）使用了现代避孕方法。妇女赋权与避孕方法的使用有关，特别是决策权。在家庭决策方面具有中等到高度自主权的女性，使用现代避孕方法的可能性分别增加 20%（AOR=1.20；95%CI：1.04-1.39）和 27%（AOR=1.27，95%CI：1.11-1.45）。与在决策领域得分较低的女性相比。这些发现表明，妇女的决策权对现代避孕方法的使用有直接影响。结果还发现了几个社会人口因素的影响，包括居住地区、丈夫的年龄、财富指数和手机拥有情况，对现代避孕方法的使用有影响。
未来的干预措施可以将妇女赋权纳入计划生育方案，特别注重增强妇女在决策中的自主权。
