Amin Md Tazvir, Rahman Md Mahabubur, Khan Shusmita Hossain, Bhuiyan Afsana, Rahman Mizanur, Alam Nurul, Haider M Moinuddin
Health Systems and Population Studies Division, icddr,b, Dhaka, Bangladesh.
Data for Impact, University of North Carolina at Chapel Hill, North Carolina, USA.
J Glob Health. 2025 Jun 27;15:04139. doi: 10.7189/jogh.15.04139.
In Bangladesh, marriage is the sole socially accepted context for sexual intimacy or coitus between partners. Over the past decade, the predictors of coitus in the country have undergone notable changes, including progress in socioeconomic conditions, health behaviours, nutritional status, and contraceptive practices. Despite these changes, there exists no empirical evidence regarding patterns of coitus in Bangladesh, leaving a critical gap in our understanding of sexual behaviour in the country. We aimed to examine the changes and associated predictors of marital coitus among married couples in Bangladesh from 2011 to 2017-18 at the national level.
We used data from three nationally representative Bangladesh Demographic and Health Surveys (BDHSs) conducted in 2011, 2014, and 2017-18, whereby we included currently married women of reproductive age (CMWRA) living with their husbands who were not infecund or had not reached menopause in our analysis (n = 38 853). By pooling their data, we examined the changes in weekly marital coitus (WMC), queried within the survey through the question 'Was a CMWRA involved in sexual activity in the last four weeks preceding the survey?'. The determinant analysis included data from the 2017-18 BDHS (n = 13 686). We used bivariate analysis and mixed-effect logistic regression to investigate the changes and predictors of WMC among CMWRAs.
Compared to 2011, the adjusted odds ratio to engage in WMC was 1.19 in 2014 (P = 0.05) and 1.32 in 2017-18 (P < 0.001), indicating an increase in the 2010s. WMC among CMWRAs who were using no contraceptive method slightly decreased from 58% in 2011 to 56% in 2017-18, while that among CMWRAs using traditional contraceptive methods increased from 63% to 72%. The determinants analysis found women's working status, pregnancy status, desire for a child, and years of cohabitation as important predictors of WMC in CMWRAs.
The increase in WMC may be due to increased openness in reporting sexual activity among women. Furthermore, working women engaged in higher WMC, which may be related to their active engagement in decision-making and increased sexual satisfaction.
在孟加拉国，婚姻是伴侣之间性行为或性交唯一被社会接受的背景。在过去十年中，该国性交的预测因素发生了显著变化，包括社会经济状况、健康行为、营养状况和避孕措施方面的进展。尽管有这些变化，但关于孟加拉国性交模式尚无实证证据，这在我们对该国性行为的理解上留下了关键空白。我们旨在在国家层面研究2011年至2017 - 18年期间孟加拉国已婚夫妇中婚姻性交的变化及相关预测因素。
我们使用了2011年、2014年和2017 - 18年进行的三次具有全国代表性的孟加拉国人口与健康调查（BDHSs）的数据，在分析中纳入了与丈夫共同生活、未不孕或未绝经的育龄已婚妇女（CMWRA）（n = 38853）。通过汇总她们的数据，我们研究了每周婚姻性交（WMC）的变化，该数据通过调查中的问题“在调查前的最后四周内，CMWRA是否参与了性活动？”获取。决定因素分析纳入了2017 - 18年BDHS的数据（n = 13686）。我们使用双变量分析和混合效应逻辑回归来研究CMWRA中WMC的变化和预测因素。
与2011年相比，2014年参与WMC的调整比值比为1.19（P = 0.05），2017 - 18年为1.32（P < 0.001），表明在2010年代有所增加。未使用任何避孕方法的CMWRA中的WMC从2011年的58%略有下降至2017 - 18年的56%，而使用传统避孕方法的CMWRA中的WMC从63%增加到72%。决定因素分析发现，女性的工作状态、怀孕状态、生育意愿和同居年限是CMWRA中WMC的重要预测因素。
WMC的增加可能是由于女性在报告性活动方面更加开放。此外，职业女性的WMC更高，这可能与她们积极参与决策和性满意度提高有关。
