Spousal communication, fertility preference and other factors affecting contraceptive use among married couples in Ekiti State, Nigeria

Objective:To assess and compare the relationship between spousal communication,fertility preference,and other factors with contraceptive use among married couples in Ekiti State,Nigeria.Methods:This cross-sectional study was carried out in AdoEkiti Local Government Area of Ekiti State,Nigeria between the 12th of August 2017 and the 15th of February 2018.A pre-tested,semi-structured interviewer-administered questionnaire was used to collect data from 976 respondents by a multi-stage sampling technique.Data were analyzed(univariate,bivariate,and binary logistic regression analysis)using SPSS version 24.0.Factors that showed statistical significance(P<0.05)were included in a binary logistic regression to determine significant predictors of contraceptive use.Results:The proportion of respondents currently using contraceptives was 56.9%.The education status of the respondents revealed that those with primary education were more likely to use contraceptives than those without formal education[adjusted odds ratio(aOR)8.4,95%confidence interval(CI)1.97-36.2,P<0.001].Respondents with fair spousal communication were more likely to use contraceptive than those with poor communication(aOR 4.9,95%CI 2.80-8.71,P<0.001).In addition,fertility preference of 4 or less children was found to be significantly associated with contraceptive use(aOR 3.0,95%CI 1.67-5.50,P<0.001)compared to a preference of more than 4 children.Finally,the urban respondents were more likely to use contraceptives than those in the rural setting(aOR 1.7,95%CI 1.16-2.41,P=0.047).Conclusions:Educational status,residential site,spousal communication,and fertility preference significantly influence the level of contraceptive use among married couples.Couples should endeavor to discuss more on issues bordering on their fertility preference and contraceptive issue.Government should formulate policies to improve the rural uptake of contraceptives using identified target interventions.

Contraceptive Goals and Evaluation of Newlymarried Couples in Shanghai，China

Based on the data from the survey of 7,872 newly married couples,who got the marriage licenses in two districts of Shanghai,during the period from Aug.1987 to Aug.1988, we analyzed contraceptive goals evaluation and acceptability of newlyAl married couples within fifteen months alter their marriage and before their having a baby. About hail of couples had ever used contraception after marriage,mainly for reason of 'expecting to be relaxed temporarily' and 'expecting to be pregnant'. The contraceptive methods commonly used were rhythm and condom, in general for reason Of 'convenience in use' as well as 'harmlessness to health' and 'e/fectiveness'. The reason ic r switching contraceptive methods was 'interference with intercourse' and 'low effectiveness'. 64 percent oj couples were unwilling to use pill, mainly /or /ear of 'harm to health'.The factors affecting acceptability of pill and injection were wife' s age at marriage, her educational level, occupation and character, couple's contraceptive knowledge and their health status and monthly income.