Determinants of Use of Contraceptive Methods Among Sexually Active Married Men in Nigeria

Abstract

Using a cross-sectional research design, the men’s dataset of the 2018 Nigeria Demographic and Health Survey (NDHS) and a weighted sample size of 7,991 sexually active married men (15–59 years) were used to examine determinants of the use of contraceptive methods. Data were analyzed using frequency tables, proportions, Pearson’s chi-square, and multinomial logistic regression. The relative risk of using male-controlled contraception relative to not using any contraception was 3% significantly lower (arrr = 0.7, 95% CI [0.5, 1.0], p < .05) among polygamous married men than for monogamists. In comparison, the relative risk of using female-controlled contraception relative to not using any contraception was 4% significantly higher (arrr = 1.4, 95% CI [1.0, 2.0], p <.05) for polygamous married men compared to the corresponding risk for monogamists. Other factors influencing the risk of using male-controlled contraception include tertiary education (arrr = 2.8, 95% CI [1.9, 4.0], p < .05), Yoruba (arrr = 3.8, 95% CI [2.8, 5.2], p < .05), richer (arrr = 1.5, 95% CI [0.8, 1.7], p < .05), and desire for more children (arrr = 0.8, 95% CI [0.7, 0.9], p < .05), media exposure (arrr= 1.5, 95% CI [1.3, 1.7], p < .05) and the number of sexual partners in the last 12 months (arrr = 5.7, 95% CI [4.6, 7.0], p < .05). Findings suggest strengthening male-controlled contraceptive methods by sexually active married men to reduce high fertility levels.