Abstract
Inter-spousal communication is largely influenced to couples on contraceptive use and the decision of appropriate method choice. This paper examined the effects of inter-spousal communication on contraceptive use and method choice in Bangladesh. A total 451 married men aged 15-49 were interviewed from Narsingdi municipality, Bangladesh. Bivariate analysis as chi square test was applied to examine the relationship between spousal communication as well as other socio-demographic variables on contraceptive use. Binary logistic regression was applied to examine the effect of spousal communication on contraceptive use and multinomial logistic regression was applied to examine the effect of spousal communication on method choice. Binary logistic regression showed that inter spousal communication on family planning has strong positive effect on current contraceptive use and multinomial logistic regression showed that inter spousal communication has positive effect on choosing modern and tradition method than none using any method. However, age of husband, age of women, number of living children, media exposure, knowledge on contraception, husband and women occupation, and couple’s income were also associated with contraceptive use and method choice in Bangladesh.
Highlights
Binary logistic regression was applied to examine the effect of spousal communication on contraceptive use and multinomial logistic regression was applied to examine the effect of spousal communication on method choice
Binary logistic regression showed that inter spousal communication on family planning has strong positive effect on current contraceptive use and multinomial logistic regression showed that inter spousal communication has positive effect on choosing modern and tradition method than none using any method
The results show that spousal communication was associated with contraceptive use and methods choice in Bangladesh
Summary
Spousal communication is an important basis for decision making about reproductive health, sexual needs and desired family size and increased contraceptive use and modern method choice of family planning. The communication of couples is necessary for successful planning and decision-making about fertility size and use of contraceptive. Through inter-spousal communication, women are influenced to male about to take small family size, about to suitable contraceptive use and other reproductive issues. Through spousal communication husband and wife make mutual consensus about the family size and the choice of appropriate methods (Shrestha, 2009). Inter-spousal communication between husband and wife largely influence on couples reproductive health and fertility intension.
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