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

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Asian pacific Journal of Reproduction 2022年第2期11卷 70-76页

作者： Austine Idowu Ibikunle Paul Oladapo Ajayi Oluwafunmilayo Oluwadamilola Ibikunle Demilade Olusola Ibirongbe Ayodele Kamal Alabi Kabir Adekunle Durowade Department of Community Medicine Federal Teaching Hospital(FETHI)Ido-EkitiNigeria Department of Community Medicine Ekiti State UniversityAdo EkitiEkiti StateNigeria Department of Public Health Ekiti State Ministry of HealthEkiti StateNigeria Department of Community Medicine University of Medical Sciences(UNIMED)OndoNigeria Department of Community Medicine Afe Babalola University Ado-EkitiEkiti StateNigeria

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(Pfertility preference of 4 or less children was found to be significantly associated with contraceptive use(aOR 3.0,95%CI 1.67-5.50,Ppreference 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.

关键词： Spousal communication Contraceptive use fertility preference Factors Modern contraceptive Married couples Ekiti State Nigeria

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