Hostname: page-component-848d4c4894-jbqgn Total loading time: 0 Render date: 2024-06-23T12:44:11.711Z Has data issue: false hasContentIssue false
  • English
  • Français

CONTRACEPTIVE DECISIONS AND HIV/AIDS CONCERNS AMONG MARRIED COUPLES IN MALAWI

Published online by Cambridge University Press:  07 January 2011

OLEOSI NTSHEBE
OLEOSI NTSHEBE
Affiliation:
Department of Population Studies, Faculty of Social Sciences, University of Botswana, Gaborone, Botswana
Get access Rights & Permissions [Opens in a new window]

Summary

This study investigates current contraceptive use among Malawi couples. The data examined are from the 2001 Malawi Diffusion and Ideational Change Project (MDICP). The aim of the study is to explore whether contraceptive use among married couples is affected by the couple's concerns about HIV/AIDS and couple's age difference. Contraceptive use was found to be associated with the couple's HIV concern and family planning goals. There is no significant association between spousal age difference and contraceptive use. The findings are important for future work on the connection of marital concerns about HIV/AIDS with contraceptive behaviours, especially the use of condoms, and for informing HIV preventive strategies in marriage.

Type
Research Article
Information
Journal of Biosocial Science , Volume 43 , Issue 3 , May 2011 , pp. 329 - 343
Copyright
Copyright © Cambridge University Press 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Agresti, A. (1990) Categorical Data Analysis. Describing Two-Way Contingency Tables. Wiley-Interscience Publications, New York.Google Scholar
Ainsworth, M. & Over, M. (1997) Confronting AIDS: Public Priorities in a Global Epidemic. Oxford University Press, New York.Google Scholar
Allison, P. D. (1999) Multiple Regression: A Primer. Pine Forge Press, CA, USA.Google Scholar
Barbieri, M. & Hertrich, V. (2005) Age differences between spouses and contraceptive practice in sub-Saharan Africa. Populations 60(5/6), 617–654.CrossRefGoogle Scholar
Becker, S. (1996) Couples and reproductive health: a review of couple studies. Studies in Family Planning 27, 291–306.CrossRefGoogle ScholarPubMed
Becker, S. & Costenbader, E. (2001) Husbands' and wives' reports of contraceptive use. Studies in Family Planning 32(2), 111–129.CrossRefGoogle ScholarPubMed
Behrman, J. R., Kohler, H. & Watkins, S.C. (2002) Social networks and changes in contraceptive use over time: evidence from a longitudinal study in rural Kenya. Demography 39(4), 713–737.CrossRefGoogle ScholarPubMed
Bledsoe, C. (1990) Transformations in sub-Saharan Africa marriage and fertility. Annals of the American Academy of Political and Social Science 510, 115–125.CrossRefGoogle Scholar
Boerma, J. T., Nunn, A. J. & Whitworth, J. A. G. (1998) Mortality impact of the AIDS epidemic: evidence from community studies in less developed countries. AIDS 12, S3–14.Google ScholarPubMed
Caldwell, J. C. & Caldwell, P. (2000) The limitation of family size in Ibadan, Nigeria: an explanation of its comparative rarity derived from in-depth interviews. In Ebigbola, J. A. & Renne, E. D. (eds) Population and Development Issues: Ideas and Debates. African Book Builders, Ibadan, pp. 126–171.Google Scholar
Chimbiri, A. M. (2007) The condom is an ‘intruder’ in marriage: evidence from rural Malawi. Social Science & Medicine 64, 1102–1115.CrossRefGoogle ScholarPubMed
Chimbwete, C., Watkins, S. C. & Zulu, E. M. (2004) The evolution of population policies in Kenya and Malawi. Population Research and Policy Review 24, 83–104.Google Scholar
Gage, A. J. (1998) Sexual activity and contraceptive use: the components of the decision-making. Studies in Family Planning 25(3), 154–166.CrossRefGoogle Scholar
Giusti, C. & Vignoli, D. (2006) Determinants of contraceptive use in Egypt: a multilevel approach. Statistical Methods and Applications 15, 89–106.CrossRefGoogle Scholar
Greene, M. E. & Biddlecom, A. E. (2000) Absent and problematic men: demographic accounts of male reproductive roles. Population and Development Review 26(1), 81–115.CrossRefGoogle Scholar
Gregson, S., Zaba, B. & Hunter, S. C. (2002) The Impact of HIV-1 on Fertility in Sub-Saharan Africa: Causes and Consequences. Paper prepared for the Expert Group Meeting on Completing the Fertility Transition, Population Division, Department of Social and Economic AffairsUnited Nations, NY, USA, document 2002 UN/POP/CFT/2002/BP/5.Google Scholar
Gregson, S., Zhuwau, T., Anderson, R. M. & Chandiwana, S. K. (1997) HIV and fertility change in rural Zimbabwe. Health Transition Review 7 (Supplement 2), 89–112.Google Scholar
Hennink, M. & Madise, N. J. (2005) Influence of user fees on contraceptive use in Malawi. African Population Studies 20(2), 125–141.Google Scholar
Isiugo-Abanihe, U. C. (1994) Reproductive motivation and family size preference among Nigerian men. Studies in Family Planning 25(3), 149–161.CrossRefGoogle ScholarPubMed
Kalipeni, E. & Ghosh, J. (2007) Concern and practice among men about HIV/AIDS in low socio-economic income areas of Lilongwe, Malawi. Social Science & Medicine 64(5), 1116–1127.CrossRefGoogle Scholar
Kleinbaum, D. G. (1994) Logistic regression: a self-learning text. In Dietz, K., Gail, M., Krickeberg, K. & Singer, B. (eds) Statistics in the Health Sciences. Springer-Verlag, New York.Google Scholar
Lundberg, S. & Pollak, R. A. (1996) Bargaining and distribution in marriage. Journal of Economic Perspectives 10(4), 139–158.Google Scholar
Mason, K. O. & Taj, A. M. (1987) Differences between women's and men's reproductive goals in developing countries. Population and Development Review 13(4), 611–638.CrossRefGoogle Scholar
Meursing, K. & Sibinda, F. (1995) Condoms, family planning and living with HIV in Zimbabwe. Reproductive Health Matters 3(5), 56–67.CrossRefGoogle Scholar
Miller, K., Zulu, E. & Watkins, S. C. (2001) Husband–wife survey responses in Malawi. Studies in Family Planning 32(2), 161–174.CrossRefGoogle ScholarPubMed
Miller, W. B., Severy, L. J. & Pasta, D. J. (2004) A framework for modelling fertility motivation in couples. Population Studies 58(2), 193–205.CrossRefGoogle ScholarPubMed
Montgomery, M. & Casterline, R. (1996) Social learning, social influence and new models of fertility. Population and Development Review 22 (Supplement), 151–175.CrossRefGoogle Scholar
Noel-Miller, C. M. (2003) Concern regarding the HIV/AIDS epidemic and individual childbearing: evidence from rural Malawi. Demographic Research (Special Collection 1, Article 10), 319–346.CrossRefGoogle Scholar
Oheneba-Sakyi, Y. & Takyi, B. K. (1997) Effects of couple's characteristics on contraceptive use in sub-Saharan Africa: the Ghanaian example. Journal of Biosocial Science 29(2), 33–49.Google ScholarPubMed
Rutenberg, N., Biddlecom, A. E. & Kaona, F. A. D. (2000) Reproductive decision making in the context of HIV and AIDS: a qualitative study in Ndola, Zambia. International Family Planning Perspectives 26(3), 124–130.CrossRefGoogle Scholar
Smith, K. P. & Watkins, S. C. (2005) Perceptions of risk and strategies for prevention: responses to HIV/AIDS in rural Malawi. Social Sciences & Medicine 60, 649–660.CrossRefGoogle ScholarPubMed
Solo, J., Jacobstein, R. & Malema, D. (2005) Malawi Case Study: Choice, Not Chance. A Repositioning Family Planning Case Study. The ACQUIRE Project/Engender Health, September 2005, New York.Google Scholar
Varga, C. A. (1997) Sexual decision-making and negotiations in the midst of AIDS: youth in KwaZulu-Natal, South Africa. Health Transition Review (Supplement 3) 7, 45–67.Google Scholar
Yeatman, S. (2007) Fertility preferences in times of crisis: HIV infection and childbearing intentions in rural Malawi. Paper presented at the Annual Meeting of the Population Association of AmericaNew York.Google Scholar
Zaba, B. & Gregson, S. (1998) Measuring the impact of HIV on fertility in Africa. AIDS 12 (Supplement 1), S41–50.Google ScholarPubMed
Zopf, P. E. (1984) Population: An Introduction to Social Demography. Mayfield Publishing Company, California.Google Scholar