Longitudinal examination of young married women’s fertility and family planning intentions and how they relate to subsequent family planning use in Bihar and Uttar Pradesh India
Objectives This study examines which fertility and family planning (FP) intentions are related to subsequent FP use in a sample of young, married women in India.Design We use 3-year longitudinal data from married women ages 15–19 in 2015–2016 (wave 1) who are not using contraception to examine facto...
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e064487.full |
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| author | Niranjan Saggurti Lisa Calhoun Priya Nanda Ilene S Speizer A J Francis Zavier Gwyn Hainsworth |
| author_facet | Niranjan Saggurti Lisa Calhoun Priya Nanda Ilene S Speizer A J Francis Zavier Gwyn Hainsworth |
| author_sort | Niranjan Saggurti |
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| description | Objectives This study examines which fertility and family planning (FP) intentions are related to subsequent FP use in a sample of young, married women in India.Design We use 3-year longitudinal data from married women ages 15–19 in 2015–2016 (wave 1) who are not using contraception to examine factors associated with any use of FP in 2018–2019 (wave 2).Setting Data were collected in the states of Bihar and Uttar Pradesh, India.Participants A representative sample of 4893 young married women ages 15–19 was surveyed in 2015–2016 and 4000 of them were found and interviewed 3 years later. This analysis focused on the 3614 young women who were not using FP at wave 1.Primary outcomes This study examines FP use at wave 2 as the main outcome variable.Results Multivariate analyses demonstrated that young women who wanted to delay childbearing three or more years or who did not want any(more) children at wave 1 were more likely to use contraception at wave 2. Additionally, intention to use FP in the next 12 months at wave 1 was significantly associated with FP use at wave 2 whereas unmet need at wave 1 was not significantly related to subsequent use. A combined measure of fertility desires and intention to use FP demonstrated the importance of both measures on subsequent use. Having any children and being pregnant at wave 1 were both related to FP use at wave 2.Conclusions It is important to reach young, married women prior to a first pregnancy with nuanced messages addressing their fertility and FP intentions. Programmes targeting women at antenatal and postpartum visits are important for young women to help support them to use FP to address their desires to delay or limit future childbearing for the health and well-being of themselves and their children. |
| format | Article |
| id | doaj-art-da4657ed46cd42f9a8f520f38784ef2c |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-da4657ed46cd42f9a8f520f38784ef2c2025-01-31T13:35:09ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2022-064487Longitudinal examination of young married women’s fertility and family planning intentions and how they relate to subsequent family planning use in Bihar and Uttar Pradesh IndiaNiranjan Saggurti0Lisa Calhoun1Priya Nanda2Ilene S Speizer3A J Francis Zavier4Gwyn Hainsworth5Population Council, New Delhi, IndiaCarolina Population Center, University of North Carolina, Chapel Hill, North Carolina, USABill and Melinda Gates Foundation India, New Delhi, IndiaMaternal and Child Health, University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina, USAPopulation Council, New Delhi, IndiaBill & Melinda Gates Foundation, Seattle, Washington, USAObjectives This study examines which fertility and family planning (FP) intentions are related to subsequent FP use in a sample of young, married women in India.Design We use 3-year longitudinal data from married women ages 15–19 in 2015–2016 (wave 1) who are not using contraception to examine factors associated with any use of FP in 2018–2019 (wave 2).Setting Data were collected in the states of Bihar and Uttar Pradesh, India.Participants A representative sample of 4893 young married women ages 15–19 was surveyed in 2015–2016 and 4000 of them were found and interviewed 3 years later. This analysis focused on the 3614 young women who were not using FP at wave 1.Primary outcomes This study examines FP use at wave 2 as the main outcome variable.Results Multivariate analyses demonstrated that young women who wanted to delay childbearing three or more years or who did not want any(more) children at wave 1 were more likely to use contraception at wave 2. Additionally, intention to use FP in the next 12 months at wave 1 was significantly associated with FP use at wave 2 whereas unmet need at wave 1 was not significantly related to subsequent use. A combined measure of fertility desires and intention to use FP demonstrated the importance of both measures on subsequent use. Having any children and being pregnant at wave 1 were both related to FP use at wave 2.Conclusions It is important to reach young, married women prior to a first pregnancy with nuanced messages addressing their fertility and FP intentions. Programmes targeting women at antenatal and postpartum visits are important for young women to help support them to use FP to address their desires to delay or limit future childbearing for the health and well-being of themselves and their children.https://bmjopen.bmj.com/content/12/7/e064487.full |
| spellingShingle | Niranjan Saggurti Lisa Calhoun Priya Nanda Ilene S Speizer A J Francis Zavier Gwyn Hainsworth Longitudinal examination of young married women’s fertility and family planning intentions and how they relate to subsequent family planning use in Bihar and Uttar Pradesh India BMJ Open |
| title | Longitudinal examination of young married women’s fertility and family planning intentions and how they relate to subsequent family planning use in Bihar and Uttar Pradesh India |
| title_full | Longitudinal examination of young married women’s fertility and family planning intentions and how they relate to subsequent family planning use in Bihar and Uttar Pradesh India |
| title_fullStr | Longitudinal examination of young married women’s fertility and family planning intentions and how they relate to subsequent family planning use in Bihar and Uttar Pradesh India |
| title_full_unstemmed | Longitudinal examination of young married women’s fertility and family planning intentions and how they relate to subsequent family planning use in Bihar and Uttar Pradesh India |
| title_short | Longitudinal examination of young married women’s fertility and family planning intentions and how they relate to subsequent family planning use in Bihar and Uttar Pradesh India |
| title_sort | longitudinal examination of young married women s fertility and family planning intentions and how they relate to subsequent family planning use in bihar and uttar pradesh india |
| url | https://bmjopen.bmj.com/content/12/7/e064487.full |
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