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  • Title: The newly-weds' decisions on contraception.
    Author: Guo Y, Lin D, Shi Y, Lou C, Fang K, Li H, Gao E, Zhang D.
    Journal: Chin J Popul Sci; 1992; 4(2):175-85. PubMed ID: 12317923.
    Abstract:
    In China, the interval between first marriage and first childbearing has declined. This study examined the relationship between sociopsychological and demographic factors and contraceptive usage among newly married couples in Shanghai districts of Luwan and Hongku between August 15, 1987, and August 14, 1988. A random sample of 7872 newlyweds who intended to postpone childbearing were interviewed; 12.5% of the 15,938 registered marriages desired postponement of childbearing. Premarital courtship spanned an average of 35.1 months with a standard deviation of 23.2 months. 73% of couples did not desire two children. 13.8% desired two children. 77% of couples were dependent on parents after 3 months of marriage. 11% had sexual relations before registration and 20% before the wedding. 87% used contraception before marriage registration and 89% before the wedding. 6% failed to use any contraception. Those using contraception has sexual relations less frequently than those not using contraception. 70% did not use contraception after the wedding because of unavailability of pills, fear of side effects from pills, and lack of knowledge about nonpill contraception. In a univariate analysis, 17 independent variables were selected for the logistic models: education level of the couple and husband's parents, wife's age at marriage, monthly income of couple, premarital romance period, wife's and husband's occupation, husband's family position as the only son, work shifts, residence with their parents, desire for 2 children, channel for information about contraception, wife's contraceptive knowledge and communication, and expected pregnancy date. The results indicated that wives with high educational levels use contraception more frequently. A 1% increase in education yields a 28.1% increase in likelihood of contraceptive use. Official channels of information are more likely to result in contraceptive use. Wives who exchange contraceptive knowledge with many others are better contraceptors. Greater likelihood of use was also related to employment in state-owned enterprises. In models excluding couple's desire for children and wife's contraceptive knowledge, 10 variables were found to have a stabilizing effect as evidenced in assessment at 3 different points after marriage registration. These were wife's age at marriage, educational level of the couple, wife's occupation, premarital romance period, work shifts, desire for 2 children, channel of communication, wife's interaction with others about contraception, residence with parents, and husband's work unit.
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