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  • Title: The use of modern and traditional methods of fertility control in Bangladesh: a multivariate analysis.
    Author: Ullah MS, Chakraborty N.
    Journal: Contraception; 1994 Oct; 50(4):363-72. PubMed ID: 7813224.
    Abstract:
    An attempt has been made to study the use pattern of traditional and modern methods of fertility control among currently married women of reproductive ages utilizing the 1989 BFS data. Bivariate analysis has been employed to study the differentials in the use pattern by some selected demographic and socio-economic characteristics. Also, multivariate logistic regression analysis has been used to identify independent contributions of each selected covariate. It has been observed, however, that there is universality of knowledge about contraceptive methods. Of the total 31 percent, about 23 percent were using modern methods and the rest, 8 percent, traditional methods. Analysis using a logistic regression model showed that visits of family planning workers have very strong and positive influence on the current use of modern contraceptives as compared to traditional methods. Duration of effective marriage also emerged as a strong determinant of modern versus traditional methods use but it influenced modern methods use negatively. Also, administrative division is an important variable. Residents of Rajshahi division were significantly more (relative odds of 2.5) likely to be using modern methods than residents of Chittagong division. The likelihood of women having electricity in their household of being a current user of modern contraceptives is almost 2 times higher compared to women without electricity in their households. Education and occupation of husbands also exerts effect on current use of modern contraceptives. The odds of current use of modern methods among women whose husbands have secondary and higher level of education is one-and-a-half times higher than that of women with husbands having no formal education. However, wives of landowners were less (relative odds of 0.72) likely to use these methods as compared to traditional methods than wives of labourers or farmers. The probability of current use of modern contraceptives was higher (relative odds of 1.5) among women who discussed family planning with their husbands than those who did not. The use pattern of traditional and modern methods of fertility control was studied among currently married women of reproductive age utilizing the data extracted from the 1989 Bangladesh Fertility Survey (BFS) conducted during December 1988 to April 1989. This national two-stage probability sample survey selected 175 rural and 100 urban clusters. At the second stage, from 11,236 households (7984 rural and 3252 urban) a total of 11,906 ever-married women under 50 years old (8467 rural and 3439 urban) were successfully interviewed, constituting the reference population. Bivariate analysis studied the differentials in the use pattern by some selected demographic and socioeconomic characteristics. Also, multivariate logistic regression analysis was used to identify independent contributions of each selected covariate. There was universal knowledge about contraceptive methods. The contraceptive prevalence rate amounted to 31%; 23% were using modern methods and 8% relied on traditional methods. Logistic regression showed that visits of family planning workers had very strong positive influence on the current use of modern contraceptives as compared to traditional methods. Duration of marriage influenced modern method use negatively. Residents of Rajshahi division were significantly more likely (relative odds of 2.5) to use modern methods than residents of Chittagong division. Women having electricity in their household were almost 2 times more likely to be current users of modern contraceptives compared to women without electricity. Non-Muslim women were significantly less likely to use modern contraceptives (relative odds of 0.5) compared to Muslim women. Women whose husbands had secondary and higher levels of education were 1.5 times more likely to use modern methods than women whose husbands lacked education. However, wives of landowners were less likely (relative odds of 0.72) to use modern methods vs. traditional methods than wives of laborers or farmers. Women who discussed family planning with their husbands tended to use modern contraceptives more (relative odds of 1.5) than those who did not.
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