Measuring Women's Covert Use of Modern Contraception in Cross-Sectional Surveys
Measuring Women's Covert Use of Modern Contraception in Cross-Sectional Surveys
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DOI：
10.1111/sifp.12053
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发表时间：
2018-06-01
影响因子：
2.1
通讯作者：
Becker, Stan
中科院分区：
文献类型：
--
作者：
Choiriyyah, Ifta;Becker, Stan
一部分妇女在伴侣不知情的情况下使用避孕药具。在人口与健康调查（DHS）等横断面调查中，有两种主要方法来衡量这种隐蔽使用。首先是一个直接的问题，你的丈夫/伴侣知道你在使用计划生育方法吗？第二种是间接方法：伴侣双方对避孕药具使用问题的报告是一致的，如果妇女报告使用了现代避孕方法，而男性伴侣报告未使用，则认为她使用了避孕药具。对于21个人口与健康调查的调查，这两种估计都可以作出，两者之间有很大的差异。我们发现，一个代理变量回答了这样一个问题，你认为避孕主要是你的决定，主要是你丈夫/伴侣的决定，还是你们两个一起决定的？对两种方法的公开类别和两种方法的隐蔽类别的分类具有高灵敏度和特异性。建议在人口和健康调查中恢复直接问题，间接方法不单独使用，而是与决策变量结合使用。
A proportion of women in couples use contraception without their partners' knowledge. There are two principal ways to measure this covert use in cross-sectional surveys like the Demographic and Health Surveys (DHS). First is a direct question, Does your husband/partner know that you are using a method of family planning? Second is an indirect method: the reports of both partners to the question on contraceptive use are matched, and if the woman reports a modern contraceptive method and the male partner reports nonuse, her use is considered covert. For 21 DHS surveys for which both estimates could be made, there are large discrepancies between the two. We found that a proxy variableresponses to the question, Would you say that using contraception is mainly your decision, mainly your husband's/partner's decision, or did you both decide together?has high sensitivity and specificity for classifying those in the open category for both methods and those in the covert category for both methods. Recommendations are that the direct question be reinstated in the DHS and that the indirect method not be used by itself but in conjunction with the decision-making variable.