Partner Communication, Discordant Fertility Goals, and Contraceptive Use in Urban Kenya

Katherine Tumlinson, Ilene S. Speizer, Joshua T. Davis, Jean Christophe Fotso, Paul Kuria, Linda H. Archer


This study assesses the degree of partner communication and perceived partner concordance and their association with contraceptive use among 2,891 women and 1,362 men in urban Kenya. Twenty-three percent of men and 30% of women report never discussing FP with their partner. Approximately 70% of participants perceive their partner to have concordant fertility desires. Multivariate analyses revealed that both male (AOR = 7.7 [95% CI = 5.5-10.7]) and female (AOR = 2.8 [95% CI = 2.33.3]) participants were more likely to use contraception if they report discussing FP with their partner. Participants who perceive that their partner wants fewer children also were more likely to use contraception (AOR, females = 1.8 [95% CI = 1.2-2.8]), (AOR, males = 1.9 [95% CI = 1.2-3.1]). Discussion of FP is a key determinant of contraceptive use; in couples with discordant fertility goals, pro-natalist males do not always dictate contraceptive behavior in urban Kenya. (Afr J Reprod Health 2013; 17[3]: 79-90).



Cette étude fait une évaluation du  degré de communication entre les partenaires et la concordance des partenaires perçue et leur association avec l'utilisation des contraceptifs chez 2,891 femmes et 1,362 hommes dans le milieu urbain de Kenya. Vingt-trois pour cent des hommes et 30% des femmes ont déclaré qu’ils n’ont jamais discuté la PF avec leurs partenaires. Environ 70% des participants perçoivent leurs partenaires comme ayant des désirs de fertilité concordantes. Des analyses multi variées ont révélé que les participants mâles (AOR = 7,7 [IC = 5,5 à 10,7 95%]) et les femelles (AOR = 2,8 [IC 95% = 2,3-3,3]), étaient plus susceptibles d'utiliser la contraception s’ils déclarent qu’ils discutent la PF avec leurs partenaires. Les participants qui ont l'impression que leurs partenaires désirent moins d'enfants étaient également plus susceptibles d’utiliser la contraception (AOR, femmes = 1,8 [95% IC = 1,2-2,8]), (AOR,  hommes = 1,9 [95% IC = 1,2-3,1]). La discussion sur la PF est un facteur déterminant de l'utilisation des contraceptifs ; chez les couples  des objectifs de fécondité discordants, les hommes natalistes ne dictent pas toujours  le comportement contraceptif dans les milieux urbains du Kenya. (Afr J Reprod Health 2013; 17[3]: 79-90).



Keywords: Male involvement; Family planning; Couples, Discussion

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