Community, social group, and individual level correlates of rural Malawian men’s and women’s reproductive health intentions and practices
), Thomas Bisika(2), Joseph deGraft-Johnson(3), Amy O. Tsui(4),
(1)
(2)
(3)
(4)
Corresponding Author
Abstract
Using a sample of 656 men and 930 women from rural Malawi in 2000, the authors examined the association between various individual and community level factors, as well as participation in social groups, and four reproductive health outcomes: intentions to use any contraceptives in the next six months, current use of modern contraceptives, wanting an HIV test, and having had an HIV test. Women in social groups have higher odds of reporting intentions to use contraceptives, wanting an HIV test, and of having had an HIV test than those not in groups. Among men, social group participation is only slightly associated with having had an HIV test. For all, education is positively associated with all four outcomes, and number of children is associated with intentions to use and actual use of contraceptives. At a community level, proximity to a health center or school is positively associated with three outcomes for women and with use of modern contraceptive methods for men. (Afr J Reprod Health 2012; 16[3]: 56-66).
Résumé
En utilisant un échantillon de 656 hommes et 930 femmes provenant des régions rurales du Malawi en 2000, les auteurs ont examiné l'association entre l'individu et des facteurs différents au niveau des communautés, ainsi que la participation à des groupes sociaux, et quatre résultats pour la santé de la reproduction: les intentions d'utiliser n'importe quel type de contraceptifs dans les les six prochains mois, l'utilisation courante de la contraception moderne, la volonté de faire une analyse pour déterminer la présence du VIH, et ayant fait une analyse pour déterminer la présence du VIH. Les femmes dans des groupes sociaux ont plus de chances de déclarer les intentions d'utiliser des contraceptifs, de signaler l’intention de faire l’analyse et d’avoir fait l’analyse dans le passé que ceux qui ne sont pas dans les groupes. Chez les hommes, la participation au sein du groupe social est seulement légèrement associée au fait d’avoir subi un test pour la détermination de la présence du VIH. Pour tous, l'éducation est positivement associée à tous les quatre résultats, et le nombre d'enfants est associé à l'intention d'utiliser et à l'utilisation réelle des contraceptifs. Au niveau communautaire, la proximité à un centre de santé ou à l'école est positivement associée à quatre résultats chez les femmes, alors que le fait d’être domicilié près d'une école ou d’un centre de santé n'est que significativement associé à l'utilisation des méthodes contraceptives modernes chez les hommes (Afr J Reprod Health 2012; 16[3]: 56-66).
Keywords: Group membership, volunteer associations, reproductive health, HIV/AIDS, Malawi
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