Women's Empowerment and Contraceptive Use: The Role of Independent versus Couples' Decision-Making, from a Lower Middle Income Country Perspective
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{"title"=>"Women's empowerment and contraceptive use: The role of independent versus couples' decision-making, from a lower middle income country perspective", "type"=>"journal", "authors"=>[{"first_name"=>"Waqas", "last_name"=>"Hameed", "scopus_author_id"=>"8264215900"}, {"first_name"=>"Syed Khurram", "last_name"=>"Azmat", "scopus_author_id"=>"55102543000"}, {"first_name"=>"Moazzam", "last_name"=>"Ali", "scopus_author_id"=>"7404486637"}, {"first_name"=>"Muhammad Ishaque", "last_name"=>"Sheikh", "scopus_author_id"=>"56323347600"}, {"first_name"=>"Ghazunfer", "last_name"=>"Abbas", "scopus_author_id"=>"56178957200"}, {"first_name"=>"Marleen", "last_name"=>"Temmerman", "scopus_author_id"=>"7006553571"}, {"first_name"=>"Bilal Iqbal", "last_name"=>"Avan", "scopus_author_id"=>"6701374470"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"25119727", "doi"=>"10.1371/journal.pone.0104633", "sgr"=>"84905981740", "arxiv"=>"arXiv:1011.1669v3", "isbn"=>"0039-3665, 0039-3665", "scopus"=>"2-s2.0-84905981740", "issn"=>"19326203", "pui"=>"373759241"}, "id"=>"62c54056-d361-3707-9d16-f702c470cc96", "abstract"=>"INTRODUCTION: There is little available evidence of associations between the various dimensions of women's empowerment and contraceptive use having been examined--and of how these associations are mediated by women's socio-economic and demographic statuses. We assessed these phenomena in Pakistan using a structured-framework approach.\\n\\nMETHODS: We analyzed data on 2,133 women who were either using any form of contraceptive or living with unmet need for contraception. The survey was conducted during May - June 2012, with married women of reproductive age (15-49 years) in three districts of Punjab. The dimensions of empowerment were categorized broadly into: economic decision-making, household decision-making, and women's mobility. Two measures were created for each dimension, and for the overall empowerment: women's independent decisions, and those taken jointly by couples. Contraceptive use was categorized as either female-only or couple methods on the basis of whether a method requires the awareness of, or some support and cooperation from, the husband. Multinomial regression was used, by means of Odds Ratios (OR), to assess associations between empowerment dimensions and female-only and couple contraceptive methods.\\n\\nRESULTS: Overall, women tend to get higher decision-making power with increased age, higher literacy, a greater number of children, or being in a household that has superior socio-economic status. The measures for couples' decision-making for overall empowerment and for each dimension of it showed positive associations with couple methods as well as with female-only methods. The only exception was the measure of economic empowerment, which was associated only with the couple method.\\n\\nCONCLUSION: Couples' joint decision-making is a stronger determinant of the use of contraceptive methods than women-only decision-making. This is the case over and above the contribution of women's socio-demographic and economic statuses. Effort needs to be made to educate women and their husbands equally, with particular focus on highly effective contraceptive methods.", "link"=>"http://www.mendeley.com/research/womens-empowerment-contraceptive-role-independent-versus-couples-decisionmaking-lower-middle-income-1", "reader_count"=>75, "reader_count_by_academic_status"=>{"Unspecified"=>7, "Professor > Associate Professor"=>1, "Student > Doctoral Student"=>5, "Researcher"=>13, "Student > Ph. D. Student"=>13, "Student > Postgraduate"=>3, "Student > Master"=>24, "Other"=>3, "Student > Bachelor"=>2, "Lecturer"=>2, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>7, "Professor > Associate Professor"=>1, "Student > Doctoral Student"=>5, "Researcher"=>13, "Student > Ph. D. Student"=>13, "Student > Postgraduate"=>3, "Student > Master"=>24, "Other"=>3, "Student > Bachelor"=>2, "Lecturer"=>2, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>11, "Nursing and Health Professions"=>10, "Biochemistry, Genetics and Molecular Biology"=>1, "Medicine and Dentistry"=>26, "Agricultural and Biological Sciences"=>2, "Business, Management and Accounting"=>3, "Psychology"=>2, "Social Sciences"=>20}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>26}, "Social Sciences"=>{"Social Sciences"=>20}, "Psychology"=>{"Psychology"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>10}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>3}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>11}}, "group_count"=>5}

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  • {"files"=>["https://ndownloader.figshare.com/files/1634353"], "description"=>"<div><p>Introduction</p><p>There is little available evidence of associations between the various dimensions of women's empowerment and contraceptive use having been examined - and of how these associations are mediated by women's socio-economic and demographic statuses. We assessed these phenomena in Pakistan using a structured-framework approach.</p><p>Methods</p><p>We analyzed data on 2,133 women who were either using any form of contraceptive or living with unmet need for contraception. The survey was conducted during May - June 2012, with married women of reproductive age (15–49 years) in three districts of Punjab. The dimensions of empowerment were categorized broadly into: economic decision-making, household decision-making, and women's mobility. Two measures were created for each dimension, and for the overall empowerment: women's independent decisions, and those taken jointly by couples. Contraceptive use was categorized as either female-only or couple methods on the basis of whether a method requires the awareness of, or some support and cooperation from, the husband. Multinomial regression was used, by means of Odds Ratios (OR), to assess associations between empowerment dimensions and female-only and couple contraceptive methods.</p><p>Results</p><p>Overall, women tend to get higher decision-making power with increased age, higher literacy, a greater number of children, or being in a household that has superior socio-economic status. The measures for couples' decision-making for overall empowerment and for each dimension of it showed positive associations with couple methods as well as with female-only methods. The only exception was the measure of economic empowerment, which was associated only with the couple method.</p><p>Conclusion</p><p>Couples' joint decision-making is a stronger determinant of the use of contraceptive methods than women-only decision-making. This is the case over and above the contribution of women's socio-demographic and economic statuses. Effort needs to be made to educate women and their husbands equally, with particular focus on highly effective contraceptive methods.</p></div>", "links"=>[], "tags"=>["association", "empowerment", "couple methods", "Middle Income Country Perspective IntroductionThere", "dimension"], "article_id"=>1137990, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Waqas Hameed", "Syed Khurram Azmat", "Moazzam Ali", "Muhammad Ishaque Sheikh", "Ghazunfer Abbas", "Marleen Temmerman", "Bilal Iqbal Avan"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104633", "stats"=>{"downloads"=>2, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Women_s_Empowerment_and_Contraceptive_Use_The_Role_of_Independent_versus_Couples_Decision_Making_from_a_Lower_Middle_Income_Country_Perspective_/1137990", "title"=>"Women's Empowerment and Contraceptive Use: The Role of Independent versus Couples' Decision-Making, from a Lower Middle Income Country Perspective", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-08-13 04:43:43"}
  • {"files"=>["https://ndownloader.figshare.com/files/1634350"], "description"=>"<p>Univariable analysis of women's empowerment in decision making and socio-economic and reproductive health characteristics (n = 2133).</p>", "links"=>[], "tags"=>["association", "empowerment", "couple methods", "Middle Income Country Perspective IntroductionThere", "dimension"], "article_id"=>1137987, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Waqas Hameed", "Syed Khurram Azmat", "Moazzam Ali", "Muhammad Ishaque Sheikh", "Ghazunfer Abbas", "Marleen Temmerman", "Bilal Iqbal Avan"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104633.t003", "stats"=>{"downloads"=>1, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Univariable_analysis_of_women_s_empowerment_in_decision_making_and_socio_economic_and_reproductive_health_characteristics_n_8202_8202_2133_/1137987", "title"=>"Univariable analysis of women's empowerment in decision making and socio-economic and reproductive health characteristics (n = 2133).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-08-13 04:43:43"}
  • {"files"=>["https://ndownloader.figshare.com/files/1634349"], "description"=>"<p>Characteristics of the sample (n = 2133).</p>", "links"=>[], "tags"=>["association", "empowerment", "couple methods", "Middle Income Country Perspective IntroductionThere", "dimension"], "article_id"=>1137986, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Waqas Hameed", "Syed Khurram Azmat", "Moazzam Ali", "Muhammad Ishaque Sheikh", "Ghazunfer Abbas", "Marleen Temmerman", "Bilal Iqbal Avan"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104633.t001", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_the_sample_n_8202_8202_2133_/1137986", "title"=>"Characteristics of the sample (n = 2133).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-08-13 04:43:43"}
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PMC Usage Stats | Further Information

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Relative Metric

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