1. Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey
Mohammad Amirul Islam
Sabu S. Padmadas
Peter W.F. Smith
Division of Social Statistics, University of Southampton, SO17 1BJ, UK
Contact:
Paper presented at the BSPS Annual Conference, September 12-14, 2005

2. Outline of the presentation
Objectives of the research
Data used
Extent of inconsistency in reporting of contraception between spouses
Determinants of inconsistency
Inconsistency in reporting of condom use
Determinants of inconsistency in reporting of condom use
Conclusions
BSPS conference , September, 2005

3. Objectives of the research
To determine the extent of inconsistency in reporting of contraception between spouses
To identify the determinants of such inconsistency
To further explore the inconsistency in reporting of condom use
BSPS conference , September, 2005

4. BSPS conference , 12-14 September, 2005
Data used
The study is based on BDHS which collected
A male data set of 2556 currently married men aged years
A female data set of 10,544 ever married women aged years
A couple data set (N=2249) is generated by linking the spouses. This is the main source of information for this study
BSPS conference , September, 2005

5. Contraceptive prevalence rate by sex
BSPS conference , September, 2005

6. BSPS conference , 12-14 September, 2005
Comparison of reported contraceptive use by spouses: percent distribution of couples according to husband’s and wife’s reported current contraceptive use status
BSPS conference , September, 2005

7. BSPS conference , 12-14 September, 2005
Comparison of reported contraceptive use by spouses: percent distribution of couples according to husband’s and wife’s reported current contraceptive use status
BSPS conference , September, 2005

8. BSPS conference , 12-14 September, 2005
Comparison of reported contraceptive use by spouses: percent distribution of couples according to husband’s and wife’s reported current contraceptive use status
BSPS conference , September, 2005

9. BSPS conference , 12-14 September, 2005
Comparison of reported contraceptive use by spouses: percent distribution of couples according to husband’s and wife’s reported current contraceptive use status
BSPS conference , September, 2005

10. BSPS conference , 12-14 September, 2005
Comparison of reported contraceptive use by spouses: percent distribution of couples according to husband’s and wife’s reported current contraceptive use status
BSPS conference , September, 2005

11. Determinants of inconsistency
Two level random intercept binary logistic regression model has been fitted
Response variable: Consistent use reporting (yes=1, no=0)
Independent variables:
Division: Barisal, Chittagong, Dhaka, Khulna, Rajshahi, Sylhet
Area of residence: urban, rural
Couple education: both have no education, only husband is educated, only wife is educated, both educated
Number of living children: no children, 1-2, 3-4, 5 and more
Discussion of FP with partner: yes, no
BSPS conference , September, 2005

12. Determinants of inconsistency
A couple is more likely to report contraception consistently if -
They are from Sylhet, Rajshahi, Dhaka and Chittagong divisions, from rural area, only wife is educated, have less than 5 children and discuss FP
Community effect is significant
Note: effects of changes of the reference categories for independent variables with more than two categories have been evaluated
BSPS conference , September, 2005

13. Inconsistency in reporting of condom use
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14. BSPS conference , 12-14 September, 2005
Inconsistency in condom reporting by partner's report of other method use or non-use
BSPS conference , September, 2005

15. Determinants of inconsistency in reporting of condom use
A multinomial logistic regression model has been fitted
Response variable: Inconsistent reporting of condom use
husband reporting condom while wife did not
wife reporting condom while husband did not
both reported condom (reference)
Independent variables:
Couple education*: both have no education, only husband is educated, only wife is educated, both educated
Age difference between spouses*: less than 8, 8 or more
Area of residence: urban, rural
Discussion of FP with partner: yes, no
* means significant in the model
BSPS conference , September, 2005

16. Determinants of inconsistency in reporting of condom use
The regression results are presented in terms of estimated probabilities corresponding to the estimated coefficients
The estimated probabilities are calculated based on the reference couple’s characteristics
The characteristics of the reference couple:
couple is from rural area
only husband is educated
age difference between spouse is less than 8 years
couple does not discuss FP
BSPS conference , September, 2005

17. Determinants of inconsistency in reporting of condom use
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18. Determinants of inconsistency in reporting of condom use
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19. Determinants of inconsistency in reporting of condom use
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20. Determinants of inconsistency in reporting of condom use
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21. BSPS conference , 12-14 September, 2005
Conclusions
Inconsistency in reporting contraception is found to be 23.5%
The discrepancies are observed more where husbands reported method use but wife reported non-use
Inconsistencies are more in reporting of use of condom, pill and periodic abstinence
Consistency in reporting of contraception is high among couples who are from Sylhet, Dhaka, Rajshahi and Chittagong divisions, from rural areas, where only wife is educated, have less number of children and discuss FP within couple
Couple education and age difference between spouses are significant determinants of inconsistent reporting of condom use
BSPS conference , September, 2005