As long as (I think) my husband agrees…: role of perceived partner approval in contraceptive use among couples living in military camps in Kinshasa, DRC

• DOI: 10.1186/s12978-021-01256-y
• Publication Date: 2022-01-12T17:02:53Z
• Authors: Julie H. Hernandez; Saleh Babazadeh; Philip A. Anglewicz; Pierre Z. Akilimali
• Keywords: Male; Health Knowledge, Attitudes, Practice; Research; 3. Good health; 03 medical and health sciences; Contraception; Military Personnel; Contraceptive Agents; 5. Gender equality; Family Planning Services; Democratic Republic of the Congo; Humans; Female; Spouses; 0305 other medical science; Contraception Behavior

Male partner's approval is a key determinant of contraceptive use for women living in Sub-Saharan Africa and improving men's support couple communication cornerstone family planning programs. However, often only measured through the women's perception their opinion.This study conducted Kinshasa compares variables from matched male female partners (n = 252 couples) to establish frequency (in)accurate perceptions by woman, then test association with modern use. Additional regressions estimate individual associated (in)correct perceptions.Results confirm are poorly aware opinion but indicate that perceived or disapproval woman much stronger than her actual opinion. Higher educational achievement strongest driver misunderstanding approval.Women's latter's opinion, stereotyping common error appreciation. findings also suggest these misunderstandings might serve capacity negotiate use.RéSUMé: CONTEXTE: L’approbation du conjoint est un facteur clé de l’utilisation des contraceptifs chez les femmes vivant en Afrique subsaharienne, et l’amélioration soutien hommes la au sein une pierre angulaire programmes planification familiale. Cependant, l’approbation conjugale n’est souvent mesurée qu’à travers ce que pensent leurs partenaires. MéTHODES: Cette étude menée à compare d’approbation entre formant pour établir fréquence (in)exactes femmes, puis teste leur moderne. Des régressions additionnelles permettent d’estimer individuelles couples associées ces (in)exactes. RéSULTATS: Les résultats confirment ont faible connaissance l’opinion partenaires quant contraceptive, mais indiquent par d’un avis favorable ou défavorable déterminant bien plus fort moderne réelle Le niveau d’études élevé femme le largement associé erronée l’avis son partenaire. CONCLUSIONS: conjoints sont derniers, stéréotyper concernant familiale erreur d’appréciation courante. recherche suggèrent aussi malentendus pourraient servir capacité négocier utilisation contraception.Research indicates may not methods if partner disapproves. there methodological gaps how this relation has been so far. For example, ones asked whether approves contraception surveys rarely assess know partner’s strongly it communicated them, nor do they ask said his on matter.In we address some those questions interviewing men married separately comparing The research uses population-based survey among military camps capital city Democratic Republic Congo, Kinshasa.The results show overall act based perceptions, nonetheless. In particular, whose husband disapproves (falsely) perceive have highest odds our cohort Conversely, “false negative” scenario (husband disapproval) less likely contraception. analysis latter more who educated partner, possibly because desires. discussion raise possibility however benefit ignoring partners’ true wishes order fulfill own choice.