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Spousal communication on family planning and perceived social support for contraceptive practices in a sample of Malaysian women

Background: In Malaysia, contraceptive prevalence rate (CPR) during past three decades has been steady, with only 34% of women practicing modern contraception. The aim of this study was to determine the factors associated with modern contraceptive practices with a focus on spousal communication and...

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Main Authors: Najafi Sharjabad, Fatemeh, Abdul Rahman, Hejar, Juni, Muhammad Hanafiah, Syed Yahya, Sharifah Zainiyah
Format: Article
Published: Isfahan University of Medical Sciences 2014
Online Access:http://psasir.upm.edu.my/id/eprint/35444/
http://www.ijnmr.mui.ac.ir/index.php/ijnmr/article/view/1186
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spelling my.upm.eprints.354442016-01-11T01:54:39Z http://psasir.upm.edu.my/id/eprint/35444/ Spousal communication on family planning and perceived social support for contraceptive practices in a sample of Malaysian women Najafi Sharjabad, Fatemeh Abdul Rahman, Hejar Juni, Muhammad Hanafiah Syed Yahya, Sharifah Zainiyah Background: In Malaysia, contraceptive prevalence rate (CPR) during past three decades has been steady, with only 34% of women practicing modern contraception. The aim of this study was to determine the factors associated with modern contraceptive practices with a focus on spousal communication and perceived social support among married women working in the university. Materials and Methods: A cross-sectional study was carried out using self-administered structured questionnaire. The association between variables were assessed using Chi-square test, independent sample t-test, and logistic regression. Results: Overall, 36.8% of women used modern contraceptive methods. Signifi cant association was found between contraceptive practice and ethnicity (P = 0.003), number of pregnancies (P < 0.001), having child (P = 0.003), number of children (P < 0.001), positive history of mistimed pregnancy (P = 0.006), and experience of unwanted pregnancy (P = 0.003). The fi nal model showed Malay women were 92% less likely to use modern contraception as compared to non-Malay women. Women who discussed about family planning with their spouses were more likely to practice modern contraception than the women who did not [odds ratio (OR): 2.2, Confi dence Interval (CI): 1.3–3.7]. Those women with moderate (OR: 4.9, CI: 1.6–10.8) and strong (OR: 14, CI: 4.5–26.4) perception of social support for contraceptive usage were more likely to use modern contraception than the women with poor perception of social support. Conclusion: Spousal communication regarding family planning would be an effective way to motivate men for supporting and using contraceptives. Family planning education initiatives should target both men and women, particularly high-risk cases, for promoting healthy timing and spacing of pregnancies. Ethnic disparities need to be considered in planning reproductive health programs. Isfahan University of Medical Sciences 2014 Article PeerReviewed Najafi Sharjabad, Fatemeh and Abdul Rahman, Hejar and Juni, Muhammad Hanafiah and Syed Yahya, Sharifah Zainiyah (2014) Spousal communication on family planning and perceived social support for contraceptive practices in a sample of Malaysian women. Iranian Journal of Nursing and Midwifery Research, 19 (7 suppl. 1). s19-s27. ISSN 1735-9066; ESSN: 2228-5504 http://www.ijnmr.mui.ac.ir/index.php/ijnmr/article/view/1186
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
description Background: In Malaysia, contraceptive prevalence rate (CPR) during past three decades has been steady, with only 34% of women practicing modern contraception. The aim of this study was to determine the factors associated with modern contraceptive practices with a focus on spousal communication and perceived social support among married women working in the university. Materials and Methods: A cross-sectional study was carried out using self-administered structured questionnaire. The association between variables were assessed using Chi-square test, independent sample t-test, and logistic regression. Results: Overall, 36.8% of women used modern contraceptive methods. Signifi cant association was found between contraceptive practice and ethnicity (P = 0.003), number of pregnancies (P < 0.001), having child (P = 0.003), number of children (P < 0.001), positive history of mistimed pregnancy (P = 0.006), and experience of unwanted pregnancy (P = 0.003). The fi nal model showed Malay women were 92% less likely to use modern contraception as compared to non-Malay women. Women who discussed about family planning with their spouses were more likely to practice modern contraception than the women who did not [odds ratio (OR): 2.2, Confi dence Interval (CI): 1.3–3.7]. Those women with moderate (OR: 4.9, CI: 1.6–10.8) and strong (OR: 14, CI: 4.5–26.4) perception of social support for contraceptive usage were more likely to use modern contraception than the women with poor perception of social support. Conclusion: Spousal communication regarding family planning would be an effective way to motivate men for supporting and using contraceptives. Family planning education initiatives should target both men and women, particularly high-risk cases, for promoting healthy timing and spacing of pregnancies. Ethnic disparities need to be considered in planning reproductive health programs.
format Article
author Najafi Sharjabad, Fatemeh
Abdul Rahman, Hejar
Juni, Muhammad Hanafiah
Syed Yahya, Sharifah Zainiyah
spellingShingle Najafi Sharjabad, Fatemeh
Abdul Rahman, Hejar
Juni, Muhammad Hanafiah
Syed Yahya, Sharifah Zainiyah
Spousal communication on family planning and perceived social support for contraceptive practices in a sample of Malaysian women
author_facet Najafi Sharjabad, Fatemeh
Abdul Rahman, Hejar
Juni, Muhammad Hanafiah
Syed Yahya, Sharifah Zainiyah
author_sort Najafi Sharjabad, Fatemeh
title Spousal communication on family planning and perceived social support for contraceptive practices in a sample of Malaysian women
title_short Spousal communication on family planning and perceived social support for contraceptive practices in a sample of Malaysian women
title_full Spousal communication on family planning and perceived social support for contraceptive practices in a sample of Malaysian women
title_fullStr Spousal communication on family planning and perceived social support for contraceptive practices in a sample of Malaysian women
title_full_unstemmed Spousal communication on family planning and perceived social support for contraceptive practices in a sample of Malaysian women
title_sort spousal communication on family planning and perceived social support for contraceptive practices in a sample of malaysian women
publisher Isfahan University of Medical Sciences
publishDate 2014
url http://psasir.upm.edu.my/id/eprint/35444/
http://www.ijnmr.mui.ac.ir/index.php/ijnmr/article/view/1186
_version_ 1643831455538741248
score 13.211869

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