Abstract
Introduction
The Nigerian population policy targeted a 30.2% prevalence of modern contraceptives among its population by the year 2015. In spite of the widespread knowledge of contraceptive use among the population, the prevalence stood at 12% in 2018. This study, riding on several previous studies on the determinants of contraceptive use in Nigeria, investigates the latent and under-explored determinants against the background that what is known has not significantly translated to the realization of the country’s population policy targets.
Methods
Using data on 27,274 married and in-union women aged 15–49 from the 2013 Nigerian Demographic and Health Survey, the relationships between sex preference, family composition, intimate partner violence, and coital frequency and contraceptive use were analyzed using bivariate statistics and logistic regression.
Results
The prevalence of contraceptive use was 9.9%, and in both the unadjusted and adjusted regression models with other known sociodemographic confounders of contraceptive use, family composition, and active coital frequency predicted increased odds of utilization (P < 0.001). Preference for sons was latent and implicated in family composition and contraceptive use.
Conclusions
The study concludes that ethnic differences and cultural attributes of the ethnic groups which underlie issues of family composition should be given prominence in efforts at scaling up contraceptive use in Nigeria.
Policy Implications
With the findings from this study, population control policies in Nigeria and efforts at scaling up contraceptive utilization in particular, should be tailor-made to accommodate ethnic differences and inherent cultural attributes of the more than 380 ethnic groups in the country as this was found to underlie fertility preferences and how family composition is viewed.
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References
Addai, I. (1999). Ethnicity and contraceptive use in sub-Saharan Africa: The case of Ghana. Journal of Biosocial Science, 31(1), 105–120.
Adebowale, A. S., & Palamuleni, M. E. (2015). Influence of gender preference and sex composition of surviving children on childbearing intention among high fertility married women in stable union in Malawi. African Health Sciences, 15(1), 150–160.
Adedini, S. A., Babalola, S., Ibeawuchi, C., Omotoso, O., Akiode, A., & Odeku, M. (2018). Role of religious leaders in promoting contraceptive use in Nigeria: Evidence from the Nigerian Urban Reproductive Health Initiative. Global Health Science and Practice, 6(3), 500–514.
Adeyemi, A. S., Olugbenga-Bello, A. I., Adeoye, O. A., Salawu, M. O., Aderinoye, A. A., & Agbaje, M. A. (2016). Contraceptive prevalence and determinants among women of reproductive age group in Ogbomoso, Oyo State, Nigeria. Open Access Journal of Contraception, 2016(7), 33–41.
Arévalo, M., Jennings, V., & Sinai, I. (2002). Efficacy of a new method of family planning: The standard days method. Contraception, 65, 333–338.
Avong, H. N. (2000). Perception of and attitudes toward the Nigerian Federal Population Policy, family planning program and family planning in Kaduna state, Nigeria. African Journal of Reproductive Health, 4(1), 66–76.
Babalola, S., & Oyenubi, O. (2018). Factors explaining the north–south differentials in contraceptive use in Nigeria: A nonlinear decomposition analysis. Demographic Research, 38, 287–308.
Babalola, S., Oyenubi, O., Speizer, I. S., Cobb, L., Akiode, A., & Odeku, M. (2017). Factors affecting the achievement of fertility intentions in urban Nigeria: Analysis of longitudinal data. BMC Public Health, 2017, 17, 942.
Bamgboye, E. A., & Ajayi, I. (2016). Changing patterns of unmet needs for family planning among women of reproductive age in Nigeria. African Journal of Reproductive Health, 20(3), 127–135.
Bankole, A., & Audam, S. (2011). Fertility preferences and contraceptive use among couples in sub-Saharan Africa. African Population Studies, 25(2), 556–586.
Bell, S. O., & Bishai, D. (2017). Unmet need and sex: Investigating the role of coital frequency in fertility control. Studies in Family Planning, 48(1), 39–53.
Blanc, A. K., & Rutenberg, N. (1991). Coitus and contraception: The utility of data on sexual intercourse for family planning programs. Studies in Family Planning, 22(3), 162–176.
Caldwell, J. C., & Caldwell, P. (1977). The role of marital sexual abstinence in determining fertility: A study of the Yoruba in Nigeria. Population Studies, 31(2), 193–217.
Calhoun, L. M., Nanda, P., Speizer, I. S., & Jain, M. (2013). The effect of family sex composition on fertility desires and family planning behaviors in urban Uttar Pradesh, India. Reproductive Health, 10, 48.
Channon, M. D. (2015). Son preference, parity progression and contraceptive use in South Asia. Population Horizons, 12(1), 24–36.
De Silva, W. I. (1993). Influence of son preference on the contraceptive use and fertility of Sri Lankan women. Journal of Biosocial Science, 25(3), 319–331.
Duze, M. C., & Mohammed, I. Z. (2006). Male knowledge, attitudes, and family planning practices in northern Nigeria. African Journal of Reproductive Health, 10(3), 53–65.
Fayehun, O.A., Omololu, O.O. and Isiugo-Abanihe, U.C. (2011). Sex of Preceding Child and Birth Spacing among Nigerian Ethnic Groups. African Journal of Reproductive Health, 15(2): 79-89.
Fapohunda, E. R., & Todaro, M. P. (1988). Family structure, implicit contracts, and the demand for children in southern Nigeria. Population and Development Review, 14(4), 571–594.
George, G., Maughan-Brown, B., Beckett, S., Evans, M., et al. (2019). Coital frequency and condom use in age-disparate partnerships involving women aged 15 to 24: Evidence from a cross-sectional study in KwaZulu-Natal, South Africa. BMJ Open, 2019(9).
Ibisomi, L. (2014). Is age difference between partners associated with contraceptive use among married couples in Nigeria? International Perspectives on Sexual and Reproductive Health, 40(1), 39–45.
Igwegbe, A. O., Ugboaja, J. O., & Monago, E. N. (2009). Prevalence and determinants of unmet need for family planning in Nnewi, south-East Nigeria. International Journal of Medicine and Medical Sciences. Vol., 1(8), 325–329.
Ijadunola, M. Y., Abiona, T. C., Ijadunola, K. T., Afolabi, O. T., Esimai, O. A., & OlaOlorun, F. M. (2010). Male involvement in family planning decision making in Ile-Ife, Osun State, Nigeria. African Journal of Reproductive Health, 14(4), 43–50.
Iliyasu, Z., Galadanci, H. S., Danlami, H. M., Salihu, H. M., & Aliyu, M. H. (2018). Correlates of postpartum sexual activity and contraceptive use in Kano, northern Nigeria. African Journal of Reproductive Health, 22(1), 103–112.
International Organization for Migration (2019). https://www.iom.int/countries/nigeria. Accessed 22/07/2019.
Isiugo-Abanihe, U. C. (1994). The socio-cultural context of high fertility among Igbo women. International Sociology, 9(2), 237–258.
Islam, M. M., & Khan, H. T. (1993). Pattern of coital frequency in rural Bangladesh. Journal of Family Welfare, 39, 38–43.
Islam, M. A., Islam, M. R., & Banowary, B. (2009). Sex preference as a determinant of contraceptive use in matrilineal societies: A study on the Garo of Bangladesh. European Journal of Contraception and Reproductive Health Care, 14(4), 301–306.
Izugbara, C. O., & Ezeh, A. C. (2010). Women and high fertility in Islamic northern Nigeria. Studies in Family Planning, 41(3), 193–204.
Jennings, E. A., & Pierotti, R. S. (2016). The influence of Wives' and Husbands' fertility preferences on progression to a third birth in Nepal, 1997-2009. Population Studies, 70(1), 115–133.
Jinadu, M. K., Olusi, S. O., & Ajuwon, B. (1997). Traditional fertility regulation among the Yoruba of southwestern Nigeria: A study of prevalence, attitudes, practice and methods. African Journal of Reproductive Health, 1(1), 56–64.
Kamal, S. M., & Hassan, C. H. (2013). Socioeconomic correlates of contraceptive use among the ethnic tribal women of Bangladesh: Does sex preference matter? Journal of Family Reproductive Health, 7(2), 73–86.
Kusunoki, Y., Barber, J. S., Gatny, H. H., & Melendez, R. (2017). Physical intimate partner violence and contraceptive behaviors among young women. Journal of Women Health, 27(8).
Malhi, P. and Singh, S. (1995). Son Preference and Reproductive Behaviour in Rural Punjab. Guru Narak Journal of Sociology, 16(2):31-40
Maxwell, L., Brahmbhatt, H., Ndyanabo, A., Wagman, J., Nakigozi, G., Kaufman, J. S., Nalugoda, F., Serwadda, D., & Nandi, A. (2018). The impact of intimate partner violence on Women’s contraceptive use: Evidence from the Rakai community cohort study in Rakai, Uganda. Social Science & Medicine, 209, 25–32.
Moronkola, O.A., Ojediran, M.M. and Amosu, A. (2006). Reproductive health knowledge, beliefs and determinants of contraceptives use among women attending family planning clinics in Ibadan, Nigeria. African Health Sciences, Vol 6, No 3.
National Population Commission (NPC) [Nigeria] and ICF Macro (2009). Nigeria Demographic and Health Survey 2008. National Population Commission and ICF Macro, Abuja, Nigeria.
National Population Commission (NPC) [Nigeria] and ICF International (2014). Nigeria Demographic and Health Survey 2013. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF International.
National Population Commission (NPC) [Nigeria] and ICF. (2019). Nigeria Demographic and Health Survey 2018 Key Indicators Report. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF.
Nwokocha, E. E., & Bakare, M. A. (2014). Contraceptive knowledge, attitude and practices among Catholic and non-Catholic couples in Ibadan, Nigeria. International Journal of Sociology of the Family, 40(1), 97–111.
Odimegwu, C. O. (1999). Family planning attitudes and use in Nigeria: A factor analysis. International Family Planning Perspectives, 25(2), 86–91.
Odimegwu, C. O., Adedini, S. A., Ononokpono, D. N., & Imasiku, E. N. S. (2014). Couple characteristics and fertility decision-making in Imo State, Nigeria: Evidence from historical data. Southern African Journal of Demography, 15(1), 101–132.
Odimegwu, C. O., Bamiwuye, O. S., & Adedini, S. A. (2015). Gender-based violence as a new proximate determinant of fertility in sub-Saharan Africa. Southern African Journal of Demography, 16(1), 87–121.
Ofonime, E. J. (2017). Determinants of modern contraceptive uptake among Nigerian women: Evidence from the National Demographic and Health Survey. African Journal of Reproductive Health September 2017, 21(3), 89–95.
Oheneba-Sakyi, Y. (1990). Socio-economic and cultural differentials in contraceptive usage among Ghanaian women. International Journal of Sociology and Family, 20(2), 139–161.
Olugbenga-Bello, A.I., Abodunrin, O.L. and Adeomi, A.A. (2011). Contraceptive practices among women in rural communities in South-Western Nigeria. Global Journal of Medical Research, Volume 11 Issue 2 Version 1.0 July 2011.
Olusanya, P. O. (1969). Cultural barriers to family planning among the Yorubas. Studies in Family Planning, 1(37), 13–16.
Oni, G. A., & McCarthy, J. (1991). Family planning knowledge, attitudes and practices of males in llorin, Nigeria. International Family Planning Perspectives, 17(2), 5054–5064.
Onwuzurike, B. K., & Uzochukwu, B. S. C. (2001). Knowledge, attitude and practice of family planning amongst women in a high-density low-income urban of Enugu, Nigeria. African Journal of Reproductive Health, 5(2), 83–89.
Orji, E. O., & Onwudiegwu, U. (2002). Prevalence and determinants of contraceptive practice in a defined Nigerian population. Journal of Obstetrics and Gynaecology, 22(5), 540–543.
Orubuloye, I. O. (1981). Abstinence as a method of birth control: Fertility and child-spacing practices among rural Yoruba women of Nigeria. Department of Demography: Australian National University.
Osmani, A.K., Reyer, J.A., Osmani, A.R. and Hamajima, N. (2015). Factors Influencing Contraceptive Use among Women in Afghanistan: Secondary Analysis of Afghanistan Health Survey 2012. Nagoya Journal of Medical Science, 77, 551-561
Oye-Adeniran, B. A., Adewole, I. F., Umoh, A. V., Oladokun, A., Gbadegesin, A., et al. (2006). Community-based study of contraceptive behaviour in Nigeria. African Journal of Reproductive Health, 10(2), 90–104.
Oyediran, K. A. (2003). Determinants of condom use among monogamous men in Ondo state, Nigeria. Journal of Health, Population and Nutrition, 21(4), 358–366.
Oyeka, I. C. A. (1989). Influence of the number of living sons on contraceptive use among female teachers in Nigeria. Studies in Family Planning, 20(3), 170–174.
Pathak, V., & Arya, R. (2018). Effect of male child preference on the decision making of women in choosing contraception. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 7(4), 1336–1339.
Rao, K. V., & Demaris, A. (1995). Coital frequency among married and cohabiting couples in the United States. Journal of Biosocial Science, 27, 135–150.
Renne, E. P. (1996). Perceptions of population policy, development, and family planning programs in northern Nigeria. Studies in Family Planning, 27(3), 127–136.
Rowlands, S., & Walker, S. (2019). Reproductive control by others: Means, perpetrators and effects. BMJ Sexual and Reproductive Health, 2019(45), 61–67.
Sanusi, A. A., Akinyemi, O. O., & Onoviran, O. O. (2014). Do knowledge and cultural perceptions of modern female contraceptives predict male involvement in Ayete, Nigeria? African Journal of Reproductive Health, 18(4), 105–114.
Sinai, I., & Arevalo, M. (2006). It’s all in the timing: Coital frequency and awareness-based methods of family planning. Journal of Biosocial Science, 38(6), 763–777.
Stephenson, R., Jadhav, A., & Hindin, M. (2012). Physical domestic violence and subsequent contraceptive adoption among women in rural India. Journal of Interpersonal Violence, 28(5), 1020–1039.
United Nations. (2015). Trends in Contraceptive Use Worldwide 2015. Department of Economic and Social Affairs. Geneva: Population Division.
United Nations (2019). World Population Prospects: 2019 Highlights. United Nations, Department of Economic and Social Affairs, Population Division, Geneva.
Unumeri, G., Ishaku, S., Ahonsi, B., & Oginni, A. (2015). Contraceptive use and its socio-economic determinants among women in north-east and north-west regions of Nigeria: A comparative analysis. African Population Studies, 29(2), 1851–1867.
Wandera, S. O., Kwagala, B., & Odimegwu, C. (2018). Intimate partner violence and current modern contraceptive use among married women in Uganda: A cross-sectional study. Pan African Medical Journal, 30, 85.
Westoff, C. F. (1974). Coital frequency and contraception. Family Planning Perspectives, 6(3), 136–141.
Acknowledgements
The authors appreciate the DHS Program and the National Population Commission of Nigeria for granting access to the Nigeria DHS data.
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Ethical approval was granted to the DHS to conduct the survey. Approval to use the NDHS datasets for this research was sought and obtained from the DHS Program via an authorization letter dated June 24, 2019.
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Odimegwu, C.O., Adewoyin, Y. Latent and Under-explored Determinants of Contraceptive Use in Nigeria. Sex Res Soc Policy 18, 715–725 (2021). https://doi.org/10.1007/s13178-020-00495-1
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DOI: https://doi.org/10.1007/s13178-020-00495-1