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      Spousal communication and contraceptive use in rural Nepal: an event history analysis.

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      Studies in family planning
      Wiley

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          Abstract

          This study analyzes longitudinal data from couples in rural Nepal to investigate the influence of spousal communication about family planning on their subsequent contraceptive use. The study expands current understanding of the communication-contraception link by (a) exploiting monthly panel data to conduct an event history analysis, (b) incorporating both wives' and husbands' perceptions of communication, and (c) distinguishing effects of spousal communication on the use of four contraceptive methods. The findings provide new evidence of a strong positive impact of spousal communication on contraceptive use, even when controlling for confounding variables. Wives' reports of communication are substantial explanatory factors in couples' initiation of all contraceptive methods examined. Husbands' reports of communication predict couples'subsequent use of male-controlled methods. This analysis advances our understanding of how marital dynamics--as well as husbands' perceptions of these dynamics--influence fertility behavior, and should encourage policies to promote greater integration of men into family planning programs.

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          Author and article information

          Journal
          Stud Fam Plann
          Studies in family planning
          Wiley
          0039-3665
          0039-3665
          Jun 2011
          : 42
          : 2
          Affiliations
          [1 ] Department of Sociology, University of Michigan, USA. cmacht@umich.edu
          Article
          NIHMS369256
          10.1111/j.1728-4465.2011.00268.x
          3338321
          21834410
          4127518c-043d-498f-a19e-187b19175070
          History

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