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


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


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.

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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
Publisher: Isfahan University of Medical Sciences
Keywords: Contraceptive practices; Family planning; Social support; Spousal communication
Depositing User: Nurul Ainie Mokhtar
Date Deposited: 11 Jan 2016 01:54
Last Modified: 11 Jan 2016 01:54
URI: http://psasir.upm.edu.my/id/eprint/35444
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