PREDICTING CONTRACEPTIVE USE FROM AN EGALITARIAN MODEL OF WOMEN'S OVERALL HOUSEHOLD POWER VIS-À-VIS CONVENTIONAL POWER MODELS AND THIRD VARIABLES

• Published in: Journal of biosocial science Vol. 45; no. 4; pp. 497 - 515
• Main Author: LEON, Federico R
• Format: Journal Article
• Language: English
• Published: Cambridge, UK Cambridge University Press 01.07.2013
• Subjects: Adolescent; Adult; Age Factors; Assertiveness; Biological and medical sciences; Birth Control; Contraception; Contraception - utilization; Contraception Behavior - psychology; Contraception Behavior - statistics & numerical data; Decision Making; Decisions; Developing Countries - statistics & numerical data; Education; Educational Status; Egalitarianism; Employment - psychology; Employment - statistics & numerical data; Equality; Female; Females; Gender roles; General aspects; Health behavior; Health Surveys; Humans; Husbands; Male; Marriage - psychology; Medical sciences; Middle Aged; Miscellaneous; Models, Psychological; Participation; Power; Power (Psychology); Public health. Hygiene; Public health. Hygiene-occupational medicine; Sex roles; Sub Saharan Africa; Wives; Women; Young Adult; Sub-Saharan Africa; Human; Use; Household; Female; Contraceptive; Models; Sociobiology; Woman; Power; Public health
• ISSN: 0021-9320; 1469-7599
• DOI: 10.1017/S0021932012000624

Research on gender power in contraceptive use has focused on whether women have an active role in household decision-making (the participation model) or on the extent of their control of domestic decisions (the control model); it has also addressed the joint effects of power, age, education and work. Findings published in this journal (Woldemicael, 2009) suggest a third power model according to which wives make joint decisions with their husbands on important domestic areas and autonomous decisions on secondary matters (the egalitarian model). In analyses of Demographic and Health Survey data sets from 46 countries, the egalitarian model explained contraceptive use better than the control and participation models in 19 out of 20 countries outside sub-Saharan Africa; its superiority was less overwhelming in this sub-continent. Power effects on contraceptive use that depend on women's education, age and work for cash are larger in sub-Saharan Africa than in other world regions, whereas independent power effects differ little regionally, suggesting the action of a personality factor. Situational specification of decision importance and direct measurement of women's assertiveness are needed to improve the explanation of contraceptive behaviour.