ArticleBMC public health2021
Understanding how social norms affect modern contraceptive use.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Implementation practice models for development in low- and middle-income countries: systematic review of peer-reviewed literature.BMC public health · 2022Pooled it
- Mediating effects of inequitable gender norms on intimate partner violence and contraceptive use in a cluster randomized control trial in Niger.American journal of epidemiology · 2025Trial
- Article
- Measuring social norms endorsement and normative influence on contraceptive use among youth (15-24) in northeastern Uganda.Frontiers in global women's health · 2026Article
- A Theory of Planned Behaviour Analysis of Barriers and Facilitators of Immediate Postpartum Contraception Uptake in Southwestern Uganda.Open access journal of contraception · 2026Article
- Assessing patterns, barriers, and motivations for family planning utilization among currently pregnant women in Nigeria: a cross-sectional study.Frontiers in reproductive health · 2026Article
- Understanding men's perspective on women's contraceptive use in Tanzania: insights from the 2022 Demographic and Health Survey.Contraception and reproductive medicine · 2025Article
- Agency in Family Planning: A Scoping Review of the Measurement of Agency in Low- and Middle-Income Countries.Studies in family planning · 2025Article
- Influence of social networks on women's contraceptive decision-making and action: a qualitative study in two districts in Uganda.BMC public health · 2025Article
- A longitudinal study examining how self-injection social norms are associated with contraceptive self-injectable interest and use in rural Uganda.BMC women's health · 2025Article
- Defining and Characterizing Temporary Childbirth Migration in India.Population research and policy review · 2025Article
- Access to and uptake of contraceptives among pregnant women with disabilities in the Central Ethiopia Regional State, Ethiopia: community-based cross-sectional study.Contraception and reproductive medicine · 2025Article
- Does women empowerment alone influence contraception utilization in Bangladesh perspective? Findings from the 2017-2018 Demographic Health Survey using a structural equation model analysis.AJOG global reports · 2025Article
- Intervention for physical activity in pregnant women with pre-pregnancy obesity or overweight based on the Fogg Behavior Model.Frontiers in sports and active living · 2025Article
- Using the 5C Vaccine Hesitancy Framework to Elucidate and Measure Contraceptive Acceptability in sub-Saharan Africa.Global health, science and practice · 2024Article
- Addressing social norms for adolescent timing and spacing of pregnancy in low and middle-income countries: Developing a global research agenda.Journal of global health · 2024Article
- Fertility preservation and protection: young women's decision-making about contraceptive use in Zimbabwe.Culture, health & sexuality · 2024Article
- What Underlies State Government Performance in Scaling Family Planning Programming? A Study of The Challenge Initiative State Partnerships in Nigeria.Global health, science and practice · 2024Article
- Behavioral Insights from Vaccine Adoption in Nigeria: Cross-Sectional Survey Findings.Interactive journal of medical research · 2024Article
- Validation of the Fertility Norms Scale and Association with Fertility Intention and Contraceptive Use in India.Studies in family planning · 2023Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAn aim of this study is to introduce a practitioner-friendly behavior model. Few theories of health behavior explicitly take the effect of social norms on behavior into account. Generally, theories that do take social norms into account assume that the effect of social norms on behavior operates through motivation. We use the Fogg Behavior Model (FBM), a behavior model that is new to public health, to explore whether social norms are associated with modern contraceptive use among Nigerian women, and whether they affect behavior through motivation or through ability. In other words, do social norms that discourage contraception lower women's motivation to use contraception or do they lower women's ability to use contraception.
methodsThis study uses data from a cross-sectional household survey of Nigerian women, ages 14-24. The survey collected data on socio-economic and demographic characteristics of women, whether they were sexually experienced, and whether they used contraception. Modern contraceptive use was the outcome of interest for the study. The survey also collected data on social norms around premarital sex and contraceptive use. Multivariate logistic regression was used for the analysis.
resultsAfter adjusting for a range of socio-economic and demographic variables, we found that social norms that discourage contraception had a statistically significant negative association with contraceptive use (aOR = 0.90, p < 0.001). The analysis found that the negative association between social norms and contraceptive use remained statistically significant after controlling for motivation but did not remain statistically significant after controlling for ability.
conclusionThese findings suggest that social norms may affect contraceptive use in Nigeria through ability rather than motivation. In terms of programmatic implications, these finding suggest that public health interventions may be able to counter the negative effects of social norms that discourage contraceptive use by increasing women's ability to practice contraception.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.