Evidence map›Paper›PMID 34193214›Full record

ArticleReproductive health2021

Male-female concordance in reported involvement of women in contraceptive decision-making and its association with modern contraceptive use among couples in rural Maharashtra, India.

Anvita Dixit, Nicole E Johns, Mohan Ghule, Madhusudana Battala, Shahina Begum, Jennifer Yore, Niranjan Saggurti, Jay G Silverman, Elizabeth Reed, Tarik Benmarhnia and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03514914 (Enhancing Male Participation in Interventions to Prevent Unintended Pregnancy), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03514914 nacompletednot on this map

Enhancing Male Participation in Interventions to Prevent Unintended Pregnancy

TypeinterventionalSponsorUniversity of California, San DiegoRan2018 to 2020Enrolled2,402ConditionsContraceptionArmsThe CHARM2 Intervention
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Anvita DixitCenter on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego, La Jolla, USA. anvita.dixit@gmail.com.ORCID http://orcid.org/0000-0002-6155-8628
Nicole E JohnsCenter on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego, La Jolla, USA.
Mohan GhuleCenter on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego, La Jolla, USA.
Madhusudana BattalaPopulation Council, New Delhi, India.
Shahina BegumICMR-National Institute for Research in Reproductive Health, Mumbai, India.
Jennifer YoreCenter on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego, La Jolla, USA.
Niranjan SaggurtiPopulation Council, New Delhi, India.
Jay G SilvermanCenter on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego, La Jolla, USA.
Elizabeth ReedCenter on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego, La Jolla, USA.
Tarik BenmarhniaDepartment of Family Medicine and Public Health, University of California, San Diego, USA.
Sarah AverbachCenter on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego, La Jolla, USA.
Anita RajCenter on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego, La Jolla, USA.
University of California San Diego · USPopulation Council Institute · INSan Diego State University · USNational Institute for Research in Reproductive Health · INScripps Institution of Oceanography · US

Funding

UC San Diego Womens Reproductive Health Research ProgramK12HD001259 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CYNTHIA GYAMFI-BANNERMAN · 1999 to 2026
$9.1M
Enhancing male participation in interventions to prevent unintended pregnancyR01HD084453 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RAJ, ANITA · 2017 to 2021
$2.8M
Gates Foundation INV-002967NICHD NIH HHS K12 HD001259NICHD NIH HHS R01 HD084453NIH HHS 5K12HD001259-18NIH HHS R01-HD084453-01A1
6 · The paper itself

Abstract

objectiveWomen's involvement in contraceptive decision-making increases contraceptive use and reduces unmet need, but study of this has been limited to women's self-reports. Less research is available examining couple concordance and women's involvement in contraceptive decision-making as reported by both men and women. STUDY

designWe carried out a cross-sectional study using data from rural India (N = 961 young married couples). Using multivariable regression we examined the association between concordance or discordance in spousal reports of wife's involvement in contraceptive decision-making and modern contraceptive use, adjusting for demographics, intimate partner violence, and contraceptive use discussion.

resultsMore than one third (38.3%) of women reported current modern contraceptive use. Report of women's involvement in contraceptive decision-making showed 70.3% of couples agreed that women were involved, jointly or alone (categorized as Concordant 1), 4.2% agreed women were not involved (categorized at Concordant 2), 13.2% had women report involvement but men report women were uninvolved (categorized as Discordant 1), and 12.2% had women report uninvolvement but men report that women were involved (categorized as Discordant 2). Discordant 2 couples had lower odds of modern contraceptive use relative to Concordant 1 couples (adjusted RR = 0.61, 95% CI 0.45-0.83). No other significant differences between Concordant 1 couples and other categories were observed.

conclusionOne in four couples indicated discordance on women's involvement in contraceptive decision making, with Discordant 2 category having lower odds of contraceptive use. Couples' concordance in women's involvement in contraceptive decision-making offers a target for family planning research and interventions to better meet their needs. Trial registration ClinicalTrial.gov, NCT03514914. https://clinicaltrials.gov/ct2/show/NCT03514914.

Indexed as

Contraceptive AgentsDecision MakingContraception BehaviorCross-Sectional StudiesFamily Planning ServicesFemaleHumansIndiaMalePregnancyRural PopulationContraceptive AgentsContraceptive decision-makingContraceptive useCouple concordanceDyadic dataIndia

Identifiers

PMID34193214
PMCPMC8244175
OpenAlexW3153042047

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.