Evidence map›Paper›PMID 39985103›Full record

ArticleReproductive health2025

Contraceptive decision-making and its association with contraceptive use among married adolescent girls in Niger.

Jay G Silverman, Shweta Tomar, Mohamad I Brooks, Sani Aliou, Nicole E Johns, Sneha Challa, Holly Baker Shakya, Sabrina C Boyce, Anita Raj

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Article in Reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Jay G SilvermanCenter On Gender Equity and Health, School of Medicine, University of California San Diego, La Jolla, CA, 92093, USA. jgsilverman@health.ucsd.edu.
Shweta TomarCenter On Gender Equity and Health, School of Medicine, University of California San Diego, La Jolla, CA, 92093, USA.
Mohamad I BrooksPathfinder International, Watertown, MA, 02472, USA.
Sani AliouPathfinder International, Watertown, MA, 02472, USA.
Nicole E JohnsCenter On Gender Equity and Health, School of Medicine, University of California San Diego, La Jolla, CA, 92093, USA.
Sneha ChallaCenter On Gender Equity and Health, School of Medicine, University of California San Diego, La Jolla, CA, 92093, USA.
Holly Baker ShakyaCenter On Gender Equity and Health, School of Medicine, University of California San Diego, La Jolla, CA, 92093, USA.
Sabrina C BoyceCenter On Gender Equity and Health, School of Medicine, University of California San Diego, La Jolla, CA, 92093, USA.
Anita RajCenter On Gender Equity and Health, School of Medicine, University of California San Diego, La Jolla, CA, 92093, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveNiger has among the highest rates of child marriage and lowest rates of modern contraceptive use in the world. This study analyzes the association between contraceptive decision-making and contraceptive use among married adolescent girls in rural Niger, including multiple assessments of decision-making and consideration of overt vs. covert contraceptive use.

methodsWe analyzed cross-sectional survey data collected from married adolescent females (n = 823) participating in the third round of data collection (October-November 2019) for the cluster-randomized controlled trial of a family planning intervention study. Contraceptive decision-making measures assessed participants' (a) participation in contraceptive decision-making, (b) final say in decision-making in case of spousal disagreement, and (c) satisfaction with participation in decision-making. Outcomes include contraceptive use ever categorized based on whether use was overt (with husband's knowledge) or covert (without husband's knowledge). Adjusted multinomial logistic regression models were used to test the associations between each decision-making item and each type of contraceptive use.

resultsOver half of participants reported ever using a contraceptive (59%) and that their husbands were the sole decision-makers regarding contraceptive use (60%). Adolescents' participation in decision-making was negatively associated with overt contraceptive use (ARRR = 0.41; 95%CI = 0.19-0.91) and positively associated with covert contraceptive use (ARRR = 8.76; 95%CI = 2.45-31.30). Women reporting joint decision-making were more likely to report covert use vs. no use (ARRR = 3.20; 95%CI = 1.14-8.99). Women having final say in contraceptive decision-making in case of disagreements were more likely to report covert contraceptive use over no use (ARRR = 9.14; 95%CI = 3.17-26.40). Women's satisfaction with decision-making was positively associated with contraceptive use ever (AOR = 2.72; 95%CI = 1.80-4.16), and overt (ARRR = 2.68; 95%CI = 1.75-4.01) and covert contraceptive use (ARRR = 10.9; 95%CI = 2.16-54.80).

conclusionMale control over decision-making and female satisfaction with decision-making are associated with greater contraceptive use. Findings indicate that women's control over decision-making, and its relation to contraceptive use, is complex and requires more nuanced understanding for married adolescents.

Indexed as

ContraceptionContraception BehaviorDecision MakingMarriageAdolescentCross-Sectional StudiesFamily Planning ServicesFemaleHealth Knowledge, Attitudes, PracticeHumansNigerRural PopulationSpousesYoung AdultContraceptive decision-makingContraceptive useNigerReproductive agency

Identifiers

PMID39985103
PMCPMC11846465

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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.