ArticleJournal of global health2025
Marital coitus in Bangladesh in the 2010s: trends and sociodemographic determinants.
Article in Journal of global 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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Abstract
Background: In Bangladesh, marriage is the sole socially accepted context for sexual intimacy or coitus between partners. Over the past decade, the predictors of coitus in the country have undergone notable changes, including progress in socioeconomic conditions, health behaviours, nutritional status, and contraceptive practices. Despite these changes, there exists no empirical evidence regarding patterns of coitus in Bangladesh, leaving a critical gap in our understanding of sexual behaviour in the country. We aimed to examine the changes and associated predictors of marital coitus among married couples in Bangladesh from 2011 to 2017-18 at the national level. Methods: We used data from three nationally representative Bangladesh Demographic and Health Surveys (BDHSs) conducted in 2011, 2014, and 2017-18, whereby we included currently married women of reproductive age (CMWRA) living with their husbands who were not infecund or had not reached menopause in our analysis (n = 38 853). By pooling their data, we examined the changes in weekly marital coitus (WMC), queried within the survey through the question 'Was a CMWRA involved in sexual activity in the last four weeks preceding the survey?'. The determinant analysis included data from the 2017-18 BDHS (n = 13 686). We used bivariate analysis and mixed-effect logistic regression to investigate the changes and predictors of WMC among CMWRAs. Results: Compared to 2011, the adjusted odds ratio to engage in WMC was 1.19 in 2014 (P = 0.05) and 1.32 in 2017-18 (P < 0.001), indicating an increase in the 2010s. WMC among CMWRAs who were using no contraceptive method slightly decreased from 58% in 2011 to 56% in 2017-18, while that among CMWRAs using traditional contraceptive methods increased from 63% to 72%. The determinants analysis found women's working status, pregnancy status, desire for a child, and years of cohabitation as important predictors of WMC in CMWRAs. Conclusions: The increase in WMC may be due to increased openness in reporting sexual activity among women. Furthermore, working women engaged in higher WMC, which may be related to their active engagement in decision-making and increased sexual satisfaction.
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