Mohammad Amirul Islam Sabu S. Padmadas Peter W.F. Smith

1. Consistency in reporting contraception between spouses in Bangladesh: evidence from recent demographic and health survey Mohammad Amirul Islam Sabu S. Padmadas Peter W.F. Smith Division of Social Statistics, University of Southampton, SO17 1BJ, UK Contact: islam@soton.ac.uk Paper presented at the BSPS Annual Conference, September 12-14, 2005

2. Outline of the presentation • Objectives of the research • Data used • Extent of inconsistency in reporting of contraception between spouses • Determinants of inconsistency • Inconsistency in reporting of condom use • Determinants of inconsistency in reporting of condom use • Conclusions BSPS conference , 12-14 September, 2005

3. Objectives of the research • To determinethe extent of inconsistency in reporting of contraception between spouses • To identify the determinants of such inconsistency • To further explore the inconsistency in reporting of condom use BSPS conference , 12-14 September, 2005

4. Data used The study is based on 1999-2000 BDHS which collected • A male data set of 2556 currently married men aged 15-59 years • A female data set of 10,544 ever married women aged 10-49 years • A couple data set (N=2249) is generated by linking the spouses. This is the main source of information for this study BSPS conference , 12-14 September, 2005

5. Contraceptive prevalence rate by sex BSPS conference , 12-14 September, 2005

6. Comparison of reported contraceptive use by spouses: percent distribution of couples according to husband’s and wife’s reported current contraceptive use status BSPS conference , 12-14 September, 2005

7. Comparison of reported contraceptive use by spouses: percent distribution of couples according to husband’s and wife’s reported current contraceptive use status BSPS conference , 12-14 September, 2005

8. Comparison of reported contraceptive use by spouses: percent distribution of couples according to husband’s and wife’s reported current contraceptive use status BSPS conference , 12-14 September, 2005

9. Comparison of reported contraceptive use by spouses: percent distribution of couples according to husband’s and wife’s reported current contraceptive use status BSPS conference , 12-14 September, 2005

10. Comparison of reported contraceptive use by spouses: percent distribution of couples according to husband’s and wife’s reported current contraceptive use status BSPS conference , 12-14 September, 2005

11. Determinants of inconsistency Two level random intercept binary logistic regression model has been fitted • Response variable: Consistent use reporting (yes=1, no=0) • Independent variables: • Division: Barisal, Chittagong, Dhaka, Khulna, Rajshahi, Sylhet • Area of residence: urban, rural • Couple education: both have no education, only husband is educated, only wife is educated, both educated • Number of living children: no children, 1-2, 3-4, 5 and more • Discussion of FP with partner: yes, no BSPS conference , 12-14 September, 2005

12. Determinants of inconsistency A couple is more likely to report contraception consistently if - They are from Sylhet, Rajshahi, Dhaka and Chittagong divisions, from rural area, only wife is educated, have less than 5 children and discuss FP Community effect is significant Note: effects of changes of the reference categories for independent variables with more than two categories have been evaluated BSPS conference , 12-14 September, 2005

13. Inconsistency in reporting of condom use BSPS conference , 12-14 September, 2005

14. Inconsistency in condom reporting by partner's report of other method use or non-use BSPS conference , 12-14 September, 2005

15. Determinants of inconsistency in reporting of condom use A multinomial logistic regression model has been fitted • Response variable: Inconsistent reporting of condom use • husband reporting condom while wife did not • wife reporting condom while husband did not • both reported condom (reference) • Independent variables: • Couple education*:both have no education, only husband is educated, only wife is educated, both educated • Age difference between spouses*:less than 8, 8 or more • Area of residence:urban, rural • Discussion of FP with partner:yes, no * means significant in the model BSPS conference , 12-14 September, 2005

16. Determinants of inconsistency in reporting of condom use • The regression results are presented in terms of estimated probabilities corresponding to the estimated coefficients • The estimated probabilities are calculated based on the reference couple’s characteristics The characteristics of the reference couple: • couple is from rural area • only husband is educated • age difference between spouse is less than 8 years • couple does not discuss FP BSPS conference , 12-14 September, 2005

17. Determinants of inconsistency in reporting of condom use BSPS conference , 12-14 September, 2005

18. Determinants of inconsistency in reporting of condom use BSPS conference , 12-14 September, 2005

19. Determinants of inconsistency in reporting of condom use BSPS conference , 12-14 September, 2005

20. Determinants of inconsistency in reporting of condom use BSPS conference , 12-14 September, 2005

21. Conclusions • Inconsistency in reporting contraception is found to be 23.5% • The discrepancies are observed more where husbands reported method use but wife reported non-use • Inconsistencies are more in reporting of use of condom, pill and periodic abstinence • Consistency in reporting of contraception is high among couples who are from Sylhet, Dhaka, Rajshahi and Chittagong divisions, from rural areas, where only wife is educated, have less number of children and discuss FP within couple • Couple education and age difference between spouses are significant determinants of inconsistent reporting of condom use BSPS conference , 12-14 September, 2005