The direct and indirect effects of community beliefs and attitudes on postpartum contraceptive method choice among young women ages 15-24 in Nigeria.

Understanding what factors influence postpartum contraceptive use among young people (ages 15-24 years) is important since this group often has closely spaced and unintended births. Using secondary data gathered for an evaluation of a Bill & Melinda Gates Foundation funded initiative designed to...

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Main Authors: David K Guilkey, Ilene S Speizer
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0261701
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author David K Guilkey
Ilene S Speizer
author_facet David K Guilkey
Ilene S Speizer
author_sort David K Guilkey
collection DOAJ
description Understanding what factors influence postpartum contraceptive use among young people (ages 15-24 years) is important since this group often has closely spaced and unintended births. Using secondary data gathered for an evaluation of a Bill & Melinda Gates Foundation funded initiative designed to increase modern contraceptive use in select urban areas of Nigeria, we determine the direct and indirect effects of community beliefs and attitudes on adolescent and youth postpartum contraceptive method choice. Our statistical methods control for the endogenous timing of the initiation of sexual activity and the timing and number of births to each respondent by simultaneous estimation of equations for these choices with the choice of postpartum contraceptive method. We find that community beliefs and attitudes have important effects on our primary outcome of postpartum contraceptive use and we quantify the size of both direct and indirect effects on postpartum contraceptive method choice using simulations. The findings from this study can be used to inform programs seeking to increase young women's postpartum contraceptive use for healthy spacing and timing of births.
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spelling doaj.art-da5a7c5a29374eb1ae37cc6aee0dd5372022-12-22T00:38:41ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01171e026170110.1371/journal.pone.0261701The direct and indirect effects of community beliefs and attitudes on postpartum contraceptive method choice among young women ages 15-24 in Nigeria.David K GuilkeyIlene S SpeizerUnderstanding what factors influence postpartum contraceptive use among young people (ages 15-24 years) is important since this group often has closely spaced and unintended births. Using secondary data gathered for an evaluation of a Bill & Melinda Gates Foundation funded initiative designed to increase modern contraceptive use in select urban areas of Nigeria, we determine the direct and indirect effects of community beliefs and attitudes on adolescent and youth postpartum contraceptive method choice. Our statistical methods control for the endogenous timing of the initiation of sexual activity and the timing and number of births to each respondent by simultaneous estimation of equations for these choices with the choice of postpartum contraceptive method. We find that community beliefs and attitudes have important effects on our primary outcome of postpartum contraceptive use and we quantify the size of both direct and indirect effects on postpartum contraceptive method choice using simulations. The findings from this study can be used to inform programs seeking to increase young women's postpartum contraceptive use for healthy spacing and timing of births.https://doi.org/10.1371/journal.pone.0261701
spellingShingle David K Guilkey
Ilene S Speizer
The direct and indirect effects of community beliefs and attitudes on postpartum contraceptive method choice among young women ages 15-24 in Nigeria.
PLoS ONE
title The direct and indirect effects of community beliefs and attitudes on postpartum contraceptive method choice among young women ages 15-24 in Nigeria.
title_full The direct and indirect effects of community beliefs and attitudes on postpartum contraceptive method choice among young women ages 15-24 in Nigeria.
title_fullStr The direct and indirect effects of community beliefs and attitudes on postpartum contraceptive method choice among young women ages 15-24 in Nigeria.
title_full_unstemmed The direct and indirect effects of community beliefs and attitudes on postpartum contraceptive method choice among young women ages 15-24 in Nigeria.
title_short The direct and indirect effects of community beliefs and attitudes on postpartum contraceptive method choice among young women ages 15-24 in Nigeria.
title_sort direct and indirect effects of community beliefs and attitudes on postpartum contraceptive method choice among young women ages 15 24 in nigeria
url https://doi.org/10.1371/journal.pone.0261701
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