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The Mediating Role of Partner Communication on Contraceptive Use among Adolescent Girls and Young Women Participating in a Small-Group Intervention in Malawi: A Longitudinal Analysis

Citation

Bhushan, Nivedita Latha; Fisher, Edwin B.; Gottfredson, Nisha C.; Maman, Suzanne; Speizer, Ilene S.; Phanga, Twambilile; Vansia, Dhrutika; Mtawali, Atuweni; Chisinga, Rejoice; & Kapira, Maria, et al. (Online ahead of print). The Mediating Role of Partner Communication on Contraceptive Use among Adolescent Girls and Young Women Participating in a Small-Group Intervention in Malawi: A Longitudinal Analysis. Global Public Health.

Abstract

Though effective reproductive health interventions have been developed for adolescent girls and young women (AGYW) in sub-Saharan Africa, few have explored whether specific components of the interventions are responsible for observed changes in behaviour. Data for this longitudinal mediation analysis come from a quasi-experimental, sexual and reproductive health study conducted among AGYW (age 15-24) in Malawi. We assessed the extent to which the relationship between attending communication-specific small-group sessions and contraceptive use at one-year was mediated by contraceptive communication with partners at six months, using a bootstrapping procedure to estimate indirect effects. Of 358 participants, 44% attended communication-specific small-group sessions, 37% communicated with partners about contraception at six months, and 21% used non-barrier contraception at one-year. Participants who attended communication-specific small-group sessions had increased contraceptive communication with partners at six months (aOR = 1.48, 95% CI: 1.07-2.38) and increased non-barrier contraceptive use at one-year (aOR = 3.53, 95% CI: 1.86-6.69). The relationship between attending communication-specific small-group sessions and non-barrier contraceptive use at one-year was partially mediated by contraceptive communication with partners at six months (indirect effect = 0.04, 95% CI: 0.01-0.07). Our results suggest that contraceptive communication with partners is modifiable through interventions and important for AGYW non-barrier contraceptive uptake.

URL

http://dx.doi.org/10.1080/17441692.2021.1924823

Reference Type

Journal Article

Article Type

Regular

Year Published

Online ahead of print

Journal Title

Global Public Health

Author(s)

Bhushan, Nivedita Latha
Fisher, Edwin B.
Gottfredson, Nisha C.
Maman, Suzanne
Speizer, Ilene S.
Phanga, Twambilile
Vansia, Dhrutika
Mtawali, Atuweni
Chisinga, Rejoice
Kapira, Maria
Pettifor, Audrey E.
Rosenberg, Nora E.

Data Set/Study

Girl Power-Malawi

Continent/Country

Malawi