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Citation

Guilkey, David K. & Speizer, Ilene S. (2022). 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, 17(1), e0261701. PMCID: PMC8794167

Abstract

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.

URL

http://dx.doi.org/10.1371/journal.pone.0261701

Reference Type

Journal Article

Year Published

2022

Journal Title

PLOS ONE

Author(s)

Guilkey, David K.
Speizer, Ilene S.

Article Type

Regular

PMCID

PMC8794167

Data Set/Study

The Nigerian Urban Reproductive Health Initiative (NURHI)
Measurement, Learning & Evaluation (MLE) Project

Continent/Country

Nigeria

Sex/Gender

Ciswomen

ORCiD

Speizer - 0000-0001-6204-1316