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Contextual Influences on Reproductive Wellness in Northern India

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  • Stephenson, R.
  • Tsui, A.O.

Abstract

Objectives. There has been a growing recognition of the importance of contextual influences on health outcomes. This article examines community-level influences on 5 reproductive wellness outcomes in Uttar Pradesh, India. Methods. Multilevel modeling is used to estimate household and community-level effects on wellness, with hierarchically organized data from a statewide survey of villages, urban blocks, households, women, health providers, and staff. Results. The household and community have a strong contextual influence on wellness, although the models explain more of the variation in outcomes between households than between communities. Conclusions. Communities influence wellness outcomes through the socioeconomic environment and the characteristics of the health infrastructure. The specific dimensions of the community and health infrastructure varied between the outcomes.

Suggested Citation

  • Stephenson, R. & Tsui, A.O., 2003. "Contextual Influences on Reproductive Wellness in Northern India," American Journal of Public Health, American Public Health Association, vol. 93(11), pages 1820-1829.
    • Handle: RePEc:aph:ajpbhl:2003:93:11:1820-1829_1
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    Cited by:

    1. Isabel Oliveira & José Dias, 2014. "Disentangling the relation between wealth and contraceptive use in India: a multilevel probit regression approach," Quality & Quantity: International Journal of Methodology, Springer, vol. 48(2), pages 1001-1012, March.
    2. Saleh Babazadeh & Philip Anglewicz & Janna M Wisniewski & Patrick K Kayembe & Julie Hernandez & Jane T Bertrand, 2020. "The influence of health facility-level access measures on modern contraceptive use in Kinshasa, DRC," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-20, July.
    3. Shivani A. Patel & Susan G. Sherman & Subarna K. Khatry & Steven C. LeClerq & Joanne Katz & James M. Tielsch & Parul Christian, 2016. "An Index of Community-Level Socioeconomic Composition for Global Health Research," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 129(2), pages 639-658, November.
    4. Tamar Goldenberg & Rob Stephenson, 2019. "Applying a deviance framework to understand modern contraceptive use in sub-Saharan Africa," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-13, May.

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