IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0216381.html
   My bibliography  Save this article

Applying a deviance framework to understand modern contraceptive use in sub-Saharan Africa

Author

Listed:
  • Tamar Goldenberg
  • Rob Stephenson

Abstract

Increasing modern contraceptive use is important for improving maternal and child health and achieving economic growth and development goals. However, pervasive high unmet need for modern contraceptives in sub-Saharan Africa warrants new understandings of the drivers of modern contraceptive use. A deviance approach (i.e., examining how women’s experiences/characteristics differ from other women in their community) provides an innovative framework for capturing heterogeneity among women in a community. This framework can inform public health programming by both exploring how women avoid adverse health outcomes and understanding the needs of harder-to-reach populations who may experience health risks, despite living in communities where others do not experience vulnerability. Using data from Demographic and Health Surveys from 29 sub-Saharan African countries, we examine how a woman’s deviation from community norms around socioeconomic characteristics and gender and fertility norms and behaviors is associated with modern contraceptive use. Random-effects logistic regression models were fitted for each country to examine relationships between modern contraceptive use and deviance. Some deviance factors were associated with modern contraceptive use in only a few countries, while others were significant across many countries. Cross-country consistency in the direction of the relationship between deviance and modern contraceptive use varied by the specific deviance factor, with some relationships being consistent across countries, and other relationships being more varied. For example, having more education than the community norm was associated with increased modern contraceptive use across countries; however, marrying older than other women in the community was associated with an increase in modern contraceptive use in some countries and a decrease in others. More work is needed to understand the role of deviance on modern contraceptive use; however, this study suggests that using context-specific deviance approaches may be important for further elucidating experiences of modern contraceptive use.

Suggested Citation

  • 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.
  • Handle: RePEc:plo:pone00:0216381
    DOI: 10.1371/journal.pone.0216381
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0216381
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0216381&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0216381?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Stephenson, R. & Baschieri, A. & Clements, S. & Hennink, M. & Madise, N., 2007. "Contextual influences on modern contraceptive use in sub-Saharan Africa," American Journal of Public Health, American Public Health Association, vol. 97(7), pages 1233-1240.
    2. Quamrul H. Ashraf & David N. Weil & Joshua Wilde, 2013. "The Effect of Fertility Reduction on Economic Growth," Population and Development Review, The Population Council, Inc., vol. 39(1), pages 97-130, March.
    3. Quamrul H. Ashraf & David N. Weil & Joshua Wilde, 2011. "The Effect of Interventions to Reduce Fertility on Economic Growth," NBER Working Papers 17377, National Bureau of Economic Research, Inc.
    4. Jejeebhoy, Shireen J., 1995. "Women's Education, Autonomy, and Reproductive Behaviour: Experience from Developing Countries," OUP Catalogue, Oxford University Press, number 9780198290339.
    5. 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.
    6. Tulsi Ram Bhandari & V Raman Kutty & T K Sundari Ravindran, 2016. "Women’s Autonomy and Its Correlates in Western Nepal: A Demographic Study," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-9, January.
    7. Funmilola M OlaOlorun & Michelle J Hindin, 2014. "Having a Say Matters: Influence of Decision-Making Power on Contraceptive Use among Nigerian Women Ages 35–49 Years," PLOS ONE, Public Library of Science, vol. 9(6), pages 1-7, June.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Samyukta Bhupatiraju, 2022. "Fertility and financial development: an analysis of Indian households," Quality & Quantity: International Journal of Methodology, Springer, vol. 56(2), pages 589-606, April.
    2. Das Gupta, Monica & Bongaarts, John & Cleland, John, 2011. "Population, poverty, and sustainable development : a review of the evidence," Policy Research Working Paper Series 5719, The World Bank.
    3. Gerring, John & Thacker, Strom C. & Lu, Yuan & Huang, Wei, 2015. "Does Diversity Impair Human Development? A Multi-Level Test of the Diversity Debit Hypothesis," World Development, Elsevier, vol. 66(C), pages 166-188.
    4. Casey, Gregory & Galor, Oded, 2017. "Is faster economic growth compatible with reductions in carbon emissions? The role of diminished population growth," MPRA Paper 76164, University Library of Munich, Germany.
    5. Shoumitro Chatterjee & Tom S. Vogl, 2016. "Growth and Childbearing in the Short- and Long-Run," Working Papers sc_tv_growth_fertility.pd, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    6. O'Sullivan, Jane N., 2020. "The social and environmental influences of population growth rate and demographic pressure deserve greater attention in ecological economics," Ecological Economics, Elsevier, vol. 172(C).
    7. Fujii, Tomoki & Shonchoy, Abu S., 2020. "Fertility and rural electrification in Bangladesh," Journal of Development Economics, Elsevier, vol. 143(C).
    8. Masaya Shintani & Masaya Yasuoka, 2022. "Fertility, Inequality and Income Growth," Italian Economic Journal: A Continuation of Rivista Italiana degli Economisti and Giornale degli Economisti, Springer;Società Italiana degli Economisti (Italian Economic Association), vol. 8(1), pages 29-48, March.
    9. Yasser Razak Hussain & Pranab Mukhopadhyay, 2023. "How Much do Education, Experience, and Social Networks Impact Earnings in India? A Panel Data Analysis Disaggregated by Class, Gender, Caste and Religion," SAGE Open, , vol. 13(4), pages 21582440231, December.
    10. Matthew Collin & David N. Weil, 2020. "The Effect of Increasing Human Capital Investment on Economic Growth and Poverty: A Simulation Exercise," Journal of Human Capital, University of Chicago Press, vol. 14(1), pages 43-83.
    11. David E. BLOOM & Michael KUHN & Klaus PRETTNER, 2017. "Africa’s Prospects for Enjoying a Demographic Dividend," JODE - Journal of Demographic Economics, Cambridge University Press, vol. 83(1), pages 63-76, March.
    12. Amaia Altuzarra & Catalina Gálvez-Gálvez & Ana González-Flores, 2021. "Is Gender Inequality a Barrier to Economic Growth? A Panel Data Analysis of Developing Countries," Sustainability, MDPI, vol. 13(1), pages 1-21, January.
    13. Dana Sarnak & Stan Becker, 2022. "Accuracy of wives' proxy reports of husbands' fertility preferences in sub-Saharan Africa," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 46(17), pages 503-546.
    14. Tom Vogl, 2017. "Aggregating the Fertility Transition: Intergenerational Dynamics in Quality and Quantity," NBER Working Papers 23081, National Bureau of Economic Research, Inc.
    15. Mendez-Guerra, Carlos, 2017. "Labor productivity, capital accumulation, and aggregate efficiency across countries: Some stylized facts," MPRA Paper 82461, University Library of Munich, Germany.
    16. Ahmed, S. Amer & Vargas Da Cruz,Marcio Jose & Quillin,Bryce Ramsey & Schellekens,Philip, 2016. "Demographic change and development : a global typology," Policy Research Working Paper Series 7893, The World Bank.
    17. Onyinye Ifeoma Ochuba & Sigah Donny Marclary Ayibazuomuno, 2023. "Demorgraphic Transition Variables and Economic Outcomes in Nigeria," International Journal of Research and Scientific Innovation, International Journal of Research and Scientific Innovation (IJRSI), vol. 10(2), pages 10-18, February.
    18. Gianluigi Pelloni & Marco Savioli, 2015. "Why Is Italy Doing So Badly?," Economic Affairs, Wiley Blackwell, vol. 35(3), pages 349-365, October.
    19. Piotr Dominiak & Ewa Lechman & Anna Okonowicz, 2015. "Fertility Rebound And Economic Growth. New Evidence For 18 Countries Over The Period 1970–2011," Equilibrium. Quarterly Journal of Economics and Economic Policy, Institute of Economic Research, vol. 10(1), pages 91-112, March.
    20. Oziengbe Scott Aigheyisi & Blessing O. Oligbi, 2019. "Adolescent Fertility in Nigeria: Implications for Economic Growth," Academic Journal of Economic Studies, Faculty of Finance, Banking and Accountancy Bucharest,"Dimitrie Cantemir" Christian University Bucharest, vol. 5(3), pages 51-57, September.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0216381. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.