Association Between Information Source and Use of Modern Contraceptive Methods: Analysis by Gender in Colombia 2015-2016

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  • September 20, 2019
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  • Zarate-Ardila, Carol
    • Affiliation: Gillings School of Global Public Health, Department of Health Policy and Management
Abstract
  • Background: In Colombia, one of every five women younger than 19 years old has been pregnant. Despite governmental efforts to increase healthy sexual behaviors, related outcomes are not as good as expected. Before the 2015-16 Demographic and Health Survey (DHS) there was no information about use of modern contraceptive methods in men. This study aims to assess the relationship between the place where information about contraception is received and use of modern methods, and whether this relationship varies by gender.Methods: This study analyzed secondary data from the 2015-2016 Colombian DHS. People who were actively trying to get pregnant, were sterile, or had never had sex were excluded. A weighted multivariate logistic regression assessed the relationship between information source and use of modern contraceptive methods by gender.Results: Ceteris paribus, men were more likely to report using modern contraception methods than women (OR=2.79, 95% CI 2.54 – 3.07). The most frequent information source for men and women were educational institutions (57.67% and 56.67%, respectively); however, the predicted probabilities of using modern contraceptive methods was higher for both when information was received in healthcare facilities compared to family, educational institutions, friends, and other sources, although only statistically different for women.Conclusion: Although sexual healthcare services have historically targeted women, use of modern contraceptive methods is significantly lower among women compared to men. Even though educational institutions were a frequent source of information about contraception, their effectiveness in promoting use of modern contraceptive methods is not as high as that of healthcare facilities. A policy that combines efforts from both information sources could increase the probability of using modern methods in Colombian men and women.
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  • In Copyright
Advisor
  • Golden, Shelley
  • Stearns, Sally
Degree
  • Master of Science in Public Health
Academic concentration
  • Health Policy Management
Degree granting institution
  • University of North Carolina at Chapel Hill
Graduation year
  • 2018
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  • 5670307f-cbcb-49cb-b7f3-8e209d7bb565

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