PMID- 34159248
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220424
IS  - 2352-8273 (Print)
IS  - 2352-8273 (Electronic)
IS  - 2352-8273 (Linking)
VI  - 15
DP  - 2021 Sep
TI  - How does the sex composition of children affect men's higher ideal family size 
      preference relative to women and contraceptive use patterns among couples? A 
      cross-sectional analysis of dyadic couple's data in India.
PG  - 100835
LID - 10.1016/j.ssmph.2021.100835 [doi]
LID - 100835
AB  - INTRODUCTION: Son preference, an ongoing concern in India, is a known driver of 
      ideal family size preferences and contraceptive use among couples. These 
      associations can vary substantially with parity and can influence men and women 
      differently. This study assesses the association of sex composition of children 
      by parity and a) men's higher ideal family size preference relative to women and 
      b) use of modern contraceptives by couples. METHODS: We used the Couples Recode 
      dataset from National Family Health Survey (NFHS) 2015-16 and identified couples 
      who had at least one child and had complete responses for variables used in the 
      study (N = 56,731 couples). We developed multivariable linear and logistic 
      regression models to study the association between sex composition of children by 
      parity and our dependent variables. RESULTS: Our findings indicate that the sex 
      composition of children is associated with men's higher ideal family size 
      preference, relative to women, among couples with four or more children. We also 
      find that couples with less than four children are less likely to use modern 
      contraceptives when they have an equal or a greater number of daughters than sons 
      compared to those who have no daughters. Findings suggest that couples with four 
      or more children are more likely to use modern contraceptives when they have at 
      least one son and one daughter and are less likely to use contraceptives when 
      they have all daughters and no sons, than couples who have no daughters. 
      CONCLUSION: This study contributes to existing research on the relationship 
      between sex composition of children with ideal family size preferences and 
      contraceptive use by highlighting meaningful differences between higher and lower 
      parity couples. Findings from the study can be used by family planning programs 
      in India to customize family planning counselling messages by both sex 
      composition and parity.
CI  - (c) 2021 The Authors. Published by Elsevier Ltd.
FAU - Dey, Arnab K
AU  - Dey AK
AD  - Center on Gender Equity and Health, Department of Medicine, University of 
      California, San Diego School of Medicine, La Jolla, CA, USA.
FAU - Acharya, Rajib
AU  - Acharya R
AD  - Population Council, New Delhi, India.
FAU - Tomar, Shweta
AU  - Tomar S
AD  - Center on Gender Equity and Health, Department of Medicine, University of 
      California, San Diego School of Medicine, La Jolla, CA, USA.
FAU - Silverman, Jay G
AU  - Silverman JG
AD  - Center on Gender Equity and Health, Department of Medicine, University of 
      California, San Diego School of Medicine, La Jolla, CA, USA.
FAU - Raj, Anita
AU  - Raj A
AD  - Center on Gender Equity and Health, Department of Medicine, University of 
      California, San Diego School of Medicine, La Jolla, CA, USA.
AD  - Department of Education Studies, Division of Social Sciences, University of 
      California, San Diego School of Medicine, La Jolla, CA, USA.
LA  - eng
PT  - Journal Article
DEP - 20210606
PL  - England
TA  - SSM Popul Health
JT  - SSM - population health
JID - 101678841
PMC - PMC8193613
OTO - NOTNLM
OT  - Couples
OT  - Ideal family size
OT  - India
OT  - Modern contraceptive use
OT  - Parity
OT  - Sex composition
COIS- The Authors declare that they have no competing interests.
EDAT- 2021/06/24 06:00
MHDA- 2021/06/24 06:01
PMCR- 2021/06/06
CRDT- 2021/06/23 07:23
PHST- 2021/01/18 00:00 [received]
PHST- 2021/05/26 00:00 [revised]
PHST- 2021/06/01 00:00 [accepted]
PHST- 2021/06/23 07:23 [entrez]
PHST- 2021/06/24 06:00 [pubmed]
PHST- 2021/06/24 06:01 [medline]
PHST- 2021/06/06 00:00 [pmc-release]
AID - S2352-8273(21)00110-5 [pii]
AID - 100835 [pii]
AID - 10.1016/j.ssmph.2021.100835 [doi]
PST - epublish
SO  - SSM Popul Health. 2021 Jun 6;15:100835. doi: 10.1016/j.ssmph.2021.100835. 
      eCollection 2021 Sep.