PMID- 37534740
OWN - NLM
STAT- MEDLINE
DCOM- 20231109
LR  - 20231117
IS  - 2168-6602 (Electronic)
IS  - 0890-1171 (Linking)
VI  - 37
IP  - 8
DP  - 2023 Nov
TI  - Decomposing the Gap in Contraceptive Use Among Female Adolescents and Young Women 
      Aged 15-24 in India: An Analysis of Appended Datasets of NFHS-4 and 5.
PG  - 1049-1059
LID - 10.1177/08901171231189543 [doi]
AB  - PURPOSE: Owing to the reproductive health needs of the budding adolescent and 
      young population, the present study aims to determine the factors associated with 
      and decomposing the gap in contraceptive use among adolescents and young women in 
      India. DESIGN: Cross sectional design.SettingThe present study is based in India 
      using the appended datasets (IV and V rounds) of the Indian Demographic Health 
      Survey (DHS), also known as National Family Health Survey (NFHS) conducted in 
      2015-16 and 2019-21. SAMPLE: The adequate sample size was 475,294 adolescents and 
      young women in NFHS-4 and 229,705 in NFHS-5, totaling 704,999 adolescents 
      (appended for NFHS-4 and 5) for the present study. MEASURES: Sociodemographic, 
      sexual and reproductive history and contraceptive measures. ANALYSIS: Descriptive 
      statistics, chi-square tests, and a binary logistic regression model were 
      executed. Additionally, a decomposition technique called Fairlie decomposition 
      was employed to identify the primary causes of the difference in the prevalence 
      of contraceptive use between the two survey periods. RESULTS: Almost 96% of young 
      women aged 15-24 knew about contraception, but only 12% used it. Regression 
      analysis revealed that contraceptive use was associated with higher age (AOR 
      1.09), higher education (AOR 1.28), married adolescents (AOR 4.08), richest 
      wealth quantile (AOR 2.95), joint decision making (AOR 4.40), knowledge of 
      ovulatory cycle (AOR 1.47), interaction with a health worker about any methods of 
      family planning (AOR 3.29) and three and above children ever born (AOR 18.54). 
      Decomposition analysis showed that factors like decision-making of contraception, 
      age, interaction with family planning worker, the intention of last pregnancy, 
      place of residence and age at first sex contributed to increasing the probability 
      of contraceptive use from NFHS-4 to 5. CONCLUSION: A target-based approach 
      dedicated to understanding the mindset of adolescents and keeping up with their 
      unique needs is the need of the hour.
FAU - Sharma, Himani
AU  - Sharma H
AUID- ORCID: 0000-0001-8317-2737
AD  - Department of Survey Research and Data Analytics, International Institute for 
      Population Sciences, Mumbai, India.
FAU - Singh, Shri Kant
AU  - Singh SK
AD  - Department of Survey Research and Data Analytics, International Institute for 
      Population Sciences, Mumbai, India.
LA  - eng
PT  - Journal Article
DEP - 20230803
PL  - United States
TA  - Am J Health Promot
JT  - American journal of health promotion : AJHP
JID - 8701680
RN  - 0 (Contraceptive Agents)
MH  - Pregnancy
MH  - Child
MH  - Adolescent
MH  - Female
MH  - Humans
MH  - *Contraceptive Agents
MH  - Cross-Sectional Studies
MH  - *Contraception Behavior
MH  - Contraception
MH  - Family Planning Services
MH  - India
OTO - NOTNLM
OT  - India
OT  - adolescents
OT  - contraception
OT  - decomposition
OT  - women
OT  - young
COIS- Declaration of Conflicting InterestsThe author(s) declared no potential conflicts 
      of interest with respect to the research, authorship, and/or publication of this 
      article.
EDAT- 2023/08/03 13:09
MHDA- 2023/11/09 06:42
CRDT- 2023/08/03 07:43
PHST- 2023/11/09 06:42 [medline]
PHST- 2023/08/03 13:09 [pubmed]
PHST- 2023/08/03 07:43 [entrez]
AID - 10.1177/08901171231189543 [doi]
PST - ppublish
SO  - Am J Health Promot. 2023 Nov;37(8):1049-1059. doi: 10.1177/08901171231189543. 
      Epub 2023 Aug 3.