Socioeconomic Correlates of Contraceptive Use among the Ethnic Tribal Women of Bangladesh: Does Sex Preference Matter?
Abstract
Objective: To examine the relationship between socioeconomic factors affecting contraceptive use among tribal women of Bangladesh with focusing on son preference over daughter.
Materials and methods: The study used data gathered through a cross sectional survey on four tribal communities resided in the Rangamati Hill District of the Chittagong Hill Tracts, Bangladesh. A multistage random sampling procedure was applied to collect data from 865 currently married women of whom 806 women were currently married, non-pregnant and had at least one living child, which are the basis of this study. The information was recorded in a pre-structured questionnaire. Simple cross tabulation, chi-square tests and logistic regression analyses were performed to analyzing data.
Results: The contraceptive prevalence rate among the study tribal women was 73%. The multivariate analyses yielded quantitatively important and reliable estimates of likelihood of contraceptive use. Findings revealed that after controlling for other variables, the likelihood of contraceptive use was found not to be significant among women with at least one son than those who had only daughters, indicating no preference of son over daughter. Multivariate logistic regression analysis suggests that home visitations by family planning workers, tribal identity, place of residence, husband's education, and type of family, television ownership, electricity connection in the household and number of times married are important determinants of any contraceptive method use among the tribal women.
Conclusion: The contraceptive use rate among the disadvantaged tribal women was more than that of the national level. Door-step delivery services of modern methods should be reached and available targeting the poor and remote zones.
Kamal SMM. The effect of son preference on contraceptive use in rural Bangladesh. Pakistan Journal of Women‟s Studies 2008; 15: 47-59.
Arokiasamy, P. Gender preference, contraceptive use and fertility in India: regional and development influences. International Journal of Population Geography 2002;8: 49-67.
Rajaretnam T, Deshpande RV . The effect of sex preference on contraceptive use and fertility in rural south India, International Family Planning Perspectives 1994;20: 88-95.
Jayaraman A, Mishra V , Arnold F . The relationship of family size and composition to fertility desires, contraceptive adoption and method choice in South Asia, International Perspectives on Sexual and Reproductive Health 2009;35: 29-38.
Arnold F. Son preference in South Asia, in Fertility Transition in South Asia, edited by Sathar Z.A. and J.F. Phillips. London: Oxford University Press.2001.
StashS. Ideal-family-size and sex-composition preferences among wives and husbands in Nepal. Studies in Family Planning 1996; 27: 107-18.
Verma GR, Babu Bv. Son preference and desired family size in a rural community of west Godavari district, Andhra Pradesh, India. Journal of Social Science 2007;15: 59-64.
Susman AS. Son preference and contraceptive practice among tribal groups in rural south India. Studies of Tribes and Tribals 2006; 4: 31-40.
Nasir, R. and A.K. Kalla. Kinship system, fertility and son preference among the Muslims: a review, Anthropologist 2006;8: 275-81.
Osemwenkha SO. Gender issues in contraceptive use among educated women in Edo state, Nigeria. African Health Sciences 2004; 4: 40- 9.
Leone T, Matthews Z, Dalla Zuanna G. Impact and determinants of sex preference in Nepal. International Family Planning Perspectives 2003;29: 69-75.
Bairagi R. Effects of sex preference on contraceptive use, abortion and fertility in Matlab, Bangladesh. International Family Planning Perspectives 2001; 27: 137-43.
KhanMA, Khanum PA. Influence of son preference on contraceptive use in Bangladesh. Asia-Pacific Population Journal 2000;15: 43-56.
Hossain R, Fikree FF, Berendes HW. The role of son preference in reproductive behaviour in Pakistan. Bulletin of the World Health Organization2000; 78: 379-88.
Arnold F, Choe MK, Roy TK . Son preference, the family-building process and child mortality in India. Population Studies 1998;52: 301-15.
Obermeyer CM. Fertility norms and son preference in Morocco and Tunisia: does women‟s status matter?. Journal of Biosocial Science 1996;28: 57-72.
Andersson G, Hank K , Ronsen M , Vikat A. Gendering the family composition: sex preferences for children and childbearing behavior in the Nordic countries. Demography. 2006;43:255-67.
Marleau JD , Saucier JF. Preference for a first-born boy in western societies. Journal of Biosocial Science 2002;34: 13-27.
Pollard MS, Morgan SP. Emerging parental gender indifference? sex composition of children and the third birth.American Sociological Review2002; 67: 600-13.
Hank K, Kohler HP . Gender preference for children in Europe: empirical results from 17 FFS countries. Demographic Research 2000; 2: 1-21.
epetto RG. Son preference and fertility behavior in developing countries. Studies in Family Planning 1972; 3: 70-6.
De Tray D. Son preference in Pakistan: an analysis of intentions verses behavior. Research in Population Economics 1984; 5: 185-200.
Mukherji S. Desire for children and observed fertility. Journal of Family Welfare1977; 24: 16-22.
De Silva WI. Influence of son preference on use and fertility of Sri Lankan women.Journal of Biosocial Science 1993; 25: 319-31.
Rafi M, Chowdhury AMR. Counting the hills: assessing development in Chittagong Hill Tracts. Dhaka: The University Press Limited. 2001:41-56.
Guhathakurta M. Women‟s survival and resistance, in The Chittagong Hill Tracts: Life and nature at risk, Society for Environment and Human Development (SEHD).2000.
Ahsan S. The Marmas of Bangladesh. Dhaka: Human Resource Development Program, Winrock International.1993.
Fisher AA, Laing JE , Stoeckel JE, Rownsend JW. Handbook for family planning operation research. New York: Population Council. 1998.
Rangamati hill district council (RHDC). Rangamati Hill District Council in Brief. Bangladesh.2005. http://www.rhdcbd.org
Islam MA, Rakibul M, Banowary B. Sex preference as a determinant of contraceptive use in matrilineal societies: a study on the Garo of Bangladesh. The European Journal of Contraception & Reproductive Health Care2009; 14: 301-6.
Saleem S, Bobak M. Women‟s autonomy, education and contraception use in Pakistan: a national study. Reproductive Health 2005;2:8 .
TripuraP. Culture, identity and development in the Chittagong Hill Tracts. Discourse 1998;2: 61-8.
Ahmed SM. Health-care facilities, contraception and antenatal care services, in Counting the hills: Assessing development in Chittagong Hill Tracts, Dhaka: The University Press Limited.2001: 151-160.
National Institute of Population Research and Training (NIPORT), Mitra and Associates, and Macro
International. Bangladesh Demographic and Health Survey 2007. Dhaka, Bangladesh and Calverton, Maryland, USA: National Institute of Population Research and Training, Mitra and Associates, and Macro International.2009.
Ayoub AS. Effects of women‟s schooling on contraceptive use and fertility in Tanzania. African Population studies 2004;19: 139-57.
Bhasin MK, Nag S. Demography of the tribal groups of Rajasthan-6: regression analysis. Anthropologist 2007;9: 107-12.
Beutelspacher AN, Rosales DM, Izaba BS, Martelo ZE, Halperin D. Education and non use of contraceptives among poor women in Chiapas, Mexico. International Family Planning Perspectives1999;25: 132-8.
Parr N. Mass media promotion of family planning and the use of modern contraception in Ghana. Paper presented at the XXIV International Union for the Scientific Study of Population (IUSSP) conference, Salvadar, Bahia, Brazil, 2001.
Islam M, Mahmud M. Contraception among adolescents in Bangladesh. Asia-pacific Population Journal1998; 10: 21-38.
Kamal N. Role of government family planning workers and health centres as determinants of contraceptive use in Bangladesh. Asia-Pacific Population Journal 1994;9: 59-65.
Janowitz B, Holtman M, Johnson L, Trottier D. The importance of field-workers in Bangladesh‟s family planning programme. Asia-Pacific Population Journal 1999;14;: 23-36.
Khan MA, Rahman M. Determinants of contraceptive method choice in rural Bangladesh. Asia-Pacific Population Journal1997; 12: 65-82.
Files | ||
Issue | Vol 7, No 2 (June 2013) | |
Section | Original Articles | |
Keywords | ||
Bangladesh Contraceptive use Ethnic tribal women Logistic regression Sex preference |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |