TY - JOUR
T1 - Mass media exposure and modern contraceptive use among married West African adolescents
AU - Jacobs, Jennifer
AU - Marino, Miguel
AU - Edelman, Alison
AU - Jensen, Jeffrey
AU - Darney, Blair
N1 - Funding Information:
DHS is a country-wide survey that samples between 5000 and 30,000 households and is conducted every 5 years in many low-income countries to track progress on a variety of health indicators [23]. The DHS Program is funded by the United States Agency for International Development (USAID) and implemented by ICF International. We used the 2010 woman’s questionnaires from Burkina Faso and Senegal [24,25]. The questionnaires for standard DHS surveys have received approval from the ICF International IRB, which ensures protection of human subjects in accordance with US Department of Health and Human Services regulations. All DHS data is publically available upon request [23].
Publisher Copyright:
© 2017 The European Society of Contraception and Reproductive Health.
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2017/11/2
Y1 - 2017/11/2
N2 - Purpose: The purpose of this study was to examine whether family planning (FP) messaging is reaching married adolescent women in West Africa, and whether such messaging is associated with increased contraceptive use. Materials and methods: We utilised data from the 2010 Demographic and Health Surveys (DHS) for Burkina Faso and Senegal (women 15–49; N = 17,067 and N = 15,688, respectively). We used chi-square tests to evaluate whether FP messaging exposure (via TV, radio, and/or print) differed according to socio-demographic characteristics. Subsequent analysis focussed on married adolescents (15–19; N = 961 in Burkina Faso, N = 996 in Senegal) which utilised propensity score matching and multivariable logistic regression models to test the association between self-reported FP messaging exposure and modern contraceptive use, knowledge of a modern contraceptive method, and future intention to use contraception. Results: A higher proportion of women 15–49 who reported FP messaging exposure were urban, from higher wealth quintiles, and had higher education levels, compared with unexposed women. A smaller proportion of adolescents reported exposure compared to older age groups. Among married adolescents, there was a positive but non-significant association between FP messaging exposure and use of a modern contraceptive method in Senegal (adjusted odds ratio (aOR) = 2.3; 95% CI: 0.92, 5.73). No such association was found in Burkina Faso (aOR = 0.98; 95% CI: 0.43, 2.26). Conclusions: Mass media campaigns are not reaching the most vulnerable populations in West Africa, such as adolescents and poorer rural women. Adapting mass media campaigns to address these gaps is important for increasing exposure to FP messaging.
AB - Purpose: The purpose of this study was to examine whether family planning (FP) messaging is reaching married adolescent women in West Africa, and whether such messaging is associated with increased contraceptive use. Materials and methods: We utilised data from the 2010 Demographic and Health Surveys (DHS) for Burkina Faso and Senegal (women 15–49; N = 17,067 and N = 15,688, respectively). We used chi-square tests to evaluate whether FP messaging exposure (via TV, radio, and/or print) differed according to socio-demographic characteristics. Subsequent analysis focussed on married adolescents (15–19; N = 961 in Burkina Faso, N = 996 in Senegal) which utilised propensity score matching and multivariable logistic regression models to test the association between self-reported FP messaging exposure and modern contraceptive use, knowledge of a modern contraceptive method, and future intention to use contraception. Results: A higher proportion of women 15–49 who reported FP messaging exposure were urban, from higher wealth quintiles, and had higher education levels, compared with unexposed women. A smaller proportion of adolescents reported exposure compared to older age groups. Among married adolescents, there was a positive but non-significant association between FP messaging exposure and use of a modern contraceptive method in Senegal (adjusted odds ratio (aOR) = 2.3; 95% CI: 0.92, 5.73). No such association was found in Burkina Faso (aOR = 0.98; 95% CI: 0.43, 2.26). Conclusions: Mass media campaigns are not reaching the most vulnerable populations in West Africa, such as adolescents and poorer rural women. Adapting mass media campaigns to address these gaps is important for increasing exposure to FP messaging.
KW - Adolescents
KW - behaviour change
KW - contraception
KW - francophone West Africa
KW - mass media
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U2 - 10.1080/13625187.2017.1409889
DO - 10.1080/13625187.2017.1409889
M3 - Article
C2 - 29250972
AN - SCOPUS:85038389055
VL - 22
SP - 439
EP - 449
JO - European Journal of Contraception and Reproductive Health Care
JF - European Journal of Contraception and Reproductive Health Care
SN - 1362-5187
IS - 6
ER -