Author:
Agha Sohail,Morgan Brooks,Archer Helena,Paul Shadae,Babigumira Joseph B.,Guthrie Brandon L.
Abstract
Abstract
Background
An aim of this study is to introduce a practitioner-friendly behavior model. Few theories of health behavior explicitly take the effect of social norms on behavior into account. Generally, theories that do take social norms into account assume that the effect of social norms on behavior operates through motivation. We use the Fogg Behavior Model (FBM), a behavior model that is new to public health, to explore whether social norms are associated with modern contraceptive use among Nigerian women, and whether they affect behavior through motivation or through ability. In other words, do social norms that discourage contraception lower women’s motivation to use contraception or do they lower women’s ability to use contraception.
Methods
This study uses data from a cross-sectional household survey of Nigerian women, ages 14–24. The survey collected data on socio-economic and demographic characteristics of women, whether they were sexually experienced, and whether they used contraception. Modern contraceptive use was the outcome of interest for the study. The survey also collected data on social norms around premarital sex and contraceptive use. Multivariate logistic regression was used for the analysis.
Results
After adjusting for a range of socio-economic and demographic variables, we found that social norms that discourage contraception had a statistically significant negative association with contraceptive use (aOR = 0.90, p < 0.001). The analysis found that the negative association between social norms and contraceptive use remained statistically significant after controlling for motivation but did not remain statistically significant after controlling for ability.
Conclusion
These findings suggest that social norms may affect contraceptive use in Nigeria through ability rather than motivation. In terms of programmatic implications, these finding suggest that public health interventions may be able to counter the negative effects of social norms that discourage contraceptive use by increasing women’s ability to practice contraception.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference37 articles.
1. Sanchez EK, Speize IS, Tolley E. et al. Influences on seeking a contraceptive method among adolescent women in three cities in Nigeria. Reprod Health 17, 2020;167. https://doi.org/10.1186/s12978-020-01019-1.
2. PMA 2020. Adolescents & youth adults health brief. PMA 2020/Nigeria, 2017:1–2.
3. Omoniyi M, Abiodun OM, Balogun OR. Sexual activity and contraceptive use among young female students of tertiary educational institutions in Ilorin, Nigeria. Contraception. 2009;79(2):146–9.
4. Solo J, Sood S, Abdur-Rahman A, Weis J. Performance evaluation of the passages project and implications for future social norms programming. Washington, DC: United States Agency for International Development; 2019.
5. GAGE Consortium. Gender and adolescence: why understanding adolescent capabilities, change strategies and contexts matters. London: Gender and Adolescence, Global Evidence; 2017.
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