Religiosity as a Predictor for Individual Contraceptive Behavior among U.S. Women Öffentlichkeit
Benka- Coker, Akinwande (2011)
Published
Abstract
Abstract
Religiosity as a Predictor for Individual Contraceptive Behavior
Among U.S. Women
By
Akinwande Benka-Coker
The socioeconomic and public health significance of family planning
and contraception are
noted as an important achievement in 20th century public health.
However, almost half of the
all pregnancies in the U.S. are unplanned. Certain factors have
been identified as determinants
for effective contraceptive behavior, amongst which religiosity is
believed to play a significant
role. To understand this relationship, the 2006 National Survey of
Family Growth (NSFG) data is
used to predict the relationship between religiosity and
contraceptive use and choice.
This study employs complex survey methods to test two separate
logistic models, controlling
for demographic and socioeconomic covariates, with contraceptive
use and choice (condoms
versus pills) as the outcome variables and in both cases, a
composite measure of religiosity
(religiosity index) as the primary exposure.
Results indicate that an estimated 38.2 million women of
reproductive age, at risk for
unintended pregnancy, were contracepting, with pills, sterilization
and condoms the main
methods being used. Multivariate modeling revealed that higher
religiosity was associated with
less contraception, but this relationship was non-significant.
There is also no significant
association between religiosity and the method choice (condoms
versus pills).Women's marital
status and parity were also associated with the use of
contraceptives.
Among women at risk of unintended pregnancy, religiosity levels do
not significantly predict the
contraceptive behavior (use and choice) of these women.
Religiosity as a Predictor for Individual Contraceptive Behavior
among U.S. Women
By
Akinwande Benka-Coker
Bachelor of Medicine; Bachelor of Surgery
University of Benin, Nigeria
2007
Thesis Committee Chair: Dr. Michael Kramer MS, PhD
A thesis submitted to the Faculty of the
Rollins School of Public Health of Emory University
in partial fulfillment of the requirements for the degree of
Master of Public Health
in Epidemiology
2011
Table of Contents
TABLE OF CONTENTS
INTRODUCTION
1
Hypothesis
4
BACKGROUND
5
Introduction
6
Religion, Religious affiliation and Religiosity
9
Religiosity and Contraceptive Use
11
Negative Association
11
Positive Association
12
No Association
14
Religiosity and Contraceptive Choice
16
METHODS
18
Inclusion/Exclusion
18
Definition of Exposure
18
Definition of Outcome
20
Additional Covariates
20
Analysis
21
RESULTS
23
Descriptive Analysis
23
Regression Analysis
24
DISCUSSION
26
Study Strengths and Limitations
28
Conclusion
29
Future Direction
30
REFERENCES
31
About this Master's Thesis
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