{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T11:56:35Z","timestamp":1778586995362,"version":"3.51.4"},"reference-count":58,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,4,25]],"date-time":"2021-04-25T00:00:00Z","timestamp":1619308800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Studies in Family Planning"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Infertility and unintended pregnancy are dual burdens in Malawi, where 41% of pregnancies are unintended and approximately 20% of people report infertility. Although preventing unintended pregnancy has been a focus in public health, infertility has rarely been explored as a factor that may be associated with contraceptive use. Using cross\u2010sectional survey data (2017\u20132018; <jats:italic>N<\/jats:italic>\u00a0= 749), we report on the prevalence of and sociodemographic characteristics associated with infertility and certainty of becoming pregnant among women in Malawi. We conducted multivariable logistic regressions examining the relationship between infertility, certainty of becoming pregnant, and contraceptive use. Approximately 16% of women experienced infertility, and three\u2010quarters (78%) were certain they could become pregnant within one year. Women who experienced infertility had lower odds of contraceptive use than women who did not (Adjusted Odds Ratio [AOR]: 0.56; 95% Conficence Interval [CI]: 0.39\u20130.83). Women who said there was \u201cno chance\u201d or they were \u201cunlikely\u201d to become pregnant also had lower odds of contraceptive use compared to women who were certain they would become pregnant (AOR: 0.30; 95% CI: 0.10\u20130.92). Our findings indicate that experiences and perceptions surrounding fertility are associated with contraceptive use, underscoring their importance in understanding how people manage their fertility to reach their reproductive goals.<\/jats:p>","DOI":"10.1111\/sifp.12152","type":"journal-article","created":{"date-parts":[[2021,4,26]],"date-time":"2021-04-26T04:38:25Z","timestamp":1619411905000},"page":"143-163","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Infertility, Perceived Certainty of Pregnancy, and Contraceptive Use in Malawi"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5200-8181","authenticated-orcid":false,"given":"Marta","family":"Bornstein","sequence":"first","affiliation":[{"name":"Marta Bornstein, Jessica D. Gipson, Department of Community Health Sciences Fielding School of Public Health University of California  Los Angeles CA USA"},{"name":"California Center for Population Research University of California  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0938-252X","authenticated-orcid":false,"given":"Sarah","family":"Huber\u2010Krum","sequence":"additional","affiliation":[{"name":"Sarah Huber\u2010Krum, Global Health and Population Harvard T.H. Chan School of Public Health  Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison H.","family":"Norris","sequence":"additional","affiliation":[{"name":"Alison H. Norris, College of Public Health and College of Medicine The Ohio State University  Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8719-2081","authenticated-orcid":false,"given":"Jessica D.","family":"Gipson","sequence":"additional","affiliation":[{"name":"Marta Bornstein, Jessica D. Gipson, Department of Community Health Sciences Fielding School of Public Health University of California  Los Angeles CA USA"},{"name":"California Center for Population Research University of California  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,4,25]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Allison Paul.2012. \u201cWhen Can You Safely Ignore Multicollinearity?\u201dStatistical Horizons(blog). 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