{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:55:19Z","timestamp":1753890919864,"version":"3.41.2"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T00:00:00Z","timestamp":1708473600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Glob. Womens Health"],"abstract":"<jats:p>According to the Demographic and Health Surveys (DHSs), Zambia has shown an increasing trend in the percentage of married women using contraceptives in the last three decades. As of 2018, this percentage increased from 34.2% in 2001 to 40.8% in 2007 and from 45% in 2013 to 48% in 2018. Despite the increasing trend in contraceptive use, the unmet needs remain relatively high. The low percentage of contraception use translates into 20% of women of reproductive age who are either married\/partnered and want to stop or delay childbearing but are not using contraception. This study analyzed factors other than availability that influence women\u2019s ability to make or influence the decision to use contraception using logistic regression using data from the Zambia 2013\/2014 and 2018 DHSs. Furthermore, adjusted odds ratios and predicted probabilities were estimated using the fitted logistic regression. Data on 8,335 women were analyzed, and 13.7% (<jats:italic>n<\/jats:italic>\u2009=\u20091,145) had their husband as the sole decision maker for contraception use, while 86.3% (<jats:italic>n<\/jats:italic>\u2009=\u20097,189) made the decisions or participated in making the decision. Contrary to most literature, those with primary or secondary school education were less likely to decide than those without education. The data also associate women who contribute to daily household decisions to having a say in deciding to use contraception. Lastly, women using reversible contraception methods, other methods, hormonal methods, and fertility awareness were associated with less likelihood to decide on using contraceptives than those using barrier methods. Women with lower household decision-making powers are less likely to make or influence decisions to use contraception. Consequently, there is a need to prioritize such women in interventions aimed at increasing contraception use decision-making. Furthermore, more studies are required to investigate why uneducated women in Zambia are more likely to choose contraception. Also, the vast odds ratio difference between all other methods compared to barrier methods (condoms) indicates underlying factors that play a role, which warrants further studies.<\/jats:p>","DOI":"10.3389\/fgwh.2023.1157097","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T05:34:35Z","timestamp":1708493675000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors that influence married\/partnered women\u2019s decisions to use contraception in Zambia"],"prefix":"10.3389","volume":"4","author":[{"given":"Chilochibi","family":"Chiziba","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mwimba","family":"Chewe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Hangoma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,2,21]]},"reference":[{"volume-title":"Zambia demographic and health survey 2018","year":"2019","key":"B1"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1459","DOI":"10.12688\/gatesopenres.12989.2","article-title":"Family planning in Zambia: an investment pillar for economic development","volume":"3","author":"Mbizvo","year":"2019","journal-title":"Gates Open Res"},{"key":"B3","doi-asserted-by":"publisher","first-page":"870","DOI":"10.1016\/S0140-6736(17)33104-5","article-title":"Modern contraceptive use, unmet need, and demand satisfied among women of reproductive age who are married or in a union in the focus countries of the family planning 2020 initiative: a systematic analysis using the family planning estimation tool","volume":"391","author":"Cahill","year":"2017","journal-title":"Lancet J"},{"key":"B4","doi-asserted-by":"publisher","first-page":"2210","DOI":"10.1257\/aer.104.7.2210","article-title":"Household bargaining and excess fertility: an experimental study in Zambia","volume":"104","author":"Ashraf","year":"2014","journal-title":"Am Econ Rev"},{"volume-title":"Determinants of female labour force participation in Ghana","year":"2009","author":"Ackah","key":"B5"},{"key":"B6","first-page":"18","article-title":"Impacts of contraception on women\u2019s decision-making agency in Indonesia","volume":"15","author":"Fogarty","year":"2018","journal-title":"Undergrad Econ Rev"},{"volume-title":"Non-cooperative decision: making and measures of household surplus","year":"2003","author":"Bateman","key":"B7"},{"key":"B8","doi-asserted-by":"publisher","first-page":"837","DOI":"10.1186\/s12889-022-13251-4","article-title":"Factors associated with decision-making power of married women to use family planning in sub-Saharan Africa: a multilevel analysis of demographic health surveys","volume":"22","author":"Demissie","year":"2022","journal-title":"BMC Public Health"},{"volume-title":"Transforming our world: the 2030 agenda for sustainable development","year":"","key":"B9"},{"volume-title":"Scaling up family planning in Zambia\u2014part 1: assessment and feasibility of maintaining and innovative program,\u201d Research Report","year":"2016","author":"Bellows","key":"B10"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1315","DOI":"10.1097\/JTO.0b013e3181ec173d","article-title":"Receiver operating characteristic curve in diagnostic test assessment","volume":"5","author":"Mandrekar","year":"2010","journal-title":"J Thorac Oncol"},{"volume-title":"World contraceptive use 2014 (POP\/DB\/CP\/Rev2014)","year":"2014","key":"B12"},{"volume-title":"Tracking women\u2019s decision-making for sexual and reproductive health and reproductive rights","year":"2020","key":"B13"},{"key":"B14","doi-asserted-by":"publisher","first-page":"e98702","DOI":"10.1371\/journal.pone.0098702","article-title":"Having a say matters: influence of decision-making power on contraceptive use among Nigerian women ages 35\u201349 years","volume":"9","author":"OlaOlurum","year":"2014","journal-title":"PLoS One"},{"volume-title":"Understanding women\u2019s empowerment: a comparative analysis of Demographic and Health Surveys (DHS) data. 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