Country-Level Gender Equality and Adolescents' Contraceptive Use in Europe, Canada and Israel: Findings from 33 Countries

Margaretha de Looze*, Aubrey S. Madkour, Tim Huijts, Nathalie Moreau, Candace Currie

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Although an association between gender equality and contraceptive use has been confirmed among adult samples, few studies have explored this relationship among adolescents. An examination of whether adolescents' contraceptive use is more prevalent in countries with higher levels of gender equality is needed to fill this gap.Nationally representative data from 33 countries that participated in the 2013-2014 Health Behaviour in School-Aged Children study and country-level measures of gender equality-using the 2014 Global Gender Gap Index-were analyzed. Multilevel multinomial logistic regression analyses were employed to assess associations between gender equality and contraceptive use (condom only, pill only and dual methods) at last intercourse as reported by 4,071 females and 4,110 males aged 14-16.Increasing gender equality was positively associated with contraceptive use among both males and females. For every 0.1-point increase on the equality scale, the likelihood of condom use at last intercourse rose (odds ratio, 2.1 for females), as did the likelihood of pill use (6.5 and 9.6, respectively, for males and females) and dual method use (2.1 and 5.6, respectively). Associations with pill use and dual use remained significant after national wealth and income inequality were controlled for. Overall, associations were stronger for females than for males.More research is needed to identify potential causal pathways and mechanisms through which gender equality and adolescents' contraceptive use may influence one another.? 2019 The Authors. Perspectives on Sexual and Reproductive Health published by on behalf of Guttmacher Institute.
Original languageEnglish
Pages (from-to)43-53
Number of pages11
JournalPerspectives on Sexual and Reproductive Health
Volume51
Issue number1
DOIs
Publication statusPublished - Mar 2019

Keywords

  • TEENAGE PREGNANCY
  • SEXUAL-BEHAVIOR
  • 15-YEAR OLDS
  • CONDOMS
  • MEN
  • COUPLE
  • ROLES
  • NORMS
  • WOMEN
  • CARE

Cite this

de Looze, Margaretha ; Madkour, Aubrey S. ; Huijts, Tim ; Moreau, Nathalie ; Currie, Candace. / Country-Level Gender Equality and Adolescents' Contraceptive Use in Europe, Canada and Israel : Findings from 33 Countries. In: Perspectives on Sexual and Reproductive Health. 2019 ; Vol. 51, No. 1. pp. 43-53.
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title = "Country-Level Gender Equality and Adolescents' Contraceptive Use in Europe, Canada and Israel: Findings from 33 Countries",
abstract = "Although an association between gender equality and contraceptive use has been confirmed among adult samples, few studies have explored this relationship among adolescents. An examination of whether adolescents' contraceptive use is more prevalent in countries with higher levels of gender equality is needed to fill this gap.Nationally representative data from 33 countries that participated in the 2013-2014 Health Behaviour in School-Aged Children study and country-level measures of gender equality-using the 2014 Global Gender Gap Index-were analyzed. Multilevel multinomial logistic regression analyses were employed to assess associations between gender equality and contraceptive use (condom only, pill only and dual methods) at last intercourse as reported by 4,071 females and 4,110 males aged 14-16.Increasing gender equality was positively associated with contraceptive use among both males and females. For every 0.1-point increase on the equality scale, the likelihood of condom use at last intercourse rose (odds ratio, 2.1 for females), as did the likelihood of pill use (6.5 and 9.6, respectively, for males and females) and dual method use (2.1 and 5.6, respectively). Associations with pill use and dual use remained significant after national wealth and income inequality were controlled for. Overall, associations were stronger for females than for males.More research is needed to identify potential causal pathways and mechanisms through which gender equality and adolescents' contraceptive use may influence one another.? 2019 The Authors. Perspectives on Sexual and Reproductive Health published by on behalf of Guttmacher Institute.",
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author = "{de Looze}, Margaretha and Madkour, {Aubrey S.} and Tim Huijts and Nathalie Moreau and Candace Currie",
note = "data source: Health-Behaviour in School-aged Children (HBSC)",
year = "2019",
month = "3",
doi = "10.1363/psrh.12090",
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Country-Level Gender Equality and Adolescents' Contraceptive Use in Europe, Canada and Israel : Findings from 33 Countries. / de Looze, Margaretha; Madkour, Aubrey S.; Huijts, Tim; Moreau, Nathalie; Currie, Candace.

In: Perspectives on Sexual and Reproductive Health, Vol. 51, No. 1, 03.2019, p. 43-53.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Country-Level Gender Equality and Adolescents' Contraceptive Use in Europe, Canada and Israel

T2 - Findings from 33 Countries

AU - de Looze, Margaretha

AU - Madkour, Aubrey S.

AU - Huijts, Tim

AU - Moreau, Nathalie

AU - Currie, Candace

N1 - data source: Health-Behaviour in School-aged Children (HBSC)

PY - 2019/3

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AB - Although an association between gender equality and contraceptive use has been confirmed among adult samples, few studies have explored this relationship among adolescents. An examination of whether adolescents' contraceptive use is more prevalent in countries with higher levels of gender equality is needed to fill this gap.Nationally representative data from 33 countries that participated in the 2013-2014 Health Behaviour in School-Aged Children study and country-level measures of gender equality-using the 2014 Global Gender Gap Index-were analyzed. Multilevel multinomial logistic regression analyses were employed to assess associations between gender equality and contraceptive use (condom only, pill only and dual methods) at last intercourse as reported by 4,071 females and 4,110 males aged 14-16.Increasing gender equality was positively associated with contraceptive use among both males and females. For every 0.1-point increase on the equality scale, the likelihood of condom use at last intercourse rose (odds ratio, 2.1 for females), as did the likelihood of pill use (6.5 and 9.6, respectively, for males and females) and dual method use (2.1 and 5.6, respectively). Associations with pill use and dual use remained significant after national wealth and income inequality were controlled for. Overall, associations were stronger for females than for males.More research is needed to identify potential causal pathways and mechanisms through which gender equality and adolescents' contraceptive use may influence one another.? 2019 The Authors. Perspectives on Sexual and Reproductive Health published by on behalf of Guttmacher Institute.

KW - TEENAGE PREGNANCY

KW - SEXUAL-BEHAVIOR

KW - 15-YEAR OLDS

KW - CONDOMS

KW - MEN

KW - COUPLE

KW - ROLES

KW - NORMS

KW - WOMEN

KW - CARE

U2 - 10.1363/psrh.12090

DO - 10.1363/psrh.12090

M3 - Article

VL - 51

SP - 43

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JO - Perspectives on Sexual and Reproductive Health

JF - Perspectives on Sexual and Reproductive Health

SN - 1538-6341

IS - 1

ER -