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Trends in sexual activity and demand for and use of modern contraceptive methods in 74 countries: A retrospective analysis of nationally representative surveys

The Lancet Global Health Mar 24, 2020

Slaymaker E, Scott RH, Palmer MJ, et al. - In this study, survey data and national-level indicators of social determinants from 74 countries were applied to analyze change in satisfaction of contraceptive need from a contextual perspective. Researchers carried out to search for individual-level data from repeated nationally representative surveys that involved information on sexual and reproductive health, and created a single dataset by harmonising data from each survey to a standard data specification. They presented the relative timings of sexual initiation, first union (cohabitation or marriage), and first birth and logistic regression was applied to display the change in prevalence of sexual activity, demand for contraception, and modern contraceptive use. Applying linear regression, researchers explored country-level correlations between the gender development index and the expected length of time in education for women and the three outcomes: sexual activity, demand for contraception, and modern contraceptive use. It was demonstrated that progress towards satisfying demand for contraception should take account of the changing context in which it is practised. The policy response and thus research priorities could need a stronger target on social-structural determinants and broader aspects of sexual health to remove the remaining barriers.

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