Reducing pregnancy and induced abortion rates in China: family planning with husband participation.
OBJECTIVE
This study assessed the effectiveness of a family planning intervention with and without husband's participation in reducing pregnancy and abortion rates in Shanghai, China.


METHODS
In this 3-arm randomized trial among 1800 nonsterilized married women, educational interventions targeting both spouses and targeting the wife only were compared with usual family planning care.


RESULTS
Among women not using intrauterine devices (IUDs), the intervention with husband's participation had an effect in reducing pregnancy rates (adjusted odds ratio [OR] = 0.36, 95% confidence interval [CI] = 0.12, 1.1) and abortion rates (adjusted OR = 0.29, CI = 0.09, 0.94) compared with control subjects, and a significant effect in reducing pregnancy rates (adjusted OR = 0.29, CI = 0.10, 0.85) and abortion rates (adjusted OR = 0.24, CI = 0.07, 0.77) compared with wife-only subjects.


CONCLUSIONS
Family planning interventions involving husbands may reduce pregnancy and abortion rates among non-IUD users.
Wang
C C
CC
Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor 48109-2029, USA.
Vittinghoff
E
E
Hua
L S
LS
Yun
W H
WH
Rong
Z M
ZM
D000028:Abortion, Induced / Q000706:statistics & numerical data* / Q000639:trends; D002681:China; D005193:Family Planning Services / Q000458:organization & administration*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D016017:Odds Ratio; D010342:Patient Acceptance of Health Care; D011247:Pregnancy / Q000706:statistics & numerical data*; D015397:Program Evaluation; D018454:Spouses / Q000193:education* / Q000523:psychology*