title: Access to Money and Relation to Women's Use of Family Planning Methods Among Young Married Women in Rural India.
abstract: Objectives The social positioning (i.e. social status and autonomy) of women in the household facilitates women's access to and decision-making power related to family planning (FP). Women's access to spending money, which may be an indicator of greater social positioning in the household, may also be greater among women who engage in income generating activities for their families, regardless of women's status in the household. However, in both scenarios, access to money may independently afford greater opportunity to obtain family planning services among women. This study seeks to assess whether access to money is associated with FP outcomes independently of women's social positioning in their households. Methods Using survey data from married couples in rural Maharashtra, India (n = 855), crude and adjusted regression was used to assess women's access to their own spending money in relation to past 3 month use of condoms and other forms of contraceptives (pills, injectables, intrauterine device). Results Access to money (59 %) was associated with condom and other contraceptive use (AORs ranged 1.5-1.8). These findings remained significant after adjusting for women's FP decision-making power in the household and mobility to seek FP services. Conclusion While preliminary, findings suggest that access to money may increase women's ability to obtain FP methods, even in contexts where social norms to support women's power in FP decision-making may not be readily adopted.
authors.affiliation: Division of Global Public Health, Department of Medicine, University of California San Diego School of Medicine, 9500 Gilman Drive, MC 0507, La Jolla, San Diego, CA, 92093-0507, USA. e2reed@ucsd.edu.|Center for Gender Equity and Health, University of California, San Diego, CA, USA. e2reed@ucsd.edu.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Reed
authors.affiliation: National Institute for Research in Reproductive Health, Mumbai, India.
authors.forename: Balaiah
authors.initials: B
authors.lastname: Donta
authors.affiliation: Division of Global Public Health, Department of Medicine, University of California San Diego School of Medicine, 9500 Gilman Drive, MC 0507, La Jolla, San Diego, CA, 92093-0507, USA.|Center for Gender Equity and Health, University of California, San Diego, CA, USA.
authors.forename: Anindita
authors.initials: A
authors.lastname: Dasgupta
authors.affiliation: National Institute for Research in Reproductive Health, Mumbai, India.
authors.forename: Mohan
authors.initials: M
authors.lastname: Ghule
authors.affiliation: Population Council, New Delhi, India.
authors.forename: Madhusudana
authors.initials: M
authors.lastname: Battala
authors.affiliation: National Institute for Research in Reproductive Health, Mumbai, India.
authors.forename: Saritha
authors.initials: S
authors.lastname: Nair
authors.affiliation: Division of Global Public Health, Department of Medicine, University of California San Diego School of Medicine, 9500 Gilman Drive, MC 0507, La Jolla, San Diego, CA, 92093-0507, USA.|Center for Gender Equity and Health, University of California, San Diego, CA, USA.|Department of Society, Human Development and Health, Harvard School of Public Health, Harvard University, Boston, MA, USA.
authors.forename: Jay
authors.initials: J
authors.lastname: Silverman
authors.affiliation: National Institute for Research in Reproductive Health, Mumbai, India.
authors.forename: Arun
authors.initials: A
authors.lastname: Jadhav
authors.affiliation: National Institute for Research in Reproductive Health, Mumbai, India.
authors.forename: Prajakta
authors.initials: P
authors.lastname: Palaye
authors.affiliation: Bill & Melinda Gates Foundation, New Delhi, India.
authors.forename: Niranjan
authors.initials: N
authors.lastname: Saggurti
authors.affiliation: Division of Global Public Health, Department of Medicine, University of California San Diego School of Medicine, 9500 Gilman Drive, MC 0507, La Jolla, San Diego, CA, 92093-0507, USA.|Center for Gender Equity and Health, University of California, San Diego, CA, USA.|Clinical Addiction Research and Education, Section of General, Internal Medicine, Department of Medicine, School of Medicine/Boston Medical Center, Boston University, Boston, MA, USA.
authors.forename: Anita
authors.initials: A
authors.lastname: Raj
mesh_terms: D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000191:economics / Q000706:statistics & numerical data*; D003268:Contraception Behavior / Q000208:ethnology* / Q000706:statistics & numerical data; D003657:Decision Making; D005193:Family Planning Services / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007182:Income; D007194:India; D008393:Marriage; D011203:Poverty; D011209:Power, Psychological; D011610:Psychosocial Deprivation; D012424:Rural Population; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014933:Women's Rights
keywords: Condom use; Contraception; Economic empowerment; Reproductive health