Skip to main content



This study investigates current contraceptive use among Malawi couples. The data examined are from the 2001 Malawi Diffusion and Ideational Change Project (MDICP). The aim of the study is to explore whether contraceptive use among married couples is affected by the couple's concerns about HIV/AIDS and couple's age difference. Contraceptive use was found to be associated with the couple's HIV concern and family planning goals. There is no significant association between spousal age difference and contraceptive use. The findings are important for future work on the connection of marital concerns about HIV/AIDS with contraceptive behaviours, especially the use of condoms, and for informing HIV preventive strategies in marriage.

Hide All
Agresti, A. (1990) Categorical Data Analysis. Describing Two-Way Contingency Tables. Wiley-Interscience Publications, New York.
Ainsworth, M. & Over, M. (1997) Confronting AIDS: Public Priorities in a Global Epidemic. Oxford University Press, New York.
Allison, P. D. (1999) Multiple Regression: A Primer. Pine Forge Press, CA, USA.
Barbieri, M. & Hertrich, V. (2005) Age differences between spouses and contraceptive practice in sub-Saharan Africa. Populations 60(5/6), 617654.
Becker, S. (1996) Couples and reproductive health: a review of couple studies. Studies in Family Planning 27, 291306.
Becker, S. & Costenbader, E. (2001) Husbands' and wives' reports of contraceptive use. Studies in Family Planning 32(2), 111129.
Behrman, J. R., Kohler, H. & Watkins, S.C. (2002) Social networks and changes in contraceptive use over time: evidence from a longitudinal study in rural Kenya. Demography 39(4), 713737.
Bledsoe, C. (1990) Transformations in sub-Saharan Africa marriage and fertility. Annals of the American Academy of Political and Social Science 510, 115125.
Boerma, J. T., Nunn, A. J. & Whitworth, J. A. G. (1998) Mortality impact of the AIDS epidemic: evidence from community studies in less developed countries. AIDS 12, S314.
Caldwell, J. C. & Caldwell, P. (2000) The limitation of family size in Ibadan, Nigeria: an explanation of its comparative rarity derived from in-depth interviews. In Ebigbola, J. A. & Renne, E. D. (eds) Population and Development Issues: Ideas and Debates. African Book Builders, Ibadan, pp. 126171.
Chimbiri, A. M. (2007) The condom is an ‘intruder’ in marriage: evidence from rural Malawi. Social Science & Medicine 64, 11021115.
Chimbwete, C., Watkins, S. C. & Zulu, E. M. (2004) The evolution of population policies in Kenya and Malawi. Population Research and Policy Review 24, 83104.
Gage, A. J. (1998) Sexual activity and contraceptive use: the components of the decision-making. Studies in Family Planning 25(3), 154166.
Giusti, C. & Vignoli, D. (2006) Determinants of contraceptive use in Egypt: a multilevel approach. Statistical Methods and Applications 15, 89106.
Greene, M. E. & Biddlecom, A. E. (2000) Absent and problematic men: demographic accounts of male reproductive roles. Population and Development Review 26(1), 81115.
Gregson, S., Zaba, B. & Hunter, S. C. (2002) The Impact of HIV-1 on Fertility in Sub-Saharan Africa: Causes and Consequences. Paper prepared for the Expert Group Meeting on Completing the Fertility Transition, Population Division, Department of Social and Economic AffairsUnited Nations, NY, USA, document 2002 UN/POP/CFT/2002/BP/5.
Gregson, S., Zhuwau, T., Anderson, R. M. & Chandiwana, S. K. (1997) HIV and fertility change in rural Zimbabwe. Health Transition Review 7 (Supplement 2), 89112.
Hennink, M. & Madise, N. J. (2005) Influence of user fees on contraceptive use in Malawi. African Population Studies 20(2), 125141.
Isiugo-Abanihe, U. C. (1994) Reproductive motivation and family size preference among Nigerian men. Studies in Family Planning 25(3), 149161.
Kalipeni, E. & Ghosh, J. (2007) Concern and practice among men about HIV/AIDS in low socio-economic income areas of Lilongwe, Malawi. Social Science & Medicine 64(5), 11161127.
Kleinbaum, D. G. (1994) Logistic regression: a self-learning text. In Dietz, K., Gail, M., Krickeberg, K. & Singer, B. (eds) Statistics in the Health Sciences. Springer-Verlag, New York.
Lundberg, S. & Pollak, R. A. (1996) Bargaining and distribution in marriage. Journal of Economic Perspectives 10(4), 139158.
Mason, K. O. & Taj, A. M. (1987) Differences between women's and men's reproductive goals in developing countries. Population and Development Review 13(4), 611638.
Meursing, K. & Sibinda, F. (1995) Condoms, family planning and living with HIV in Zimbabwe. Reproductive Health Matters 3(5), 5667.
Miller, K., Zulu, E. & Watkins, S. C. (2001) Husband–wife survey responses in Malawi. Studies in Family Planning 32(2), 161174.
Miller, W. B., Severy, L. J. & Pasta, D. J. (2004) A framework for modelling fertility motivation in couples. Population Studies 58(2), 193205.
Montgomery, M. & Casterline, R. (1996) Social learning, social influence and new models of fertility. Population and Development Review 22 (Supplement), 151175.
Noel-Miller, C. M. (2003) Concern regarding the HIV/AIDS epidemic and individual childbearing: evidence from rural Malawi. Demographic Research (Special Collection 1, Article 10), 319346.
Oheneba-Sakyi, Y. & Takyi, B. K. (1997) Effects of couple's characteristics on contraceptive use in sub-Saharan Africa: the Ghanaian example. Journal of Biosocial Science 29(2), 3349.
Rutenberg, N., Biddlecom, A. E. & Kaona, F. A. D. (2000) Reproductive decision making in the context of HIV and AIDS: a qualitative study in Ndola, Zambia. International Family Planning Perspectives 26(3), 124130.
Smith, K. P. & Watkins, S. C. (2005) Perceptions of risk and strategies for prevention: responses to HIV/AIDS in rural Malawi. Social Sciences & Medicine 60, 649660.
Solo, J., Jacobstein, R. & Malema, D. (2005) Malawi Case Study: Choice, Not Chance. A Repositioning Family Planning Case Study. The ACQUIRE Project/Engender Health, September 2005, New York.
Varga, C. A. (1997) Sexual decision-making and negotiations in the midst of AIDS: youth in KwaZulu-Natal, South Africa. Health Transition Review (Supplement 3) 7, 4567.
Yeatman, S. (2007) Fertility preferences in times of crisis: HIV infection and childbearing intentions in rural Malawi. Paper presented at the Annual Meeting of the Population Association of AmericaNew York.
Zaba, B. & Gregson, S. (1998) Measuring the impact of HIV on fertility in Africa. AIDS 12 (Supplement 1), S4150.
Zopf, P. E. (1984) Population: An Introduction to Social Demography. Mayfield Publishing Company, California.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Journal of Biosocial Science
  • ISSN: 0021-9320
  • EISSN: 1469-7599
  • URL: /core/journals/journal-of-biosocial-science
Please enter your name
Please enter a valid email address
Who would you like to send this to? *

Related content

Powered by UNSILO


Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed