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dc.contributor.authorde Looze, Margaretha
dc.contributor.authorS. Madkour, Aubrey
dc.contributor.authorHuijts, Tim
dc.contributor.authorMoreau, Nathalie
dc.contributor.authorCurrie, Candace
dc.identifier.citationde Looze , M , S. Madkour , A , Huijts , T , Moreau , N & Currie , C 2019 , ' Country-level gender equality and adolescents' contraceptive use in Europe, Canada and Israel : findings from 33 countries ' Perspectives on Sexual and Reproductive Health , vol. Early View .
dc.identifier.otherPURE: 256866813
dc.identifier.otherPURE UUID: dd6a8aa0-f392-4f81-aba3-5e0798ee0c3d
dc.identifier.otherScopus: 85062347984
dc.description.abstractCONTEXT 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. METHODS 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. RESULTS 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. CONCLUSIONS More research is needed to identify potential causal pathways and mechanisms through which gender equality and adolescents’ contraceptive use may influence one another.
dc.relation.ispartofPerspectives on Sexual and Reproductive Healthen
dc.rightsCopyright © 2019 The Authors. Perspectives on Sexual and Reproductive Health published by Wiley Periodicals, Inc. on behalf of Guttmacher Institute. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.en
dc.subjectRA Public aspects of medicineen
dc.subjectRJ101 Child Health. Child health servicesen
dc.titleCountry-level gender equality and adolescents' contraceptive use in Europe, Canada and Israel : findings from 33 countriesen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews.Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews.WHO Collaborating Centre for International Child & Adolescent Health Policyen
dc.contributor.institutionUniversity of St Andrews.Child and Adolescent Health Research Uniten
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.description.statusPeer revieweden

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