Validation of the fertility norms scale and association with fertility intention and contraceptive use in India

Bhan, Nandita, Johns, Nicole E, Chatterji, Sangeeta, Thomas, Edwin E, Rao, Namratha, Ghule, Mohan, Lundgren, Rebecka and Raj, Anita (2023) Validation of the fertility norms scale and association with fertility intention and contraceptive use in India. Studies in Family Planning. ISSN 1728-4465

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Abstract

Social norms related to fertility may be driving pregnancy desire, timing and contraceptive use, but measurement has lagged. We validated a 10-item injunctive Fertility Norms Scale (FNS) and examined its associations with family planning outcomes among 1021 women and 1020 men in India. FNS captured expectations around pronatalism, childbearing early in marriage and community pressure. We assessed reliability and construct validity through Cronbach's alpha and exploratory factor analysis (EFA) respectively, examining associations with childbearing intention and contraceptive use. FNS demonstrated good reliability (α = 0.65–0.71) and differing sub-constructs by gender. High fertility norm among women was associated with greater likelihood of pregnancy intention [RRR = 2.35 (95% CI: 1.25,4.39); ARRR = 1.53 (95% CI: 0.70,3.30)], lower likelihood of delaying pregnancy [RRR = 0.69 (95% CI: 0.50,0.96); ARRR = 0.72 (95% CI: 0.51,1.02)] and greater ambivalence on delaying pregnancy [RRR = 1.92 (95% CI: 1.18,3.14); ARRR = 1.99 (95% CI: 1.21,3.28)]. Women's higher FNS scores were also associated with higher sterilization [RRR = 2.17 (95% CI: 1.28,3.66); ARRR = 2.24 (95% CI: 1.32,3.83)], but the reverse was noted for men [RRR = 0.61 (95% CI: 0.36,1.04); ARRR = 0.54 (95% CI: 0.32,0.94)]. FNS indicated better predictive value among women compared to men for key reproductive outcomes. This measure may be useful for social norms-focused evaluations in family planning and warrants cross-contextual study.

Item Type: Article
Keywords: Fertility Norms | Fertility Intention | Contraceptive | India | Pregnancy | Early Marriage
Subjects: Social Sciences and humanities > Social Sciences > Social Sciences (General)
JGU School/Centre: Jindal School of Public Health and Human Development
Depositing User: Amees Mohammad
Date Deposited: 30 Jan 2023 04:33
Last Modified: 24 Apr 2023 17:42
Official URL: https://doi.org/10.1111/sifp.12227
URI: https://pure.jgu.edu.in/id/eprint/5512

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