Population Council Research that makes a difference

Population Association of America Annual Meeting
31 March–2 April 2011

Abstract

"A quiet revolution in condom use in urban India"
Aparna Jain, Amy Tsui, and Anrudh Jain

Global condom use for pregnancy avoidance tends to be low, estimated at 6 percent as reported by reproductive-aged females in union. Condom prevalence in urban India has been rising quietly from 5.8 percent to 10 percent between 1993 and 2005. We analyze factors behind trends in urban condom use among nonsterilized married women using three National Family and Health Survey rounds. Relative risk ratios from multinomial regressions show that, compared to nonuse, a woman's condom choice is significantly associated with residing in the northern, central, and western regions; high parity; high education; desire to space, as well as limit, births; and awareness of the condom’s benefits for HIV prevention. Between 1998 and 2005 the strength of associations, although statistically significant, declined across covariates except for region and spacing preference. This is consistent with the spread of condom use. Anomalies in condom reliance among limiters and high-parity women suggest an environment of constrained method choice.

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