Determinants of Contraceptive Use Among Married Men and Women in Katsina Town, Katsina State Nigeria

Kamaladdeen Shehu Saulawa; Olanrewaju Yusuf Yahaya; Olasunkanmi Gabriel Jeje

doi:10.56201/ijgem.vol.12.no3.2026.pg108.116

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Determinants of Contraceptive Use Among Married Men and Women in Katsina Town, Katsina State Nigeria

Kamaladdeen Shehu Saulawa, Olanrewaju Yusuf Yahaya , Olasunkanmi Gabriel Jeje

Abstract

Contraceptive use remains a critical public health concern in Northern Nigeria, where fertility rates are high and modern contraceptive uptake remains comparatively low. This study examined the determinants of contraceptive use among married men and women in Katsina Town, Katsina State, Nigeria, using the Health Belief Model as the guiding theoretical framework. A cross-sectional mixed-methods design was employed, drawing on primary data collected from 400 married respondents (200 men and 200 women) through structured questionnaires and in-depth interviews. Quantitative data were analyzed using descriptive statistics, chi-square tests, and logistic regression, while qualitative responses were thematically analyzed to contextualize statistical findings. The prevalence of modern contraceptive use was 28%, with women (32%) reporting slightly higher uptake than men (24%). Logistic regression analysis revealed that higher education (OR = 2.3), spousal communication (OR = 3.1), and male support (OR = 2.6) were significant positive predictors of contraceptive use (p < 0.05). Conversely, strong religious adherence significantly reduced the likelihood of adoption (OR = 0.5). Qualitative findings indicated that joint decision-making, perceived health and economic benefits, and effective communication facilitated contraceptive uptake, while religious norms, fear of side effects, and community expectations constituted major barriers. The findings demonstrate that contraceptive behavior in Katsina Town is shaped by an interaction of socio- demographic, relational, and cultural factors, consistent with the HBM constructs of perceived susceptibility, benefits, barriers, cues to action, and self-efficacy. The study recommends male- inclusive family planning programs, culturally sensitive community engagement, and enhanced educational interventions to improve contraceptive uptake and reproductive health outcomes.

Keywords

Contraceptive use; Male involvement; Health Belief Model; Spousal communication; Northern Nigeria

References

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Determinants of Contraceptive Use Among Married Men and Women in Katsina Town, Katsina State Nigeria

Abstract

Keywords

References

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