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Relationship Dynamics and Young Women's Contraceptive Use.
Christie Sennott1, Esha Chatterjee2, Sara Yeatman3
1Purdue University.
Sexuality Research & Social Policy : Journal of NSRC : SR & SP
|August 26, 2025
Summary
Positive relationship dynamics, like communication and support, are linked to increased modern contraceptive use among young women in Malawi. This is especially true for unmarried women seeking to avoid pregnancy.
Area of Science:
- Reproductive Health
- Sociology
- Global Health
Background:
- Partner influence on contraceptive use is documented in sub-Saharan Africa.
- Few studies explore relationship quality's impact on contraceptive uptake.
- This research uniquely examines relationship dynamics and modern contraceptive use in young women.
Purpose of the Study:
- To investigate the association between positive and negative relationship dynamics and modern contraceptive use.
- To understand how relationship quality influences contraceptive choices among young women in Malawi.
- To identify factors that may facilitate or hinder contraceptive use for pregnancy postponement.
Main Methods:
- Analysis of survey data from 745 young women (aged 16-26) in partnerships in southern Malawi (2010-2011).
- Inclusion of measures for positive relationship dynamics (relationship unity) and negative dynamics (unequal power, intimate partner violence).
- Application of logistic regression models to assess associations.
Main Results:
- Relationship unity (positive dynamics) showed a significant positive association with modern contraceptive use.
- Negative relationship dynamics were not significantly associated with modern contraceptive use.
- Stratified analysis revealed that the positive effect of relationship unity was primarily driven by unmarried women.
Conclusions:
- Positive relationship dynamics, particularly among unmarried couples, can promote modern contraceptive use.
- Strengthening communication and support within relationships may aid contraceptive uptake.
- Enhancing access to diverse contraceptive methods supports young women's reproductive autonomy.
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