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Perceived partner fertility desires and influence on contraceptive use*

Abstract Background: Perceived discordance of fertility desires may be more common among couples with certain sociodemographic characteristics and may lead to lower contraceptive use. Methods: Using nationally representative data from adults ages 15–49 in France in 2010, we analysed associations between sociodemographic characteristics, perceived discordance of fertility desires and contraceptive use with design-based logistic regression. Results: Only 8% of participants perceived discordant fertility desires while 92% perceived concordance with partner fertility desire. Discordance varied by age and relationship duration and by the presence of children from previous relationships. Perceived discordance was not associated with use of a hormonal or highly effective method. Beyond own intentions, perception of a partner’s fertility desires was associated with using a highly effective method among participants using any method. Conclusions: Engaging men and couples in family planning programmes may be important for achieving both partners’ desired fertility goals.