Contraceptive Concordance

IF 3.1 3区医学 Q2 DEMOGRAPHY

Studies in Family Planning Pub Date : 2025-07-10 DOI:10.1111/sifp.70018

Sarah Vincent, Catalina Herrera‐Almanza, S. Anukriti, Mahesh Karra

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Abstract

We propose an indicator of contraceptive concordance that identifies the alignment between stated preferences for contraception and concurrent contraceptive behavior. Our indicator departs from traditional approaches to measurement in family planning that infer concordance to be the alignment between women's contraceptive (non‐)use and their fertility preferences. We estimate our indicator using data from a cross‐sectional survey that was conducted with 1,958 married women in rural India. More than half of all women in our sample (51.2 percent) report that they are currently using a contraceptive method. More than three in five women (60.8 percent) were classified as wanting to use a contraceptive method at the time of the survey. We find that 60 percent of women in our sample are classified to be concordant (either wanted users or wanted nonusers), while almost 1 in 4 women (24.8 percent) state a preference for using contraception but are not users (unwanted nonusers), and 15.2 percent of women in our sample state a preference for not using contraception but are users (unwanted users). We discuss the comparative advantages and limitations of our approach relative to traditional measures and other recently developed indicators.

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避孕一致性

我们提出了一种避孕一致性指标，该指标确定了避孕偏好和同时避孕行为之间的一致性。我们的指标偏离了传统的计划生育测量方法，即推断一致性是妇女避孕（非）使用与其生育偏好之间的一致性。我们使用对印度农村1958名已婚妇女进行的横断面调查的数据来估计我们的指标。在我们的样本中，超过一半的妇女（51.2%）报告说她们目前正在使用一种避孕方法。超过五分之三（60.8%）的女性在调查时被归类为想要使用避孕方法。我们发现样本中60%的女性被分类为“一致”（要么是想要的使用者，要么是想要的非使用者），而几乎四分之一的女性（24.8%）表示倾向于使用避孕措施，但不是使用者（不想要的非使用者），我们样本中15.2%的女性表示倾向于不使用避孕措施，但是使用者（不想要的使用者）。我们讨论了相对于传统措施和其他最近发展的指标，我们的方法的比较优势和局限性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Studies in Family Planning Multiple-

CiteScore

4.00

自引率

9.50%

发文量

期刊介绍： Studies in Family Planning publishes public health, social science, and biomedical research concerning sexual and reproductive health, fertility, and family planning, with a primary focus on developing countries. Each issue contains original research articles, reports, a commentary, book reviews, and a data section with findings for individual countries from the Demographic and Health Surveys.