[Un]met Need and [Un]wanted Family Planning: A Cross-Sectional Study Among Women in Argentina, Ghana, and India Examining Characteristics, Reasons, and Alignment With Fertility Desires.

IF 3.1 3区医学 Q2 DEMOGRAPHY

Studies in Family Planning Pub Date : 2025-09-16 DOI:10.1111/sifp.70035

Jewel Gausman,Niranjan Saggurti,Richard Adanu,Delia A B Bandoh,Mabel Berrueta,Suchandrima Chakraborty,Ernest Kenu,Nizamuddin Khan,Ana Langer,Nigri Carolina,Magdalene A Odikro,Veronica Pingray,Sowmya Ramesh,Paula Vázquez,Caitlin R Williams,R Rima Jolivet

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引用次数: 0

Abstract

Unwanted family planning often refers to fertility desires as a proxy for contraceptive desire and lacks alignment with the tenets of person-centered care. We construct a person-centered measure of unwanted family planning by asking women whether they wanted to use a method, examine its alignment with the fertility-derived measure, and describe the characteristics of women with unwanted family planning and reasons women state for not wanting to use a method. We conducted a cross-sectional study of women aged 15-49 in Argentina, Ghana, and India. Data were collected on stated desire to use contraception and basic sociodemographic characteristics. Fertility desire was collected using the standard Demographic and Health Survey questionnaire. In total, 4794 women were included in our study. Among women using a method, 2.5 percent (n = 53) of women had unwanted family planning, with 4.2 percent in Ghana, 2.2 percent in Argentina, and 2.0 percent in India. Most unwanted family planning (85.2 percent, n = 23) occurred among women who did not want a child within the next nine months. Sexual infrequency was the most common reason behind a lack of desire to use a method. Our results highlight the substantial differences found between classifying women's contraceptive needs from a person-centered versus a fertility-derived approach.

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[Un]满足需求和[Un]想要计划生育：阿根廷、加纳和印度妇女的横断面研究：特征、原因及其与生育愿望的一致性。

不想要的计划生育通常指的是生育欲望作为避孕欲望的代理，缺乏与以人为本的护理原则的一致性。我们构建了一个以人为中心的非自愿计划生育测量方法，通过询问女性是否想要使用一种方法，检查其与生育衍生的测量方法的一致性，并描述了非自愿计划生育女性的特征以及女性不想使用该方法的原因。我们对阿根廷、加纳和印度15-49岁的女性进行了横断面研究。收集了关于使用避孕药具的意愿和基本社会人口特征的数据。使用标准的人口与健康调查问卷收集生育意愿。总共有4794名女性参与了我们的研究。在使用避孕方法的女性中，2.5% （n = 53）的女性进行了非自愿的计划生育，其中加纳为4.2%，阿根廷为2.2%，印度为2.0%。大多数不想要的计划生育（85.2%,n = 23）发生在不想在未来9个月内要孩子的女性中。性生活不频繁是缺乏使用某种方法的欲望的最常见原因。我们的研究结果强调了从以人为中心的方法与以生育能力为基础的方法对妇女避孕需求进行分类之间的实质性差异。

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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.