Studies in Family Planning最新文献

Evidence of Abortion Attitude Flexibility during COVID‐19 in Pernambuco, Brazil 巴西伯南布哥州COVID - 19期间堕胎态度灵活性的证据

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2025-09-30 DOI: 10.1111/sifp.70037

Brooke Whitfield, Raquel Zanatta Coutinho, Leticia Marteleto

{"title":"Evidence of Abortion Attitude Flexibility during COVID‐19 in Pernambuco, Brazil","authors":"Brooke Whitfield, Raquel Zanatta Coutinho, Leticia Marteleto","doi":"10.1111/sifp.70037","DOIUrl":"https://doi.org/10.1111/sifp.70037","url":null,"abstract":"This study examines changes in women's attitudes toward abortion in Brazil during the first year of the COVID‐19 pandemic, focusing on the role of religious affiliation. Brazil provides a unique context for examining abortion attitudes because of its strict abortion policies, changing religious landscape, and back‐to‐back Zika and COVID‐19 crises. We used data from a population‐based sample of 2335 women ages 18–34 in Pernambuco, Brazil, collected during the onset of the COVID‐19 pandemic (May–September 2020) and one year later (May–September 2021). Multivariable‐adjusted multinomial logistic regression models were used to assess changes in support for abortion in cases of maternal Zika or COVID‐19 infection during pregnancy. Women were less supportive of abortion in the case of maternal COVID‐19 infection (34 percent) compared to Zika infection (41 percent). About half of the women changed their abortion attitudes during the year. Pentecostal Evangelicals were more likely to decrease support, while nonreligious women or those with less conservative affiliations were more likely to increase support. Greater worry about Zika and COVID‐19 was associated with higher support for abortion. The study highlights the dynamic nature of abortion attitudes, which should be considered when forming policies, especially during crises.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"97 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and Validation of the Agency in Contraceptive Decisions Scale in Uganda and Nigeria. 制定和验证乌干达和尼日利亚机构避孕决定量表。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2025-09-22 DOI: 10.1111/sifp.70033

Sneha Challa,Ushma D Upadhyay,Ronald Wasswa,Sylvia Nanono,Ivan Idiodi,Chioma Okoli,Phoebe Alitubeera,Dinah Amongin,Ayobambo Jegede,Aminat Tijani,Catherine Birabwa,Lynn Atuyambe,Shakede Dimowo,Grace Nmadu,Christine Dehlendorf,Elizabeth Omoluabi,Peter Waiswa,Kelsey Holt

{"title":"Development and Validation of the Agency in Contraceptive Decisions Scale in Uganda and Nigeria.","authors":"Sneha Challa,Ushma D Upadhyay,Ronald Wasswa,Sylvia Nanono,Ivan Idiodi,Chioma Okoli,Phoebe Alitubeera,Dinah Amongin,Ayobambo Jegede,Aminat Tijani,Catherine Birabwa,Lynn Atuyambe,Shakede Dimowo,Grace Nmadu,Christine Dehlendorf,Elizabeth Omoluabi,Peter Waiswa,Kelsey Holt","doi":"10.1111/sifp.70033","DOIUrl":"https://doi.org/10.1111/sifp.70033","url":null,"abstract":"To fill a gap in measures of empowered contraceptive decision-making, we developed the Agency in Contraceptive Decisions Scale in Uganda and Nigeria. We developed an item pool drawing on the previously published Contraceptive Agency framework. We refined items through cognitive interviews (N = 80) and expert feedback and piloted a reduced item pool via surveys (N = 3002). Exploratory factor analysis using a random half of the sample suggested a 15-item scale (Cronbach's α = 0.8) including four subscales: (1) Beliefs about Rights and Perceived Decision-making Control (α = 0.8), (2) Decision-making Self-efficacy (α = 0.8), (3) Knowledge Aligned with Preferences (α = 0.8), and (4) Control over Use or Non-use (α = 0.8). Confirmatory factor analysis with the other half of the sample supported this solution. Agency in Contraceptive Decisions Scale scores were significantly associated with scores on the contraceptive existence of choice and contraceptive exercise of choice subscales of the Women's and Girls Empowerment in Sexual and Reproductive Health Index, supporting construct validity. The 15-item Agency in Contraceptive Decisions Scale and individual subscales are valid and reliable for use in Nigeria and Uganda. This measure offers an innovative alternative for gauging the success of contraceptive programs and policies in advancing the right to empowered choices.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"82 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145116741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[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. [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。

IF 2.1 3区医学

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

{"title":"[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.","authors":"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","doi":"10.1111/sifp.70035","DOIUrl":"https://doi.org/10.1111/sifp.70035","url":null,"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.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"72 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145068271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Do We Measure Contraceptive Method Preferences? Evidence From a Scoping Review. 我们如何衡量避孕方法的偏好？范围审查的证据。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2025-09-14 DOI: 10.1111/sifp.70034

Carolina Cardona,Jamila Asker,Emily Sanchez,Philip Anglewicz

{"title":"How Do We Measure Contraceptive Method Preferences? Evidence From a Scoping Review.","authors":"Carolina Cardona,Jamila Asker,Emily Sanchez,Philip Anglewicz","doi":"10.1111/sifp.70034","DOIUrl":"https://doi.org/10.1111/sifp.70034","url":null,"abstract":"Despite the growing interest in person-centered measures for family planning and the importance of reproductive preferences, little is known about the measurement of contraceptive preferences. Population surveys have implicitly assumed that contracepting people have achieved their method of choice. In this scoping review, we explored how contraceptive method preferences have been defined and measured in different settings. We included 55 articles focused on measuring people's preferred method of contraception or preferred attributes of contraception. Thirty-seven articles were conducted in high-income countries (HIC), five in upper-middle-income countries (UMIC), and thirteen in low- and middle-income countries (LMIC). Sixteen articles measured preferences for specific methods of contraception, 36 measured the preferred attributes of contraceptive methods, and three implemented both approaches. Four articles used consistent language to measure the preferred method of contraception, although many used synonyms of \"preferences,\" and some constrained their questions to method availability or cost. The measurement of preferred attributes of contraception varied across articles, even within similar contexts and populations. Key attributes included side effects, effectiveness, and cost. Our results highlight the increasing interest in understanding contraceptive preferences, but gaps remain in developing best practices. This is critical as the family planning field moves toward person-centered metrics that emphasize individual choice.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"15 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145059126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unveiling Mexico's Demographic Transitions. 揭开墨西哥人口转型的面纱。

IF 3.1 3区医学

Studies in Family Planning Pub Date : 2025-09-11 DOI: 10.1111/sifp.70032

Roxana Arana-Ovalle, Lisa Dillon, Alejandro Murua, Francisco Zamudio-Sánchez

{"title":"Unveiling Mexico's Demographic Transitions.","authors":"Roxana Arana-Ovalle, Lisa Dillon, Alejandro Murua, Francisco Zamudio-Sánchez","doi":"10.1111/sifp.70032","DOIUrl":"https://doi.org/10.1111/sifp.70032","url":null,"abstract":"This study examines Mexico's fertility transition (1930-2015) and how socioeconomic status (SES), geography, and indigeneity shaped reproductive behaviors. Using net fertility-the number of surviving children under five-we assess how prestige bias (adopting high-status fertility norms) and conformism bias (aligning with local norms) influenced change across distinct population groups. We introduce the time, space, and population model to analyze the combined effects of macrostructural forces, spatial diffusion, and individual decision-making. Our spatial analysis reveals a concentric diffusion pattern, where fertility changes spread outward from urban, high-SES municipalities. Findings reveal a consistent negative association between SES and fertility across all periods, though with varying intensity. Higher status populations led the fertility decline, but patterns differed by group and over time. Fertility declined at different rates across four groups: urban non-Indigenous populations transitioned rapidly, rural non-Indigenous groups stagnated, rural Indigenous populations experienced delays, and urban Indigenous groups resisted fertility decline. Evidence suggests non-Indigenous populations regulated fertility through retarding marriage before widespread contraceptive adoption, while Indigenous groups followed more conformist behaviors. This study integrates historical demographic data into a structured framework, improving research on long-term fertility transitions.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Measuring "Intent Satisfied": Toward a Person-Centered Metric of Contraceptive Use. 测量“满意意图”：迈向以人为中心的避孕措施使用度量。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2025-09-02 DOI: 10.1111/sifp.70031

Yingyi Lin,Marita Zimmermann,Anu Mishra,Michelle L O'Brien

{"title":"Measuring \"Intent Satisfied\": Toward a Person-Centered Metric of Contraceptive Use.","authors":"Yingyi Lin,Marita Zimmermann,Anu Mishra,Michelle L O'Brien","doi":"10.1111/sifp.70031","DOIUrl":"https://doi.org/10.1111/sifp.70031","url":null,"abstract":"In the 30 years since the 1994 International Conference on Population and Development, there is no clear consensus on how to best measure population-level contraceptive use and family planning program impact. Widely used metrics have evolved relatively slowly, and some have run counter to a rights-based and person-centered approach that emphasizes individuals' self-identified contraceptive preferences. In this report, we describe the utilization of an understudied family planning measure-women's expressed intent to use (ITU) contraceptives within the next year-and explore its implications for population-level standardized comparisons and family planning programs using the Performance Monitoring for Action program data in 10 low- and middle-income geographies. Specifically, we assess the extent to which ITU captures women's near-term contraceptive needs and how it differs from the traditional demand measure of \"unmet need.\" Building off the \"demand satisfied\" indicator-which itself is derived from the concept of \"unmet need,\" we propose a new person-centered metric, \"intent satisfied,\" to provide point estimates of population-level contraceptive use that more closely align with women's stated needs. We also discuss the limitations of the \"intent satisfied\" metric, making recommendations for data efforts to improve and include ITU as a routinely reported family planning indicator.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"50 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144960152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The State of Person-Centered Measurement for Family Planning Need and Use: A Scoping Review. 以人为本的计划生育需求和使用测量现状：范围综述。

IF 3.1 3区医学

Studies in Family Planning Pub Date : 2025-09-01 Epub Date: 2025-06-11 DOI: 10.1111/sifp.70019

Ilene S Speizer, Elizabeth A Sully, Youmna M Hashem, Maame Araba A Oduro

{"title":"The State of Person-Centered Measurement for Family Planning Need and Use: A Scoping Review.","authors":"Ilene S Speizer, Elizabeth A Sully, Youmna M Hashem, Maame Araba A Oduro","doi":"10.1111/sifp.70019","DOIUrl":"10.1111/sifp.70019","url":null,"abstract":"Standard measures used to assess family planning (FP) program success, including unmet need and demand satisfied, fail to capture women's, men's, couples', and adolescents' own expressed preferences, needs, wants, and desires. Identification is needed of person-centered fertility and FP measures that assess what individuals want, desire, need, and prefer without a researcher-ascribed value of what is the right outcome. This scoping review examines how the concept of person-centeredness has been employed as part of population-based FP measurement. For this review, we defined measures as person-centered if they assess directly a person's preferences, wants, and desires while at the same time assessing if the person can or wants to meet those preferences, wants, and desires. The review finds several studies that use or adapt standard measures of intention to use contraception and unmet need; however, a smaller number develop novel approaches that capture method preferences and satisfaction with methods to better capture individuals' needs, wants, and desires as well as their ability to attain these needs, wants, and desires. Results are used to make recommendations going forward for the design and testing of improved person-centered FP measurement at the global, national, and programmatic levels.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"403-436"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12501745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advancing New Directions for Family Planning Measurement. 推进计划生育计量新方向。

IF 3.1 3区医学

Studies in Family Planning Pub Date : 2025-09-01 Epub Date: 2025-09-11 DOI: 10.1111/sifp.70036

Ilene S Speizer, Elizabeth A Sully, Georgina Binstock, Niranjan Saggurti

引用次数: 0

Measuring "Intent Satisfied": Toward a Person-Centered Metric of Contraceptive Use. 测量“满意意图”：迈向以人为中心的避孕措施使用度量。

IF 3.1 3区医学

Studies in Family Planning Pub Date : 2025-09-01 Epub Date: 2025-09-02 DOI: 10.1111/sifp.70031

Yingyi Lin, Marita Zimmermann, Anu Mishra, Michelle L O'Brien

{"title":"Measuring \"Intent Satisfied\": Toward a Person-Centered Metric of Contraceptive Use.","authors":"Yingyi Lin, Marita Zimmermann, Anu Mishra, Michelle L O'Brien","doi":"10.1111/sifp.70031","DOIUrl":"10.1111/sifp.70031","url":null,"abstract":"In the 30 years since the 1994 International Conference on Population and Development, there is no clear consensus on how to best measure population-level contraceptive use and family planning program impact. Widely used metrics have evolved relatively slowly, and some have run counter to a rights-based and person-centered approach that emphasizes individuals' self-identified contraceptive preferences. In this report, we describe the utilization of an understudied family planning measure-women's expressed intent to use (ITU) contraceptives within the next year-and explore its implications for population-level standardized comparisons and family planning programs using the Performance Monitoring for Action program data in 10 low- and middle-income geographies. Specifically, we assess the extent to which ITU captures women's near-term contraceptive needs and how it differs from the traditional demand measure of \"unmet need.\" Building off the \"demand satisfied\" indicator-which itself is derived from the concept of \"unmet need,\" we propose a new person-centered metric, \"intent satisfied,\" to provide point estimates of population-level contraceptive use that more closely align with women's stated needs. We also discuss the limitations of the \"intent satisfied\" metric, making recommendations for data efforts to improve and include ITU as a routinely reported family planning indicator.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"511-523"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144969701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intention to Use Contraception: Promises and Pitfalls of Family Planning's Emerging Demand Indicator. 使用避孕的意图：计划生育新需求指标的承诺与陷阱。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2025-08-11 DOI: 10.1111/sifp.70029

Jamaica Corker,Ilene S Speizer,Jean Christophe Fotso,Niranjan Saggurti,Elizabeth Sully

{"title":"Intention to Use Contraception: Promises and Pitfalls of Family Planning's Emerging Demand Indicator.","authors":"Jamaica Corker,Ilene S Speizer,Jean Christophe Fotso,Niranjan Saggurti,Elizabeth Sully","doi":"10.1111/sifp.70029","DOIUrl":"https://doi.org/10.1111/sifp.70029","url":null,"abstract":"The \"intention to use\" (ITU) contraception indicator has gained recent prominence as a proposed high-level success metric for family planning (FP) programs and as a step toward identifying measures that better capture what women want. Although ITU offers advantages over traditional indicators like contraceptive prevalence and unmet need, its elevation as a key programmatic measure requires critical examination. In this commentary, we outline advantages of ITU to measure FP demand and offer critiques and considerations for reliance on ITU as a demand metric for measuring programmatic success. We argue that while ITU may be a step toward more person-centered measurement, it is not inherently person-centered. Rather than positioning ITU as an innovative person-centered breakthrough, we argue it should be considered a transitional measure-a bridge toward more comprehensive indicators that capture the complexities of contraceptive decision-making. We recognize the current lack of viable alternatives for programs seeking a singular person-centered measure; when used, ITU should be complemented by additional topline indicators that capture access, agency, and preferences. With declining research funding and data infrastructure disruptions, it is important that ITU complement, not replace, efforts to develop the next generation of FP measurement that meaningfully reflects people's contraceptive realities.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"167 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144819721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0