Studies in Family Planning最新文献

It's Time to Get Practical: A Call for Shorter Measures in the Family Planning Community. 是时候采取实际行动了：呼吁计划生育社区采取更短的措施。

IF 3.1 3区医学

Studies in Family Planning Pub Date : 2026-05-08 DOI: 10.1111/sifp.70056

Lotus McDougal

引用次数: 0

A Bayesian Framework to Account for Misclassification Error and Uncertainty in the Estimation of Abortion Prevalence. 一个考虑误分类误差和流产率估计不确定性的贝叶斯框架。

IF 3.1 3区医学

Studies in Family Planning Pub Date : 2026-05-05 DOI: 10.1111/sifp.70053

Marija Pejchinovska, Monica Alexander

{"title":"A Bayesian Framework to Account for Misclassification Error and Uncertainty in the Estimation of Abortion Prevalence.","authors":"Marija Pejchinovska, Monica Alexander","doi":"10.1111/sifp.70053","DOIUrl":"https://doi.org/10.1111/sifp.70053","url":null,"abstract":"<p><p>Obtaining reliable estimates of the prevalence of induced abortion remains a significant challenge in abortion research. Recently, one indirect, survey-based technique for measuring abortion outcomes, the confidante method, has gained particular attention. The method has been applied in various social and legal contexts; however, its efficacy has not been uniformly established. Increasingly, focus has shifted to assessing the method's key assumptions and quantifying the biases that arise from violations of them. We propose a general statistical framework to conceptualize and quantify the impact of biases on measuring abortion prevalence from such surveys. Specifically, we define the relationship between observed and true abortion prevalence based on misclassification error related to the sensitivity and specificity of the survey instrument. This formulation leads naturally to a Bayesian modeling approach to estimate abortion prevalence, allowing for differing knowledge of and different levels of uncertainty about the misclassification parameters to be incorporated in the modeling process, with that uncertainty being propagated through to the final estimates. We illustrate our framework and modeling approach on data from an application of the confidante method in Uganda in 2018, where we account for systematic differences in confidante abortion reports based on the self-reported abortion experiences of survey respondents.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843028","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

"I Need to Space to Help Me Take Care of Myself and My Child": How Married Adolescent Girls in Northern Nigeria Learn and Practice Birth Spacing through Safe Space Clubs. “我需要空间来帮助我照顾自己和孩子”：尼日利亚北部已婚少女如何通过安全空间俱乐部学习和实践生育间隔。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2026-04-07 DOI: 10.1111/sifp.70057

Rachel M Schmitz,Israt Jahan Juie,Olufunke Fasawe,Alisha Graves

{"title":"\"I Need to Space to Help Me Take Care of Myself and My Child\": How Married Adolescent Girls in Northern Nigeria Learn and Practice Birth Spacing through Safe Space Clubs.","authors":"Rachel M Schmitz,Israt Jahan Juie,Olufunke Fasawe,Alisha Graves","doi":"10.1111/sifp.70057","DOIUrl":"https://doi.org/10.1111/sifp.70057","url":null,"abstract":"Adolescent girls in low- and middle-income countries (LMIC) with high levels of poverty face barriers to education, health, and life opportunities. In Northern Nigeria, patriarchal norms and gendered expectations heighten girls' risk of early marriage and high-risk childbearing. Birth spacing, or extending the length of time between births, can be a socially acceptable strategy that girls use to maintain their health. The Centre for Girls Education (CGE)'s Married Adolescent Girls Safe Spaces (MAS) program in rural Northern Nigeria included lessons on birth spacing and visits to health facilities. We conducted a case study of the MAS program, drawing from three years of ethnographic field research, including participant observation, in-depth interviews, and focus groups. Combining scientific evidence and Islamic teachings in MAS safe spaces shaped girls' understanding and appreciation of modern birth spacing methods, and their agency in negotiating usage. However, girls' agency remained constrained by structural and normative barriers limiting their ability to practice birth spacing. The MAS program suggests that integrating scientific information and Islamic teachings on birth spacing in safe spaces can strengthen married adolescent girls' knowledge and agency to use modern methods, while underscoring the need to address persistent structural and gender norms.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"113 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147625565","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

Traditional or Modern Contraception? Association Between Health Worker Contact and Contraceptive Choice in India: Findings From NFHS 2019-2021. 传统避孕还是现代避孕？印度卫生工作者接触与避孕选择之间的关系：NFHS 2019-2021的调查结果

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2026-04-07 DOI: 10.1111/sifp.70052

Nandita Bhan,Nicole Johns,Katherine Hay,Vedavati Patwardhan,Abhishek Singh,Shruti Ambast,Lotus McDougal

{"title":"Traditional or Modern Contraception? Association Between Health Worker Contact and Contraceptive Choice in India: Findings From NFHS 2019-2021.","authors":"Nandita Bhan,Nicole Johns,Katherine Hay,Vedavati Patwardhan,Abhishek Singh,Shruti Ambast,Lotus McDougal","doi":"10.1111/sifp.70052","DOIUrl":"https://doi.org/10.1111/sifp.70052","url":null,"abstract":"Despite greater availability and affordability of modern contraception, the use of traditional contraception is rising in India. We examined the relationship between Indian women's contact with a community health worker (CHW) and discussion of family planning (FP) with their contraceptive use. We analyzed data from 306,037 nonpregnant, non-sterilized married women in the 2019-2021 National Family Health Survey (NFHS). Multinomial regression models estimated the association between CHW contact and contraceptive use (consistent use, switching, and discontinuation) in the past three months. Nearly 22 percent of women reported current use of traditional contraception, with 18 percent reporting exclusive use and 4.1 percent concurrent method use. Traditional contraception was more common among older women, women with lower education, higher parity, and in nuclear households. CHW discussion on FP was associated with higher traditional contraceptive use [Adjusted Odds Ratio (AOR) = 1.11 (95 percent Confidence Interval (CI): 1.04, 1.19)], reversible modern method use [AOR = 1.92 (95 percent CI: 1.82, 2.02)], and concurrent use [AOR = 2.19 (95 percent CI: 1.95, 2.45)]. Recent CHW engagement was associated with consistent modern method use [Adjusted Relative Risk Ratio (ARRR) = 2.02 (95 percent CI: 1.91, 2.13)], switching from traditional to modern method [ARRR = 1.67 (95 percent CI: 1.14, 2.46)], and discontinuation of modern contraception [ARRR = 2.10 (95 percent CI: 1.81, 2.44)]. CHW engagement on FP may enable initiation and consistent use of traditional and modern methods, switching, and discontinuation of contraception.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"5 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147625569","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

Rural-Urban Differences in the Association Between Reproductive Coercion and Postpartum Family Planning. 生育强迫与产后计划生育关系的城乡差异。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2026-04-04 DOI: 10.1111/sifp.70050

Jessica L Dozier,Shannon N Wood,Robel Yirgu,Solomon Shiferaw,Linnea A Zimmerman

{"title":"Rural-Urban Differences in the Association Between Reproductive Coercion and Postpartum Family Planning.","authors":"Jessica L Dozier,Shannon N Wood,Robel Yirgu,Solomon Shiferaw,Linnea A Zimmerman","doi":"10.1111/sifp.70050","DOIUrl":"https://doi.org/10.1111/sifp.70050","url":null,"abstract":"Access to timely postpartum family planning (PPFP) helps safeguard women's reproductive autonomy and supports healthy birth spacing, yet little is known about how reproductive coercion (RC) shapes women's ability to initiate contraception after childbirth. We analyzed prospective cohort data from 1,481 pregnant Ethiopian women followed for 12 months postpartum between 2021 and 2023. Time (in months) to contraceptive uptake by pre-pregnancy RC exposure and residence was assessed using Kaplan-Meier estimators and parametric survival models. Approximately one in seven women experienced pre-pregnancy RC, and, overall, 46.7 percent adopted a modern contraceptive method within 12 months postpartum. Overall differences in PPFP uptake were modest, but residence significantly modified this relationship. Rural women who experienced RC initiated postpartum contraception later and had a 40 percent lower hazard of initiating postpartum contraception compared to unexposed rural women (adjusted hazard ratio: 0.60, 95 percent confidence interval 0.37-0.98), while no significant association was observed among urban women. Urban women initiated PPFP more rapidly than rural women, regardless of RC exposure. These findings suggest that the effects of RC extend beyond pregnancy and are shaped by the wider structural context, particularly in rural settings where access to contraception may be limited. Recognizing RC as part of the PPFP context is essential for designing programs and health systems responses that support women to realize their reproductive goals and address interpersonal and structural barriers to timely contraceptive use.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"34 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147617350","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

Methodological Innovations for Evidencing and Estimating Modern and Traditional Contraceptive Prevalence and Use Dynamics in Sub-Saharan Africa. 证明和估计撒哈拉以南非洲现代和传统避孕药具流行和使用动态的方法创新。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2026-04-01 DOI: 10.1111/sifp.70054

Nurudeen Alhassan,Nyovani Janet Madise,Jamaica Corker,Naa Dodua Dodoo,Ernestina Coast,F Nii-Amoo Dodoo,Jacques B O Emina,Saseendran Pallikadavath,Elizabeth Omoluabi,Maame B Peterson,John A Mushomi,Themba Mzembe,Eliya Msiyaphazi Zulu

{"title":"Methodological Innovations for Evidencing and Estimating Modern and Traditional Contraceptive Prevalence and Use Dynamics in Sub-Saharan Africa.","authors":"Nurudeen Alhassan,Nyovani Janet Madise,Jamaica Corker,Naa Dodua Dodoo,Ernestina Coast,F Nii-Amoo Dodoo,Jacques B O Emina,Saseendran Pallikadavath,Elizabeth Omoluabi,Maame B Peterson,John A Mushomi,Themba Mzembe,Eliya Msiyaphazi Zulu","doi":"10.1111/sifp.70054","DOIUrl":"https://doi.org/10.1111/sifp.70054","url":null,"abstract":"Contraceptive prevalence estimates are indicators of the performance of family planning programs. Yet, available evidence suggests that national surveys may be underestimating the prevalence of traditional methods. The apparent underestimation of traditional methods stems from current approaches for collecting, analyzing, and reporting contraceptive data. We examined the effect of survey methodological innovations on the estimation of traditional and modern contraceptives. We used data from a cross-country comparative study conducted in the Democratic Republic of Congo (DRC), Ghana, Kenya, and Nigeria. The sample comprised 9,075 in union and sexually active women not in union aged 15-49 years. The results showed that follow-up method-by-method questioning increased the reporting of both traditional and modern methods, with the increase being much higher for modern methods, while reducing the percentage of nonusers. Revising the standard approach for computing contraceptive prevalence to account separately for concurrent traditional and modern method use revealed substantial underestimation of traditional method use, particularly in DRC and Ghana. These findings underscore the need to revise the current framing of questions and estimation approaches to improve the accuracy of contraceptive use estimates. The findings also highlight the importance of taking into account concurrent use of traditional and modern methods, which is often ignored in family planning research.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"9 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147585559","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 Contribution of Educational Changes to Fertility Declines in Low- and Middle-Income Countries. 教育变化对低收入和中等收入国家生育率下降的贡献。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2026-03-31 DOI: 10.1111/sifp.70055

Bruno D Schoumaker,David A Sánchez-Páez

{"title":"The Contribution of Educational Changes to Fertility Declines in Low- and Middle-Income Countries.","authors":"Bruno D Schoumaker,David A Sánchez-Páez","doi":"10.1111/sifp.70055","DOIUrl":"https://doi.org/10.1111/sifp.70055","url":null,"abstract":"Educational expansion is widely regarded as a central mechanism in fertility transitions, yet some research suggests its role may be more modest. This study analyzes birth histories from 414 surveys in 72 low- and middle-income countries to reassess the contribution of the shift in the educational composition of the population to fertility declines. We reconstruct fertility trends by educational level over several decades and apply the Kitagawa decomposition method to determine whether declines primarily reflect shifts in educational composition or changes in fertility within educational groups. On average, educational expansion accounts for approximately 30 percent of the decline in fertility, with substantial variation across regions, countries, and over time. The declines primarily reflect fertility changes within educational groups, especially among women without secondary education, rather than shifts in the educational composition of the population. However, although educational progress is neither necessary nor sufficient for fertility decline, it has consistently contributed to fertility reductions and is likely to remain an important component of fertility transitions.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"63 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583918","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 Impact of Ghana's National Health Insurance Scheme's Coverage Policy on Modern Contraceptive Use. 加纳国家健康保险计划覆盖政策对现代避孕药具使用的影响。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2026-03-17 DOI: 10.1111/sifp.70048

Maxwell Tii Kumbeni,Elvis Junior Dun-Dery,Agani Afaya,Eugene Osei Yeboah,Paschal Awingura Apanga

{"title":"The Impact of Ghana's National Health Insurance Scheme's Coverage Policy on Modern Contraceptive Use.","authors":"Maxwell Tii Kumbeni,Elvis Junior Dun-Dery,Agani Afaya,Eugene Osei Yeboah,Paschal Awingura Apanga","doi":"10.1111/sifp.70048","DOIUrl":"https://doi.org/10.1111/sifp.70048","url":null,"abstract":"We examine the effect of Ghana's National Health Insurance Scheme's (NHIS) contraceptive coverage policy on modern contraceptive use among women in the country. We analyzed three rounds of Ghana Demographic and Health Survey data (2008-2022), using 2008-2014 as the pre-intervention period and 2022 as the post-intervention period. A propensity score matching was applied to the pre-intervention data to enhance comparability between intervention (NHIS) and control (non-NHIS) groups, before applying the difference-in-differences estimator. Multivariable linear probability models were used to estimate the effects. We also performed a placebo and sensitivity analysis to assess the validity and robustness of findings. Among the 26,713 weighted sample, 71.6 percent were in the intervention group and 28.4 percent in the control group. The NHIS contraceptive coverage policy significantly increased modern and long-term contraceptive use by 2.9 and 2.3 percentage points, respectively. We observed heterogeneous effects, with significantly higher increases in long-term method use among women in urban areas and smaller, nonsignificant increases among those in rural areas. Our findings underscore the potential for health insurance in enhancing access to and utilization of modern contraceptive methods. Sustained financing, timely provider reimbursement, and continuous monitoring are necessary to ensure reliable service availability and long-term policy sustainability.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"8 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147471740","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

Evolving Gender Attitudes and Fertility Preferences: A Study of Young Women in Five Sub-Saharan African Countries. 不断演变的性别态度和生育偏好：对撒哈拉以南非洲五个国家年轻妇女的研究。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2026-03-12 DOI: 10.1111/sifp.70047

Juliette De Vestel,Sylvie Gadeyne

{"title":"Evolving Gender Attitudes and Fertility Preferences: A Study of Young Women in Five Sub-Saharan African Countries.","authors":"Juliette De Vestel,Sylvie Gadeyne","doi":"10.1111/sifp.70047","DOIUrl":"https://doi.org/10.1111/sifp.70047","url":null,"abstract":"Declining fertility preferences are recognized as a key driver of fertility reduction in sub-Saharan Africa, emphasizing the need to understand their determinants and evolution. This study investigates how the relationship between gender attitudes and desired fertility has changed over time among young women aged 15-24. Using Demographic and Health Surveys from Ethiopia, Malawi, Mali, Nigeria, and Zambia, we analyze country-specific associations between attitudes towards wife beating and ideal number of children across four consecutive surveys spanning approximately 15 years. A pooled cross-country model includes a context-specific education measure to assess its moderating effect on the association. Findings show that tolerance of wife beating is linked to higher desired fertility in all countries at one or more time points, though the strength and direction of this relationship vary over time and by context. As egalitarian gender attitudes spread, women endorsing gender equality begin to diverge from high-fertility norms, while those holding traditional attitudes remain pronatalist, widening the gap in fertility preferences between the two groups. This shift is more likely in countries where the national average of women's education is relatively high (more than 4.5 years), suggesting that rising education fosters both egalitarian attitudes and changing fertility ideals.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"57 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147439844","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

Acknowledgement of Reviewers 审稿人致谢

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2026-03-08 DOI: 10.1111/sifp.70049

引用次数: 0