Studies in Family Planning最新文献_第2页

Contraceptive Care Visit Objectives and Outcomes: Evidence From Burkina Faso, Pakistan, and Tanzania. 避孕护理访问目标和结果：来自布基纳法索、巴基斯坦和坦桑尼亚的证据。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2024-12-01 Epub Date: 2024-12-03 DOI: 10.1111/sifp.12279

Corrina Moucheraud, Alexandra Wollum, Mohamad Brooks, Manisha Shah, Jessica Gipson, Zachary Wagner

{"title":"Contraceptive Care Visit Objectives and Outcomes: Evidence From Burkina Faso, Pakistan, and Tanzania.","authors":"Corrina Moucheraud, Alexandra Wollum, Mohamad Brooks, Manisha Shah, Jessica Gipson, Zachary Wagner","doi":"10.1111/sifp.12279","DOIUrl":"10.1111/sifp.12279","url":null,"abstract":"Globally, care experiences of the growing population of contraceptive users are not well-understood. We leverage a large client dataset (n = 71,602) from three countries (Burkina Faso, Pakistan, and Tanzania) to characterize contraceptive services sought (visit objective and method preference), assess whether these visit objectives were met and for whom, and explore if visit objective fulfillment was associated with care quality. Most people in all three countries said they were seeking to continue their current method or adopt a method for the first time. Clients seeking to change their method were least likely to have their objective met: 63.7 percent of clients in Burkina Faso, 73.3 percent in Pakistan, and 61.1 percent in Tanzania who wanted to switch actually achieved this during the visit. In Burkina Faso, people with lower socioeconomic standing, lower educational attainment, and lower parity less commonly had their switching objective, fulfilled. Method preference fulfillment was generally high, although approximately 15 percent of Tanzanian clients were given implants despite wanting another method. Among those seeking to adopt or restart a method in Pakistan and Tanzania, having this visit objective fulfilled, was correlated with better perceived treatment and higher person-centeredness of care.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"315-332"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772405","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

Estimating the Social Visibility of Abortions in Uganda and Ethiopia Using the Game of Contacts 利用接触游戏估算乌干达和埃塞俄比亚堕胎的社会可见度

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2024-11-13 DOI: 10.1111/sifp.12278

Margaret Giorgio, Solomon Shiferaw, Fredrick Makumbi, Assefa Seme, Simon Peter Sebina Kibira, Sarah Nabukeera, Selena Anjur‐Dietrich, Mahari Yihdego, Niguse Tadele, Elizabeth Sully

{"title":"Estimating the Social Visibility of Abortions in Uganda and Ethiopia Using the Game of Contacts","authors":"Margaret Giorgio, Solomon Shiferaw, Fredrick Makumbi, Assefa Seme, Simon Peter Sebina Kibira, Sarah Nabukeera, Selena Anjur‐Dietrich, Mahari Yihdego, Niguse Tadele, Elizabeth Sully","doi":"10.1111/sifp.12278","DOIUrl":"https://doi.org/10.1111/sifp.12278","url":null,"abstract":"Social network–based data collection methods that rely on third‐party reporting have emerged as a promising approach for measuring abortion in restrictive settings. In order for these methods to accurately measure abortion incidence, they must also assess the visibility of abortions within social networks. Failure to do so may result in estimates affected by transmission bias, caused by imperfect knowledge of all abortions within one's social network. In this paper, we present exploratory research that uses respondent‐driven sampling (RDS) and the game of contacts method to measure abortion visibility in four sites in Uganda and Ethiopia. We assess the existence of potential biases in the game of contacts estimate of abortion visibility in each site by conducting several internal and external validity tests. While these tests provided some promising results, other factors such as the representativeness of the RDS samples, direct versus indirect abortion knowledge transfers, and the generalizability of the study sites may have introduced biases into the final estimates of abortion visibility in this study. We conclude by making recommendations on how applications of this methodology could be improved to better estimate abortion‐related transmission bias.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"36 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142610738","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

Women's Perspectives on the Unique Benefits and Challenges of Self‐Injectable Contraception: A Four‐Country In‐Depth Interview Study in Sub‐Saharan Africa 妇女对自我注射避孕的独特益处和挑战的看法：撒哈拉以南非洲四国深入访谈研究

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2024-11-08 DOI: 10.1111/sifp.12277

Emily Himes, Lauren Suchman, Martha Kamanga, Catherine Birabwa, Serah Gitome, Elizabeth Omoluabi, Sarah Okumu, Grace Nmadu, Zachary Kwena, Jenny Liu, Sneha Challa, Dinah Amongin, Pauline Wekesa, Louisa Ndunyu, Elizabeth Bukusi, Address Malata, Lynn Atuyambe, Mandayachepa Nyando, Chioma Okoli, Aminat Tijani, Janelli Vallin, Ayobambo Jegede, Shakede Dimowo, Alfred Maluwa, Phoebe Alitubeera, Betty Kaudha, Agnes Kayego, Tamandani Jumbe, Innocencia Mtalimanja, Peter Waiswa, Beth Phillips, Kelsey Holt

{"title":"Women's Perspectives on the Unique Benefits and Challenges of Self‐Injectable Contraception: A Four‐Country In‐Depth Interview Study in Sub‐Saharan Africa","authors":"Emily Himes, Lauren Suchman, Martha Kamanga, Catherine Birabwa, Serah Gitome, Elizabeth Omoluabi, Sarah Okumu, Grace Nmadu, Zachary Kwena, Jenny Liu, Sneha Challa, Dinah Amongin, Pauline Wekesa, Louisa Ndunyu, Elizabeth Bukusi, Address Malata, Lynn Atuyambe, Mandayachepa Nyando, Chioma Okoli, Aminat Tijani, Janelli Vallin, Ayobambo Jegede, Shakede Dimowo, Alfred Maluwa, Phoebe Alitubeera, Betty Kaudha, Agnes Kayego, Tamandani Jumbe, Innocencia Mtalimanja, Peter Waiswa, Beth Phillips, Kelsey Holt","doi":"10.1111/sifp.12277","DOIUrl":"https://doi.org/10.1111/sifp.12277","url":null,"abstract":"Implementing self‐injection (SI) of subcutaneous depot‐medroxyprogesterone acetate (DMPA‐SC) is a key self‐care strategy for sexual and reproductive health, but SI uptake remains low, and assertions about the potential of SI to increase women's control over contraceptive use lack evidence. We sought to qualitatively explore how women with diverse contraceptive experiences—including those with and without experience using SI—view the benefits and challenges of SI as compared to other methods. We conducted 241 in‐depth interviews with women across four sub‐Saharan African countries and found alignment between the perceived and experienced benefits of SI across our diverse sample. Through the benefits of privacy, easier access, and self‐management, we found SI can promote greater control over the contraceptive experience by facilitating a woman's ability to act on her preferences and control who is involved in or aware of her contraceptive use. Interviews revealed SI's potential is, however, constrained by inherent limitations in the method; for example, it is often not private or accessible enough and many fear injecting themselves. SI has the most potential when implemented with programmatic solutions that mitigate challenges women experience or anticipate and allow more women to benefit from the privacy, easier access, and self‐management that SI offers.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"80 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142596613","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

Searching for Needles in a Haystack: Exploring Alternative Operational Approaches to Classify the Safety of Induced Abortions Using Respondent-Driven Sampling Data From Two Sub-Saharan African Settings. 大海捞针：利用来自两个撒哈拉以南非洲地区的受访者驱动的抽样数据，探索对人工流产安全性进行分类的替代操作方法。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2024-09-26 DOI: 10.1111/sifp.12276

Onikepe O Owolabi,Clémentine Rossier,Rachidatou Compaore,Caron Kim,Bela Ganatra,Ramatou Ouedraogo,Moussa Zan,Martin Bangha,Adama Baguiya,

{"title":"Searching for Needles in a Haystack: Exploring Alternative Operational Approaches to Classify the Safety of Induced Abortions Using Respondent-Driven Sampling Data From Two Sub-Saharan African Settings.","authors":"Onikepe O Owolabi,Clémentine Rossier,Rachidatou Compaore,Caron Kim,Bela Ganatra,Ramatou Ouedraogo,Moussa Zan,Martin Bangha,Adama Baguiya,","doi":"10.1111/sifp.12276","DOIUrl":"https://doi.org/10.1111/sifp.12276","url":null,"abstract":"This study aims to describe the circumstances under which women obtained abortions in two sites, explore more nuanced approaches to classify abortion safety and examine the relationship between safety and self-reported health outcomes. We analyze data on the most recent abortion or only abortion reported by 551 women in Nairobi slums and 479 women in rural Kaya ages 15-49 years within the three years preceding the study, recruited via respondent-driven sampling. Using the most liberal safety classification, there were very few safe abortions (8 percent in Nairobi and 5 percent in Burkina Faso). A significant proportion of women reported using unidentified pills which we hypothesize may be medication abortion. Although a smaller proportion of women with safe abortions reported side effects, more of them reported side effects suggestive of infections and sought care for their symptoms. It is important that we explore and move towards more nuanced global safety classifications that more accurately reflect the risk associated with different methods and can capture women's access to comprehensive abortion care and its impact on their health.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"191 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142328677","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

Are Contraceptive Method Preferences Stable? Measuring Change in the Preferred Method among Kenyan Women. 避孕方法的偏好是否稳定？衡量肯尼亚妇女首选方法的变化。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2024-09-01 Epub Date: 2024-07-15 DOI: 10.1111/sifp.12271

Carolina Cardona, Dana Sarnak, Alison Gemmill, Peter Gichangi, Mary Thiongo, Philip Anglewicz

{"title":"Are Contraceptive Method Preferences Stable? Measuring Change in the Preferred Method among Kenyan Women.","authors":"Carolina Cardona, Dana Sarnak, Alison Gemmill, Peter Gichangi, Mary Thiongo, Philip Anglewicz","doi":"10.1111/sifp.12271","DOIUrl":"10.1111/sifp.12271","url":null,"abstract":"Contraceptive preferences are important for reproductive outcomes, such as contraceptive continuation and pregnancy. Current approaches to measuring reproductive preferences in population surveys are limited to exploring only fertility preferences and implicitly assume that contracepting people are using a method they want. We know that people change their fertility preferences over the life course as a response to life events, but there is no information about changes in contraceptive preferences, given the limited evidence about the measurement and distribution of contraceptive preferences. In this study, we examined the extent of change in women's contraceptive preferences over one year and identified characteristics associated with this change in Kenya using three rounds of nationally representative longitudinal data. Over one year, 18 percent of contraceptive users and 46 percent of contraceptive nonusers reported changes in their preferred contraceptive. Experiencing a pregnancy or birth and changes in marital status were associated with changes in contraceptive preferences for users and nonusers. We found that contraceptive preferences are dynamic, suggesting that family planning programs should ensure people's access to various methods to respond to women's changing circumstances and preferences.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"193-214"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141620961","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

Men's Willingness to Use and Preferences for Novel Male Contraceptive Methods in Malawi. 马拉维男性对新型男性避孕方法的使用意愿和偏好。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2024-09-01 Epub Date: 2024-08-08 DOI: 10.1111/sifp.12275

Ann Gottert, Sanyukta Mathur, Mayi Gnofam, Jim Sailer, Julie Pulerwitz, Lisa B Haddad

{"title":"Men's Willingness to Use and Preferences for Novel Male Contraceptive Methods in Malawi.","authors":"Ann Gottert, Sanyukta Mathur, Mayi Gnofam, Jim Sailer, Julie Pulerwitz, Lisa B Haddad","doi":"10.1111/sifp.12275","DOIUrl":"10.1111/sifp.12275","url":null,"abstract":"Evidence is needed in low- and middle-income countries regarding men's willingness to use new male contraceptive methods in development, preferences regarding method attributes, and what shapes willingness/preferences. We analyzed data from cross-sectional surveys with 611 men in Malawi, concerning willingness to use each of four types of new male methods. Mean age was 24.5 years; half (50 percent) were married/cohabiting. Over half (51 percent) of men expressed willingness to use at least one new male method, including a topical contraceptive gel (33 percent), injection (32 percent), pill (29 percent), and implant (14 percent). Many male product attributes were considered important (with 59-67 percent endorsement), including ease of use, comfort of use, side effects, partner approval, type of method, frequency of facility visits, and cost. A prevalent reported reason for willingness was to \"share responsibility for family planning with my partner\" (44 percent). In multivariate regression analyses, willingness was inversely associated with inequitable gender attitudes (p < 0.001) and was not associated with married/cohabiting status, using condoms, or perceived risk for HIV. These findings add to growing evidence that a majority of men express willingness to use new male contraceptive methods like a topical gel, injectable, or pill. Reflection around gender roles is likely critical within future education about male contraceptive methods.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"215-227"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141907758","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

Assessing Trends in the Desire to Avoid Pregnancy: A Cautionary Note. 评估避免怀孕愿望的趋势：注意事项。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2024-09-01 Epub Date: 2024-07-23 DOI: 10.1111/sifp.12270

John B Casterline, Laila El-Zeini, Mobolaji Ibitoye

{"title":"Assessing Trends in the Desire to Avoid Pregnancy: A Cautionary Note.","authors":"John B Casterline, Laila El-Zeini, Mobolaji Ibitoye","doi":"10.1111/sifp.12270","DOIUrl":"10.1111/sifp.12270","url":null,"abstract":"The desire to avoid pregnancy-to delay the next birth or have no further births-is a fundamental sexual and reproductive health indicator. We show that two readily available measures-prospective fertility preferences and the demand for contraception [Demand] construct-provide substantially different portraits of historical trends. They also yield correspondingly different assessments of the sources of contraceptive change. We argue, with supporting empirical evidence, that Demand enormously overstates the historical trend in the desire to avoid pregnancy because Demand as currently constructed is in part a function of contraceptive prevalence. This makes for \"reverse causality\" in decompositions of contraceptive change, producing an upward distortion on the order of 25 percentage points in the amount of contraceptive change attributed to a change in fertility desires. Decomposition of contraception change free of the distortion reveals that contraceptive change has been due almost entirely to more complete implementation of fertility preferences. This is explained in part by the surprisingly slight historical change in preferences, a fact we document and then show is a consequence of a historical shift in parity composition toward lower parities.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"175-191"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141752778","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 Global Adolescent Fertility Decline is Counteracted by Increasing Teen Births in Sub-Saharan Africa. 撒哈拉以南非洲青少年生育率的上升抵消了全球青少年生育率的下降。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2024-09-01 Epub Date: 2024-07-15 DOI: 10.1111/sifp.12273

Thomas Spoorenberg, Ellen Øen Carlsen, Martin Flatø, Marcin Stonawski, Vegard Skirbekk

{"title":"The Global Adolescent Fertility Decline is Counteracted by Increasing Teen Births in Sub-Saharan Africa.","authors":"Thomas Spoorenberg, Ellen Øen Carlsen, Martin Flatø, Marcin Stonawski, Vegard Skirbekk","doi":"10.1111/sifp.12273","DOIUrl":"10.1111/sifp.12273","url":null,"abstract":"There is a lack of understanding of the persistence of elevated teen fertility rates in certain regions and countries, in contrast to the significant decline observed in other regions globally. This report considers fertility trends among 15- to 19-year olds in the period 1950-2020 and explores potential driving factors behind the significant shifts that occurred over this period. The countries where teen fertility remains high are those with fast-growing populations, primarily located in sub-Saharan Africa. Countries with higher teen fertility are typically characterized by limited use of modern contraception, lower education levels, and early marriage. Sub-Saharan Africa has emerged as the world region with the most teen births, increasing its proportion of global teen births from 12 percent in 1950 to 47 percent in 2020, a time during which this region's share of the global adolescent (15-19) population grew from 7.5 percent to 19 percent. By 2035, 67 percent of all teen births globally are projected to occur in this region. Consequently, the future number of births to teenage mothers will to a large extent depend on the development in sub-Saharan Africa over the coming decades.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"229-245"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141620962","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

There's an App for That: Exploring the Market for Contraceptive Fertility Tracking Apps in the Philippines. 菲律宾避孕生育跟踪应用程序市场探索探索菲律宾避孕生育跟踪应用程序市场。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2024-06-01 Epub Date: 2024-06-08 DOI: 10.1111/sifp.12265

Kendal Danna, Danielle M Harris, Claire W Rothschild, Beth Brogaard, Elizabeth LaCroix, Mahesh Paudel

{"title":"There's an App for That: Exploring the Market for Contraceptive Fertility Tracking Apps in the Philippines.","authors":"Kendal Danna, Danielle M Harris, Claire W Rothschild, Beth Brogaard, Elizabeth LaCroix, Mahesh Paudel","doi":"10.1111/sifp.12265","DOIUrl":"10.1111/sifp.12265","url":null,"abstract":"For generations, women have relied on fertility awareness methods to plan and prevent pregnancy, for over a decade, many have been aided by digital tools to do so. New contraceptive fertility tracking apps (CFTAs)-that are backed by clinical efficacy trials to support their effectiveness as contraception-have the potential to enhance method choice and offer users a unique contraceptive option, but there is little evidence to inform the decisions around expanding access, particularly in low-and middle-income countries. We conducted a mixed methods study with quantitative online surveys (n = 1600) and qualitative interviews (n = 36) to explore the potential appeal of and demand for a hypothetical CFTA in one such market, the Philippines. Interest in using a CFTA was high among our Internet-engaged, urban study population, with 83.9% \"definitely\" or \"probably\" interested in using it. Across demographic profiles, respondents perceived the appeal of the method as \"natural\" and \"convenient.\" A majority were willing to pay for the method, though notably at a price (5.20 USD) below that of currently available CFTAs. We discuss various important factors to be considered before bringing a method like this to new markets, including the potential implications of equity constraints in reaching a wider market and the unexpected prevalence of other period-tracking apps not intended as contraception being used in this market that could complicate any future roll-out. These issues could be explored further with additional research.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"151-169"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293726","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

Continuation of Reversible Contraception Following Enrollment in the Zika Contraception Access Network (Z‐CAN) in Puerto Rico, 2016–2020 2016-2020 年波多黎各加入寨卡避孕普及网络 (Z-CAN) 后继续使用可逆避孕药具的情况

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2024-04-25 DOI: 10.1111/sifp.12262

Lauren B. Zapata, Katherine Kortsmit, Kathryn M. Curtis, Lisa Romero, Stacey Hurst, Eva Lathrop, Edna Acosta Perez, Marizaida Sánchez Cesáreo, Maura K. Whiteman

{"title":"Continuation of Reversible Contraception Following Enrollment in the Zika Contraception Access Network (Z‐CAN) in Puerto Rico, 2016–2020","authors":"Lauren B. Zapata, Katherine Kortsmit, Kathryn M. Curtis, Lisa Romero, Stacey Hurst, Eva Lathrop, Edna Acosta Perez, Marizaida Sánchez Cesáreo, Maura K. Whiteman","doi":"10.1111/sifp.12262","DOIUrl":"https://doi.org/10.1111/sifp.12262","url":null,"abstract":"The Zika Contraception Access Network (Z‐CAN) provided access to high‐quality client‐centered contraceptive services across Puerto Rico during the 2016–2017 Zika virus outbreak. We sent online surveys during May 2017–August 2020 to a subset of Z‐CAN patients at 6, 24, and 36 months after program enrollment (response rates: 55–60 percent). We described contraceptive method continuation, method satisfaction, and method switching, and we identified characteristics associated with discontinuation using multivariable logistic regression. Across all contraceptive methods, continuation was 82.5 percent, 64.2 percent, and 49.9 percent at 6, 24, and 36 months, respectively. Among continuing users, method satisfaction was approximately ≥90 percent. Characteristics associated with decreased likelihood of discontinuation included: using an intrauterine device or implant compared with a nonlong‐acting reversible contraceptive method (shot, pills, ring, patch, or condoms alone); wanting to prevent pregnancy at follow‐up; and receiving as their baseline method the same method primarily used before Z‐CAN. Other associated characteristics included: receiving the method they were most interested in postcounseling (6 and 24 months) and being very satisfied with Z‐CAN services at the initial visit (6 months). Among those wanting to prevent pregnancy at follow‐up, about half reported switching to another method. Ongoing access to contraceptive services is essential for promoting reproductive autonomy, including supporting patients with continued use, method switching, or discontinuation.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"98 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140651825","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