Julie Pulerwitz, Japneet Kaur, Ann Gottert, Dhananjay Vaidyanathan Rohini, Steve Kretschmer
{"title":"Male Contraceptive Methods: Understanding Men and Women's Views and Related Relationship Dynamics via Nationally Representative Surveys in Six Countries.","authors":"Julie Pulerwitz, Japneet Kaur, Ann Gottert, Dhananjay Vaidyanathan Rohini, Steve Kretschmer","doi":"10.1111/sifp.70040","DOIUrl":"10.1111/sifp.70040","url":null,"abstract":"<p><p>A better understanding of men's and women's attitudes and relationship contexts into which novel male contraceptive methods will be introduced is needed. A cross-sectional survey of 12,435 randomly selected heterosexual men aged 18-60 years-and 9122 of their female partners-was conducted in Nigeria, Kenya, the DR Congo (DRC), Ivory Coast, Bangladesh, and Vietnam, during 2021-2022. Across all countries, the majority endorsed that both men and women are responsible for contraception and reported that open communication and shared decision-making were common between partners. Important differences emerged by region-for example, larger proportions in Asian versus African contexts reported trust in one's partner to disclose contraception use. About one-third of respondents who had used existing male contraceptives were dissatisfied with them. Notable proportions (up to one half) also had some concerns about the potential of new male contraception methods -for example, that it may negatively affect men's sexual performance. Multinomial regression analyses showed that higher education and income were associated with more positive attitudes about men and women's shared responsibility for contraception. Findings suggest that a future roll-out of novel male contraception should tailor awareness messages and related programming to address existing concerns and differences in attitudes across regions. Results also indicate that in multiple countries with high burdens of unintended pregnancy there is a need, interest, and relatively favorable contexts for the introduction of new male contraceptives.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"92-109"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145459627","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}
Nurudeen Alhassan, Jamaica Corker, Nyovani Janet Madise, Ernestina Coast, Naa Dodua Dodoo, Themba Mzembe, Jacques B O Emina, Elizabeth Omoluabi, F Nii-Amoo Dodoo, Saseendran Pallikadavath, Maame B Peterson, John A Mushomi, Funmilola M OlaOlorun, Eliya Msiyaphazi Zulu
{"title":"TEAM-UP: Mixed-Methods Data for Understanding Traditional and Modern Contraceptive Use Dynamics in Four Sub-Saharan African Countries.","authors":"Nurudeen Alhassan, Jamaica Corker, Nyovani Janet Madise, Ernestina Coast, Naa Dodua Dodoo, Themba Mzembe, Jacques B O Emina, Elizabeth Omoluabi, F Nii-Amoo Dodoo, Saseendran Pallikadavath, Maame B Peterson, John A Mushomi, Funmilola M OlaOlorun, Eliya Msiyaphazi Zulu","doi":"10.1111/sifp.70046","DOIUrl":"https://doi.org/10.1111/sifp.70046","url":null,"abstract":"<p><p>This Data Article describes a novel dataset from the \"Re-Examining Traditional Method Use\" (TEAM-UP) project, which systematically collected data on the measurement of and motivations for use of non-modern (traditional and folkloric) contraceptive methods and/or modern methods, in four sub-Saharan African countries: the Democratic Republic of Congo, Ghana, Kenya, and Nigeria. TEAM-UP comprises four datasets (two quantitative and two qualitative), enabling comprehensive analyses of (1) the impact of methodological innovations on reporting of modern and non-modern method use, and prevalence estimates; (2) motivations for, and user experiences related to traditional and folkloric methods, and (3) contraceptive use dynamics across all methods and method types, including nonuse. Data collection was conducted in four stages: qualitative (Stage 1; 54 focus group discussions and 81 key informant interviews) and quantitative (Stage 2; n = 918) pilots, followed by women's surveys (Stage 3; n = 13,625) and follow-up qualitative in-depth interviews (Stage 4; 469 interviews). The main TEAM-UP survey data are publicly available, with both the pilot and follow-up in-depth qualitative data available upon vetted request.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259307","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}
Sonya Borrero,Colleen Judge-Golden,Christine Dehlendorf,Lisa S Callegari,Megan E Hamm,Flor A Cameron,Galen E Switzer,Sarah Wulf,Elizabeth A Mosley
{"title":"Moving Beyond Unintended Pregnancy: Development of a Person-Centered Conceptual Framework and Measure of Self-Assessed Pregnancy Acceptability.","authors":"Sonya Borrero,Colleen Judge-Golden,Christine Dehlendorf,Lisa S Callegari,Megan E Hamm,Flor A Cameron,Galen E Switzer,Sarah Wulf,Elizabeth A Mosley","doi":"10.1111/sifp.70044","DOIUrl":"https://doi.org/10.1111/sifp.70044","url":null,"abstract":"Sexual and reproductive health (SRH) research, programming, policy, and services have long relied on the narrow paradigm of \"pregnancy intendedness and planning,\" including its \"unintended pregnancy\" measure. This framework is limited and problematic, overlooking diverse perspectives on pregnancy, structural factors, and non-parenting outcomes such as abortion and adoption. In response, we developed the Self-Assessed Pregnancy Acceptability (SAPA) framework and measure as a person-centered alternative. The SAPA framework was developed by centering the lived experiences of pregnant people in Texas, Tennessee, Pennsylvania, and California through baseline interviews shortly after pregnancy confirmation (N = 31) and follow-up post-pregnancy interviews (N = 14). Development was also informed by a diverse Expert Panel (N = 19) including reproductive justice leaders, reproductive measurement experts, and lived experience experts. Using cognitive interviews (N = 13), we refined an 11-item measure of SAPA that is currently being validated in a nationwide sample of nearly 600 people in early pregnancy. Following validation, SAPA could be integrated into national and state-level epidemiological surveillance surveys such as the National Survey of Family Growth and the Pregnancy Risk Assessment Monitoring System. This novel framework and measure offer an alternative to unintended pregnancy and contribute to an ecosystem of person-centered, rigorously developed measures of SRH equity.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"42 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146056378","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}
{"title":"Factors That Contribute to Contraceptive Stockout Rates in Nigerian Health Facilities.","authors":"Taiwo Ibinaiye,Babatunde Adelekan,Ummulkhulthum Bajoga,Sampson Ezikeanyi,Amaka Anene,Ishioma Ntaka-Okocha,Collins Opiyo,Andat Dasogot,Koessan Kuawu","doi":"10.1111/sifp.70043","DOIUrl":"https://doi.org/10.1111/sifp.70043","url":null,"abstract":"Contraceptive stockouts are a major barrier to effective family planning (FP) service delivery in Nigeria, limiting access to modern methods and contributing to adverse reproductive health outcomes. Despite ongoing efforts to strengthen the supply chain, many health facilities continue to experience stockouts. A cross-sectional study was conducted in September 2024 across 1,050 service delivery points (SDPs) in Nigeria. Descriptive statistics and univariate mixed-effects logistic regression were used to explore associations between stockouts and facility characteristics, including location, supervision frequency, resupply methods, and logistics practices. Overall, 41.7 percent of SDPs reported at least one contraceptive stockout in the three months preceding the survey. Stockouts were slightly more common in rural facilities (56.8 percent) compared to urban facilities (43.2 percent), though this difference was not statistically significant (p = 0.53). Monthly supervisory visits were associated with significantly lower stockout rates (p = 0.014). Facilities relying on external agencies for resupply had 1.55 times higher odds of stockouts than those calculating needs internally (p = 0.058). Delays exceeding two weeks between ordering and delivery were the strongest predictor of stockouts (odds ratio: 1.76, 95 percent confidence interval: 1.257-2.474, p < 0.001). Improving supply chain efficiency, supervision frequency, and resupply models is critical to reducing contraceptive stockouts and enhancing FP service delivery in Nigeria.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"49 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146015118","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}
Karen Trister Grace,Samantha Auerbach,Amy Alspaugh,Nicholas Rios,Tara Altay,Samantha Kanselaar,Elizabeth A Mosley
{"title":"Pregnancy, Birth, Neonatal, and Mental Health Outcomes Are Minimally Associated with Pregnancy Ambivalence.","authors":"Karen Trister Grace,Samantha Auerbach,Amy Alspaugh,Nicholas Rios,Tara Altay,Samantha Kanselaar,Elizabeth A Mosley","doi":"10.1111/sifp.70045","DOIUrl":"https://doi.org/10.1111/sifp.70045","url":null,"abstract":"Pregnancy ambivalence is increasingly recognized and studied in sexual and reproductive health research, yet its associations with adverse outcomes remain unclear. The purpose of this paper was to explore different measures of ambivalence and whether any were associated with poor pregnancy, birth, social or mental health outcomes. A cross-sectional survey was conducted with 1941 individuals assigned female at birth, ages 18-45, who had been pregnant in the past 2 years. Ambivalence measures included the London Measure of Unplanned Pregnancy (LMUP) and additional questions exploring mixed feelings, uncertainty, incongruent feelings, and fatalistic beliefs about pregnancy planning. No associations were observed between ambivalence and birth/neonatal outcomes, though ambivalence measures were linked to delayed prenatal care, exposure to harmful behaviors during pregnancy, and increased odds of depression, anxiety, and intimate partner violence. Mental health assessments and intimate partner violence screening could improve care delivery and outcomes more than screening for pregnancy ambivalence. The LMUP, which captures multiple dimensions of ambivalence as well as addresses the deficiencies with traditional measures of behavior, may be the strongest measure to use when needing to comprehensively measure pregnancy ambivalence.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"27 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145949843","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}
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":"10.1111/sifp.70032","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"778-808"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12700131/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact and Gender Differences in Intragenerational Mobility and Fertility Intentions in China.","authors":"Qi Li, Xiang Zhou, Yingliang Sun","doi":"10.1111/sifp.70013","DOIUrl":"10.1111/sifp.70013","url":null,"abstract":"<p><p>With the growing prevalence of dual-earner families in China, fertility decisions are increasingly influenced by experiences in the work domain. While previous research has explored the relationship between static occupational status and fertility intentions, it has largely overlooked how career development affects these dynamics. Changes in occupational status alter both the material resources available for childbearing and the balance between work and family life. Using diagonal reference models on pooled data from the Chinese General Social Survey, this study investigates the impact of intragenerational occupational mobility on fertility intentions. The findings reveal that this impact varies by parity and gender. Intragenerational upward mobility is positively associated with men's first birth intentions but negatively associated with women's first birth intentions. However, intragenerational downward mobility is negatively associated with first birth intentions for both men and women. For additional children, the impact of upward mobility is not significant, but the negative impact of downward mobility is still prominent. Overall, while upward mobility enhances fertility intentions for men by providing greater resources and stability, for women, the pursuit of career advancement often results in reduced fertility intentions. These findings highlight a gendered trade-off between professional success and family formation.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"809-828"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111895","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}
Christine Dehlendorf, Shashi Sarnaik, April J Bell, Alyssa Lindsey, Jamie Hart, Sheila Desai, Bilgissou Balde, Christine Galavotti, Ewenat Gebrehanna, Jennifer Hall, Renu Khanna, Anne Philpott, Lore Remmerie, Niranjan Saggurti, Zeba A Sathar, Miranda van Reeuwijk, Vicky Boydell
{"title":"What About Well-Being? Measuring What We Really Care About in Sexual and Reproductive Health.","authors":"Christine Dehlendorf, Shashi Sarnaik, April J Bell, Alyssa Lindsey, Jamie Hart, Sheila Desai, Bilgissou Balde, Christine Galavotti, Ewenat Gebrehanna, Jennifer Hall, Renu Khanna, Anne Philpott, Lore Remmerie, Niranjan Saggurti, Zeba A Sathar, Miranda van Reeuwijk, Vicky Boydell","doi":"10.1111/sifp.70022","DOIUrl":"10.1111/sifp.70022","url":null,"abstract":"<p><p>The well-being of individuals and communities is increasingly recognized as a core objective of economic and global development policies and programs. However, existing measures of well-being neglect sexual and reproductive experiences, which are core dimensions of people's lives. While there has been increasing attention to the concept of sexual well-being, measures of sexual and reproductive health are predominantly deficit-based and ignore whether people are having positive experiences. To consider the development of a measure of sexual and reproductive well-being, a multidisciplinary and geographically diverse group of experts was convened. Outcomes of this meeting included endorsement of a draft definition of sexual and reproductive well-being, demonstrated enthusiasm and commitment to the development of a measure capturing this construct, and delineation of core considerations in the measure development process. These included considering the diversity of normative and political contexts around sexuality and reproduction, and the critical nature of meaningful community engagement when developing this measure. A pathway for measuring development was defined, with the goal of creating a concise measure assessing people's holistic experiences of sexuality and reproduction that can draw attention to and monitor the extent to which people are having the sexual and reproductive lives they wish to have.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"703-714"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12700127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258974","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}
Yingyi Lin, Emily Smith‐Greenaway, Camila Cortes Rodriguez, Shelley Clark
{"title":"From Birth to Death: The Marital Consequences of Child Loss for Unmarried Mothers","authors":"Yingyi Lin, Emily Smith‐Greenaway, Camila Cortes Rodriguez, Shelley Clark","doi":"10.1111/sifp.70041","DOIUrl":"https://doi.org/10.1111/sifp.70041","url":null,"abstract":"High levels of premarital childbearing in Africa have spurred considerable interest in its consequences for women. Premarital childbearing corresponds with women's poor health, as well as their subsequent life course outcomes, including their marriage timing and quality. However, this work has not considered the survival of women's premaritally born children, leaving unclear what happens to unmarried mothers when their children do not survive. In this paper, we ask how infant death affects unmarried mothers’ subsequent life course outcomes. We analyze recent Demographic and Health Survey data from 26 countries to examine the marital outcomes of unmarried mothers—differentiating between those whose firstborn survived infancy and those whose child did not. We find that, although premarital childbearing is generally known to correspond with marriage disadvantages, unwed mothers whose premarital births ended in the death of an infant have distinctive marital trajectories and experiences compared to their peers with a surviving child. Although child loss accelerates unmarried mothers’ entry into marriages, these bereaved mothers are more likely to marry less educated, polygynous, and violent husbands, especially among younger birth cohorts. The results demonstrate the double disadvantages unmarried women face in both bearing and losing a child.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"8 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145582999","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}
{"title":"Dispelling Myths and Empowering Women: The Truth About Oral Contraceptives in Pakistan","authors":"Muhammad Burhan, Jalib Ahmed","doi":"10.1111/sifp.70042","DOIUrl":"https://doi.org/10.1111/sifp.70042","url":null,"abstract":"In Pakistan, cultural taboos around reproductive health fuel persistent myths about oral contraceptives (OCs), limiting women's empowerment and informed decision‐making. While misconceptions affect several contraceptive methods, OCs face particular mistrust, with use far below global averages. Five widespread myths dominate public perception: that OCs cause permanent infertility, cardiovascular disease, birth defects, weight gain, and are religiously forbidden. Scientific evidence consistently disproves these claims. OC use does not impair long‐term fertility, offers some cardiovascular benefits, and does not cause congenital anomalies or permanent weight gain. Additionally, Islamic teachings—supported by respected fatwas (Islamic legal rulings)—permit family planning to safeguard maternal and child health. Yet, contraceptive prevalence remains low in Pakistan, with only 34% of married women using any method. Early pregnancies, short birth intervals, and inadequate reproductive knowledge contribute to high maternal and neonatal mortality. Misunderstanding persists, with many women misinformed or influenced by social narratives rather than evidence. Healthcare professionals, together with educators, community leaders, and religious scholars, play a crucial role in counselling and dispelling myths. Promoting dialogue and evidence‐based guidance can challenge harmful beliefs. Correcting these misconceptions is both a public health priority and a societal responsibility toward healthier families and empowered women.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"18 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145582998","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}