Studies in Family Planning最新文献_第2页

What About Well-Being? Measuring What We Really Care About in Sexual and Reproductive Health. 幸福呢？衡量我们真正关心的性健康和生殖健康。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2025-06-09 DOI: 10.1111/sifp.70022

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":"https://doi.org/10.1111/sifp.70022","url":null,"abstract":"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.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating Contraceptive Empowerment Among Women and Girls in Sub‐Saharan Africa: Validation of the Women's and Girls’ Empowerment in Sexual and Reproductive Health (WGE‐SRH) Index Contraceptive Empowerment Subscale 评估撒哈拉以南非洲妇女和女孩的避孕赋权：妇女和女孩在性健康和生殖健康方面的赋权（WGE - SRH）指数避孕赋权子量表的验证

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2025-06-06 DOI: 10.1111/sifp.70011

Celia Karp, Shannon N. Wood, Elizabeth Omoluabi, Funmilola M. OlaOlorun, Pierre Z. Akilimali, Simon Peter Sebina Kibira, Fredrick Makumbi, Georges Guiella, Peter Gichangi, Caroline Moreau

{"title":"Evaluating Contraceptive Empowerment Among Women and Girls in Sub‐Saharan Africa: Validation of the Women's and Girls’ Empowerment in Sexual and Reproductive Health (WGE‐SRH) Index Contraceptive Empowerment Subscale","authors":"Celia Karp, Shannon N. Wood, Elizabeth Omoluabi, Funmilola M. OlaOlorun, Pierre Z. Akilimali, Simon Peter Sebina Kibira, Fredrick Makumbi, Georges Guiella, Peter Gichangi, Caroline Moreau","doi":"10.1111/sifp.70011","DOIUrl":"https://doi.org/10.1111/sifp.70011","url":null,"abstract":"This study evaluates the contraceptive empowerment subscale of the Women's and Girls’ Empowerment in Sexual and Reproductive Health (WGE‐SRH) index across seven sub‐Saharan African countries. Using structural equation modeling and logistic regression among population‐based samples of women aged 15–49, we find evidence that the abbreviated eight‐item subscale is a reliable measure of contraceptive empowerment (Cronbach's alpha range: 0.67–0.78), significantly associated with women's involvement in the decision to use contraception. Results show geographic variability, with the highest overall contraceptive empowerment in Kenya (mean = 4.26, range: 1–5) and lowest in Uganda (mean = 3.67), reflecting diverse fertility trends, contraceptive norms, and gendered power dynamics. The subscale's two‐dimensional structure—distinguishing existence and exercise of choice—proves effective, with existence of choice being a stronger correlate of involvement in contraceptive use decisions than exercise in most settings. Despite some challenges, such as variable factor loadings, the subscale shows acceptable internal consistency and construct validity. This research underscores the need for multidimensional measures of reproductive empowerment to capture this nuanced process.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"144 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236838","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

People, Rights, and Choices: Keeping the Promise of the ICPD Programme of Action Alive 人、权利和选择：履行人发会议行动纲领的承诺

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2025-06-02 DOI: 10.1111/sifp.70017

Saumya RamaRao, Priscilla Idele, Dakshitha Wickremarathene

引用次数: 0

Undesired Births, Contraception, and Abortion Before and After the Cairo Consensus: Trends in Conditional Undesired Birth Rates and the Impact of Contraception and Abortion. 《开罗共识前后的意外生育、避孕和堕胎：有条件意外出生率的趋势以及避孕和堕胎的影响》。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2025-06-01 Epub Date: 2025-05-20 DOI: 10.1111/sifp.70014

Jonathan Marc Bearak, Ellie Leong, Jewel Gausman, Jessica Rosenberg, Mariah Menanno, Samira Sackietey, Octavia Mulhern, Vladimíra Kantorová, Joseph Molitoris

{"title":"Undesired Births, Contraception, and Abortion Before and After the Cairo Consensus: Trends in Conditional Undesired Birth Rates and the Impact of Contraception and Abortion.","authors":"Jonathan Marc Bearak, Ellie Leong, Jewel Gausman, Jessica Rosenberg, Mariah Menanno, Samira Sackietey, Octavia Mulhern, Vladimíra Kantorová, Joseph Molitoris","doi":"10.1111/sifp.70014","DOIUrl":"10.1111/sifp.70014","url":null,"abstract":"The Programme of Action adopted after the International Conference on Population and Development (ICPD), and later the Beijing Declaration, affirmed commitments to the human right to decide on the number and spacing of one's children and have the information and means to do so. In this study, we estimate trends related to this component of reproductive agency-undesired births per thousand women who want to avoid pregnancy, the conditional undesired birth rate-with annual rates for five-year periods from 1975 to 2024. Worldwide, 36 million undesired births occurred annually in 2020-2024 compared to 45 million annually in 1990-1994, corresponding to a decrease in rate from 61 to 32. Had it not been for increases in contraceptive use since 1990-1994, the global average rate in 2020-2024 would have been 36 percent higher than it actually was. Had it not been for increasing proportions of pregnancies aborted, the rate would have been 58 percent higher. Comparing regional averages, excepting Sub-Saharan Africa and Oceania, the pace of decline in conditional undesired birth rates slowed by the 2000s; hence, the global average rate decreased by 22 percent in the latter half of the post-ICPD period after declining by 31 percent and 33 percent during the 15-year periods immediately before and after ICPD.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"274-300"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12205728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111900","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

Sexual and Reproductive Health and Rights and Global Development. 性健康和生殖健康及权利与全球发展。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2025-06-01 Epub Date: 2025-05-22 DOI: 10.1111/sifp.70016

Gilda Sedgh, Susheela Singh, Irum Taqi, Jonathan Wittenberg

{"title":"Sexual and Reproductive Health and Rights and Global Development.","authors":"Gilda Sedgh, Susheela Singh, Irum Taqi, Jonathan Wittenberg","doi":"10.1111/sifp.70016","DOIUrl":"10.1111/sifp.70016","url":null,"abstract":"The ICPD Programme of Action and the Sustainable Development Goals both underscore the essential role of sexual and reproductive health and reproductive rights in development. Despite significant progress on many aspects of sexual and reproductive health and rights (SRHR), challenges remain, and they are exacerbated by rising anti-rights movements in many countries. At a time when SRHR is under threat, it is important to surface evidence that speaks to its critical role in development and its inextricable connections to multiple global goals. In this commentary, we argue that investing in SRHR is strategic because it yields substantial benefits to individuals, economies, societies, the environment, and peace and security, and thus contributes to progress on related goals. We encourage SRHR advocates to leverage the broad array of arguments to bolster decision-makers' and other stakeholders' support of SRHR, alongside the well-established arguments grounded in cost-effectiveness, and returns on health and human rights. With the world falling short of achieving the Sustainable Development Goals and conservative forces threatening to undo the progress that has been made, urgent and collective action on multiple fronts is needed. By recognizing that many development priorities are interconnected, we can accelerate progress through cross-movement advocacy and mobilization.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"232-242"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12205722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128759","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

Impact and Gender Differences in Intragenerational Mobility and Fertility Intentions in China. 中国代际流动与生育意愿的影响与性别差异

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2025-05-21 DOI: 10.1111/sifp.70013

Qi Li, Xiang Zhou, Yingliang Sun

{"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":"https://doi.org/10.1111/sifp.70013","url":null,"abstract":"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.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-21","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}

引用次数: 0

Capitalizing on Population Dynamics 30 Years on from the International Conference on Population and Development. 利用国际人口与发展会议30年来的人口动态。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2025-05-16 DOI: 10.1111/sifp.70004

Stuart Gietel-Basten,Rachel Snow

{"title":"Capitalizing on Population Dynamics 30 Years on from the International Conference on Population and Development.","authors":"Stuart Gietel-Basten,Rachel Snow","doi":"10.1111/sifp.70004","DOIUrl":"https://doi.org/10.1111/sifp.70004","url":null,"abstract":"The world is grappling with a huge array of demographic challenges-ranging from rapid population growth in sub-Saharan Africa to rapid aging and decline elsewhere-with profound implications for social systems, economic stability, and environmental sustainability. We examine the complex interplay of demographic diversity and other global megatrends, emphasizing the urgent need for policies that prioritize human rights and sustainable development. The legacy of the 1994 International Conference on Population and Development (ICPD) is re-evaluated, highlighting the principles that advocate for individual reproductive rights over numerical targets. Rather than solely focusing on population numbers, we underscore the necessity of addressing root causes of apparent demographic challenges and inequalities, especially relating to gender equality, access to quality health care (including sexual and reproductive health services), and education. By integrating insights on aging populations, migration, and climate change, we call for a shift toward inclusive, rights-based policies that harness the potential of all individuals, in which sexual and reproductive health and rights are central. Ultimately, we suggest that progress toward the Sustainable Development Goals and implementation of the ICPD Programme of Action can only be achieved through tailored demographic policies that reflect the unique contexts of each country, fostering resilience and well-being in a demographically diverse world.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"30 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065746","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 Was Confident From the Bottom of My Heart That I Will be Fine With These Medicines": Qualitative Analysis of Decision-Making Around Self-Managed Abortion Trajectories in India. “我发自内心地相信这些药物对我很好”：对印度自我管理堕胎轨迹决策的定性分析。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2025-05-14 DOI: 10.1111/sifp.70015

Caila Brander,Caitlin McKenna,Caitlin Gerdts,Balasubramanian Palanisamy,Anoop Jain,Laura Jacobson,Katherine Key,Sruthi Chandrasekaran,Ruvani Jayaweera

{"title":"\"I Was Confident From the Bottom of My Heart That I Will be Fine With These Medicines\": Qualitative Analysis of Decision-Making Around Self-Managed Abortion Trajectories in India.","authors":"Caila Brander,Caitlin McKenna,Caitlin Gerdts,Balasubramanian Palanisamy,Anoop Jain,Laura Jacobson,Katherine Key,Sruthi Chandrasekaran,Ruvani Jayaweera","doi":"10.1111/sifp.70015","DOIUrl":"https://doi.org/10.1111/sifp.70015","url":null,"abstract":"While the incidence of self-managed abortion (SMA) in India is well-documented, why the majority of abortions in India are self-managed remains largely unanswered. This qualitative study explores factors that contribute to decision-making about SMA in India. Between January and August 2022, we conducted 43 in-depth interviews with people who self-managed abortions across six Indian states, recruiting via accredited social health activists, clinic sampling frames, and social media posts. Underpinned by the Coast et al. framework, we coded and analyzed transcripts using thematic analysis and then organized factors that contributed to people's decision-making around SMA versus facility-based care. Contributing factors to people's decisions not to seek facility-based abortion care included concerns about poor treatment by providers, the unaffordability of private facility care, and fear of procedural abortion methods. Factors contributing to people's decision to seek SMA included having prior SMA experience, access to information about SMA, affordability, privacy, accessibility, and convenience. SMA is a valued option for abortion seekers in India due to perceived benefits and a desire to avoid facility-based care. Our findings highlight the need for improved person-centered abortion care at facilities and offer potential avenues for developing supportive resources for people who self-manage abortion in India.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"28 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982427","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

Locating Men in Sexual and Reproductive Health, Rights, and Justice: Past, Present, Futures 在性健康和生殖健康、权利和正义中定位男性：过去、现在和未来

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2025-05-09 DOI: 10.1111/sifp.70003

Joe Strong, Ernestina Coast, Malvern Chiweshe

{"title":"Locating Men in Sexual and Reproductive Health, Rights, and Justice: Past, Present, Futures","authors":"Joe Strong, Ernestina Coast, Malvern Chiweshe","doi":"10.1111/sifp.70003","DOIUrl":"https://doi.org/10.1111/sifp.70003","url":null,"abstract":"Since the International Conference on Population and Development in 1994, global policies, and agenda‐setting milestones have emphasized that universal sexual and reproductive health and rights (SRHR) are unattainable without the meaningful engagement and inclusion of men. Despite this, the field of SRHR continues to struggle with how and in what ways men can and should be included in research, programs, and policies. In this commentary, we argue that the programmatic focus of SRHR limits the capacity to produce the data and evidence needed to inform gender transformational change. For men to be meaningfully engaged with by SRHR, researchers need an analytic lens that can capture the manifestations and outcomes of gender and power. We consider the conceptual complementarities between two theoretical frameworks: hegemonic masculinities and Reproductive Justice. We contend that bringing together these conceptual approaches to men and SRHR offers an analytic framework to iterate and innovate approaches to research. Such changes will allow for a greater interrogation of gender and power and the production of data and evidence necessary to grapple with the ongoing injustices that curtail people's sexual and reproductive freedoms.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"29 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930879","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

Big Data and AI in Sexual and Reproductive Health: A Comment 性与生殖健康中的大数据与人工智能：评论

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2025-05-05 DOI: 10.1111/sifp.70005

Mahesh Karra, Saumya RamaRao

{"title":"Big Data and AI in Sexual and Reproductive Health: A Comment","authors":"Mahesh Karra, Saumya RamaRao","doi":"10.1111/sifp.70005","DOIUrl":"https://doi.org/10.1111/sifp.70005","url":null,"abstract":"Big data and artificial intelligence (AI) have the potential to transform sexual and reproductive health (SRH), offering new avenues to enhance access, efficiency, and personalization in healthcare. AI‐driven tools can provide opportunities to improve service delivery and optimize resource allocation. Through data‐driven insights, healthcare providers can better understand population trends, predict health risks, and tailor interventions for diverse communities, ultimately advancing gender equality and empowerment. However, the integration of AI into SRH also presents significant challenges. Ethical concerns such as informed consent, data privacy, and transparency are critical to ensuring that AI applications do not violate individual autonomy and rights. The digital divide—disparities in technology access between different regions and populations—further risks exacerbating inequalities in SRH services and the provision of care. Moreover, there is a need for robust governance frameworks and global data protection laws to regulate the use of AI in SRH, and in healthcare more broadly. Programs and policies must focus on bridging these gaps, emphasizing equity and ethical considerations while leveraging AI's potential to enhance SRH services and support the vision of SRH and rights for all.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"8 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143905700","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