Studies in Family Planning最新文献_第3页

Confirmatory Factor Analysis and Validation of the Sexual and Reproductive Empowerment Scale for Adolescents and Young Adults in Kenya 肯尼亚青少年性与生殖赋权量表的确认因素分析与验证

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2024-04-12 DOI: 10.1111/sifp.12263

Yasaman Zia, Ushma Upadhyay, Isaac Rhew, Syovata Kimanthi, Ouma Congo, Maricianah Onono, Ruanne Barnabas, Nelly Mugo, Elizabeth A. Bukusi, Elizabeth K. Harrington

{"title":"Confirmatory Factor Analysis and Validation of the Sexual and Reproductive Empowerment Scale for Adolescents and Young Adults in Kenya","authors":"Yasaman Zia, Ushma Upadhyay, Isaac Rhew, Syovata Kimanthi, Ouma Congo, Maricianah Onono, Ruanne Barnabas, Nelly Mugo, Elizabeth A. Bukusi, Elizabeth K. Harrington","doi":"10.1111/sifp.12263","DOIUrl":"https://doi.org/10.1111/sifp.12263","url":null,"abstract":"Understanding the levels of power that adolescent girls and young women exercise in their sexual and reproductive lives is imperative to inform interventions to help them meet their goals. We implemented an adapted version of the Sexual and Reproductive Health Empowerment (SRE) Scale for Adolescents and Young Adults among 500 adolescent girls and young women aged 15–20 in Kisumu, Kenya. We used confirmatory factor analysis (CFA) to assess factor structure, and logistic regression to examine construct validity through the relationship between empowerment scores and ability to mitigate risk of undesired pregnancy through consistent contraceptive use. Participants had a mean age of 17.5, and most were students (61 percent), were currently partnered (94 percent), and reported having sex in the past 3 months (70 percent). The final, 26‐item CFA model had acceptable fit. All subscales had Cronbach's alpha scores >0.7, and all items had rotated factor loadings >0.5, indicating good internal consistency and robust factor‐variable associations. The total SRE‐Kenya (SRE‐K) score was associated with increased odds of the consistent method used in the past three months (adjusted odds ratio: 1.98, 95 percent CI: 1.29–3.10). The SRE‐K scale is a newly adapted and valid measure of sexual and reproductive empowerment specific to adolescent girls and young women in an East African setting.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"47 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140551923","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

ACKNOWLEDGMENTS. 致谢。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2024-03-06 DOI: 10.1111/sifp.12261

引用次数: 0

The Relationships between Drought Exposure, Fertility Preferences, and Contraceptive Behaviors: A Multicountry Study. 干旱暴露、生育偏好和避孕行为之间的关系：一项多国研究。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2024-03-01 Epub Date: 2024-02-27 DOI: 10.1111/sifp.12258

Oluwaseyi Somefun, Boladé Hamed Banougnin, Emily Smith-Greenaway

{"title":"The Relationships between Drought Exposure, Fertility Preferences, and Contraceptive Behaviors: A Multicountry Study.","authors":"Oluwaseyi Somefun, Boladé Hamed Banougnin, Emily Smith-Greenaway","doi":"10.1111/sifp.12258","DOIUrl":"10.1111/sifp.12258","url":null,"abstract":"The interplay between population dynamics and the environment has long interested demographers. Although studies have explored how climate patterns affect macrolevel population processes, such as mortality and migration, little is known about their impact on individual-level demographic behaviors. This study fills this research gap by examining the linkages between exposure to drought and women's fertility preferences and contraceptive behaviors in sub-Saharan Africa. We analyze data from the Demographic and Health Surveys Program, focusing on 17 countries in East, Southern, and West Africa. We investigate whether women's recent exposure to drought episodes in their community affects their fertility preferences and modern contraceptive use. Generally, the findings show that drought is relevant to understanding women's fertility preferences and behaviors in the vast majority of countries; however, drought exposure has variable impacts. Moreover, whereas in some countries, drought exposure encourages contraceptive behaviors that align with women's preferences, in select countries it is associated with behavior that is misaligned with women's stated preferences. Overall, the study emphasizes the importance of examining climate events as complex forces that have localized meanings for demographic outcomes.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"5-21"},"PeriodicalIF":2.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139983780","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

Evaluation of Emergency Contraceptive Pill Use with Health Management Information Systems Data in Pakistan. 利用巴基斯坦卫生管理信息系统数据评估紧急避孕药的使用情况。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2024-03-01 Epub Date: 2024-03-14 DOI: 10.1111/sifp.12260

Shiza Farid, Khan Mohammed, Kristin Bietsch, Priya Emmart

{"title":"Evaluation of Emergency Contraceptive Pill Use with Health Management Information Systems Data in Pakistan.","authors":"Shiza Farid, Khan Mohammed, Kristin Bietsch, Priya Emmart","doi":"10.1111/sifp.12260","DOIUrl":"10.1111/sifp.12260","url":null,"abstract":"According to the WHO, all clients should have access to a range of contraceptive methods, including at least one short-term, one long-term, one permanent, and one emergency method of contraception. While there are data on the contraceptive method mix available for many low- and middle-income countries, there are limited data on emergency contraception (EC). This is likely due to some surveys not routinely collecting this information, how survey questions are asked, dual method use, and/or low levels of reported use of EC pill (ECP). Even with low reported use in surveys, contraceptive social marketing statistics from DKT International. show a trend in recent years of increasing product sales of ECPs. To understand a more complete scope of ECP use, we use Pakistan as a case study and analyze Pakistan's Demographic Health Survey (DHS) surveys and Pakistan's Contraceptives Logistics Management Systems. Based on commodities dispensed data for ECPs in 2021, about 0.4 percent of all married women in Pakistan use ECPs. While there is currently a small proportion of women, it is growing and the use of ECPs is not zero as indicated by the DHS. Therefore, where available, countries should review their health management information systems data alongside survey data for ECP use.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"61-69"},"PeriodicalIF":2.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132622","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

Child Fostering and Family Size Preferences in Uganda. 乌干达的儿童寄养和家庭规模偏好。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2024-03-01 Epub Date: 2024-02-13 DOI: 10.1111/sifp.12259

Cassandra Cotton

{"title":"Child Fostering and Family Size Preferences in Uganda.","authors":"Cassandra Cotton","doi":"10.1111/sifp.12259","DOIUrl":"10.1111/sifp.12259","url":null,"abstract":"Mothers who exceed their ideal family size (IFS) may find themselves caring for more children than desired. In the absence of reliable and desirable prenatal controls of family size, mothers may foster-out children to reduce burdens of childrearing, particularly in contexts where fostering is common. Using six rounds of Demographic and Health Surveys collected in Uganda between 1988 and 2016, I explore the relationship between exceeding IFS and child out-fostering, proposing that fostering-out may serve to manage excess fertility and that this relationship may change as actual and desired fertility declines. Models are run separately for mothers and children aged 0-17 to explore mothers' overall out-fostering behavior versus out-fostering strategies for children. Results at the mother level suggest a strong positive relationship between exceeding IFS and out-fostering that remains relatively stable over time, but results at the child level indicate children's age explains the relationship between mothers' exceeding IFS and being fostered-out, demonstrating the nuances of how family size preferences might impact family life in practice. Though mothers report a desire for smaller families over time, childbearing and childrearing behaviors, including high fertility and child out-fostering, remain consistent over the course of Uganda's fertility transition, signifying the central role out-fostering plays in Ugandan families.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"23-43"},"PeriodicalIF":2.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730574","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

Identifying Profiles of Support for Legal Abortion Services in Zambia: A Latent Class Analysis. 识别赞比亚合法堕胎服务的支持特征：潜类分析。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2024-03-01 Epub Date: 2024-02-13 DOI: 10.1111/sifp.12257

Joseph G Rosen, Michael T Mbizvo, Nachela Chelwa, Lyson Phiri, Jenny A Cresswell, Veronique Filippi, Nkomba Kayeyi

{"title":"Identifying Profiles of Support for Legal Abortion Services in Zambia: A Latent Class Analysis.","authors":"Joseph G Rosen, Michael T Mbizvo, Nachela Chelwa, Lyson Phiri, Jenny A Cresswell, Veronique Filippi, Nkomba Kayeyi","doi":"10.1111/sifp.12257","DOIUrl":"10.1111/sifp.12257","url":null,"abstract":"Relative to neighboring countries, Zambia has among the most progressive abortion policies, but numerous sociopolitical constraints inhibit knowledge of pregnancy termination rights and access to safe abortion services. Multistage cluster sampling was used to randomly select 1,486 women aged 15-44 years from households in three provinces. We used latent class analysis (LCA) to partition women into discrete groups based on patterns of endorsed support for legalized abortion on six socioeconomic and health conditions. Predictors of probabilistic membership in latent profiles of support for legal abortion services were identified through mixture modeling. A three-class solution of support patterns for legal abortion services emerged from LCA: (1) legal abortion opponents (∼58 percent) opposed legal abortion across scenarios; (2) legal abortion advocates (∼23 percent) universally endorsed legal protections for abortion care; and (3) conditional supporters of legal abortion (∼19 percent) only supported legal abortion in circumstances where the pregnancy threatened the fetus or mother. Advocates and Conditional supporters reported higher exposure to family planning messages compared to opponents. Relative to opponents, advocates were more educated, and Conditional supporters were wealthier. Findings reveal that attitudes towards abortion in Zambia are not monolithic, but women with access to financial/social assets exhibited more receptive attitudes towards legal abortion.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"45-59"},"PeriodicalIF":1.9,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10960669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730575","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

Adjusting Injectable Contraceptive Use for Months Since the Last Injection. 根据上次注射后的月份调整注射避孕药的使用。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2024-03-01 Epub Date: 2024-02-04 DOI: 10.1111/sifp.12256

Mahesh Karra, David Canning

{"title":"Adjusting Injectable Contraceptive Use for Months Since the Last Injection.","authors":"Mahesh Karra, David Canning","doi":"10.1111/sifp.12256","DOIUrl":"10.1111/sifp.12256","url":null,"abstract":"Injectables are one of the most popular methods of contraception worldwide, particularly in sub-Saharan Africa. An advantage of injectables over shorter-acting methods is that they provide additional flexibility by not requiring re-supply as frequently. However, there is a risk that injectable users may delay their next injection and may therefore have reduced or no protection from pregnancy. In surveys, women may report that they are using contraception in the form of injectables when the time since they had their last injection (more than four months) would imply that they have reduced protection against the risk of pregnancy. We carried out two field studies in urban Malawi, and we record reported injectable contraceptive use while also asking the number of months since women received their last injection. We observe that 13.8 percent of women who report using injectables also report that they received their last injection more than four months ago, and 11 percent report that they received their last injection more than six months ago. Our analysis highlights the need for additional follow-up with women who report using injectables in surveys to confirm whether they are, in fact, using the method effectively.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"71-77"},"PeriodicalIF":2.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681585","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

Contraceptive Adoption and Changes in Empowerment in Kenya, Nigeria, and Senegal. 肯尼亚、尼日利亚和塞内加尔的避孕药具采用情况和赋权变化。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-12-01 Epub Date: 2023-08-02 DOI: 10.1111/sifp.12250

Michelle L O'Brien, Marita Zimmermann, Linnea Eitmann, Dennis L Chao, Joshua L Proctor

{"title":"Contraceptive Adoption and Changes in Empowerment in Kenya, Nigeria, and Senegal.","authors":"Michelle L O'Brien, Marita Zimmermann, Linnea Eitmann, Dennis L Chao, Joshua L Proctor","doi":"10.1111/sifp.12250","DOIUrl":"10.1111/sifp.12250","url":null,"abstract":"Women's empowerment and contraceptive use are critical to achieving gender equality. The positive association between more empowered women and higher rates of contraceptive use has been well-established by cross-sectional research. However, there remains a gap in understanding the longitudinal relationship between contraceptive adoption and changes to women's empowerment. This study represents a novel approach to understanding the relationship between contraceptive adoption and women's empowerment longitudinally, at the individual level. To the authors' knowledge, this is the first attempt to measure the relationship between contraceptive adoption and women's empowerment using more than one wave of panel data. We leverage the longitudinal design of the Urban Reproductive Health Initiative data to code empowerment items by change over time (e.g., more empowered, no change, less empowered). We use sparse principal component analysis to establish empowerment change domains and calculate individual scores standardized by country-level averages. We estimate mixed effects models on these change domains, to investigate the link between contraceptive adoption and empowerment. We find common themes in empowerment across contexts-but contraceptive adoption has both positive and negative effects on those domains, and this varies across context. We discuss the need for cohort studies to examine this relationship.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"609-623"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10301887","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

Contraceptive Intentions and Use throughout the Extended Postpartum Period: A Panel Study in Ethiopia. 延长产后期间的避孕意图和使用：埃塞俄比亚的一项小组研究。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-12-01 Epub Date: 2023-10-16 DOI: 10.1111/sifp.12252

Sophia Magalona, Celia Karp, Solomon Shiferaw, Assefa Seme, Birikty Lulu, Mahari Yihdego, Linnea Zimmerman

{"title":"Contraceptive Intentions and Use throughout the Extended Postpartum Period: A Panel Study in Ethiopia.","authors":"Sophia Magalona, Celia Karp, Solomon Shiferaw, Assefa Seme, Birikty Lulu, Mahari Yihdego, Linnea Zimmerman","doi":"10.1111/sifp.12252","DOIUrl":"10.1111/sifp.12252","url":null,"abstract":"The postpartum period is an ideal time for women to access contraception, but the prevalence of postpartum contraceptive use remains low in sub-Saharan Africa. To better understand the gap between women's desires to space or limit births and their contraceptive behaviors, intention to use contraception has been proposed as a person-centered measure of contraceptive demand. Using data from a panel study of Ethiopian women aged 15-49 who were interviewed at six weeks, six months, and one year postpartum, we examined the dynamics of contraceptive intention in the first year postpartum and its relationship with contraceptive use. Contraceptive intention fluctuated considerably in the year after childbirth. At six weeks, 60.9 percent of women intended to use a contraceptive method in the next year; 23.2% did not. By one year, less than half (43.5 percent) were using a method, and those who had no intention to use doubled (44.5 percent). Women who developed or sustained their intention to use a method in the postpartum period were more likely to adopt a method by one year than those who did not, showing that contraceptive intention is a strong predictor of use and has the potential to inform person-centered reproductive health programming in the extended postpartum period.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"543-562"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41238658","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

Access to Higher Education and Adolescent Fertility in Chile. 智利接受高等教育的机会与青少年生育率。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-12-01 Epub Date: 2023-12-06 DOI: 10.1111/sifp.12254

Viviana Salinas, Valentina Jorquera-Samter, Pilar Wiegand-Cruz

{"title":"Access to Higher Education and Adolescent Fertility in Chile.","authors":"Viviana Salinas, Valentina Jorquera-Samter, Pilar Wiegand-Cruz","doi":"10.1111/sifp.12254","DOIUrl":"10.1111/sifp.12254","url":null,"abstract":"This study investigates gender differences in the association between adolescent fertility and the likelihood of initiating higher education among young Chilean men and women. We adopt an entropy balancing strategy to estimate the association between adolescent fertility and the likelihood of starting higher education while accounting for potential selection into early childbearing due to socioeconomic status and prior academic achievement. We use data from official national registers that cover a cohort of Chilean students who attended publicly funded schools and who successfully completed secondary schooling between 2011 and 2022. Our results indicate that adolescent mothers are 15 percentage points less likely to initiate higher education than their peers who did not give birth during adolescence. In comparison, teenage fathers are 20 percentage points less likely to do so than their childless counterparts. Our findings stand in contrast to previously identified disadvantage patterns for secondary school completion, whereby adolescent fertility more significantly hinders schooling completion for women relative to men. We contend that this reversal may be related to traditional gender-role expectations in Chile, which encourage young fathers to act as providers and, therefore, may be prevented from continuing on their education path into tertiary studies.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":"563-584"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488450","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