Studies in Family Planning最新文献_第6页

Contraceptive Continuation and Experiences Obtaining Implant and IUD Removal Among Women Randomized to Use Injectable Contraception, Levonorgestrel Implant, and Copper IUD in South Africa and Zambia. 南非和赞比亚随机使用注射避孕药、左炔诺孕酮植入物和铜宫内节育器的妇女的避孕延续和获得植入物和取出宫内节育器的经验

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-06-01 DOI: 10.1111/sifp.12222

Alice F Cartwright, Rebecca L Callahan, Mags Beksinska, Margaret P Kasaro, Jennifer H Tang, Cecilia Milford, Christina Wong, Marissa Velarde, Virginia Maphumulo, Maria Fawzy, Manze Chinyama, Esther Chabu, Mayaba Mudenda, Jennifer Smit

{"title":"Contraceptive Continuation and Experiences Obtaining Implant and IUD Removal Among Women Randomized to Use Injectable Contraception, Levonorgestrel Implant, and Copper IUD in South Africa and Zambia.","authors":"Alice F Cartwright, Rebecca L Callahan, Mags Beksinska, Margaret P Kasaro, Jennifer H Tang, Cecilia Milford, Christina Wong, Marissa Velarde, Virginia Maphumulo, Maria Fawzy, Manze Chinyama, Esther Chabu, Mayaba Mudenda, Jennifer Smit","doi":"10.1111/sifp.12222","DOIUrl":"https://doi.org/10.1111/sifp.12222","url":null,"abstract":"Few longitudinal studies have measured contraceptive continuation past one year in sub-Saharan Africa. We surveyed 674 women who had been randomized to receive the three-month intramuscular contraceptive injectable (DMPA-IM), levonorgestrel (LNG) implant, or copper intrauterine device (IUD) during the Evidence for Contraceptive Options and HIV Outcomes (ECHO) trial in South Africa and Zambia and were subsequently followed for two additional years to explore method continuation, reasons for discontinuation, and access to implant and IUD removal services. We also conducted in-depth qualitative interviews with 39 participants. We estimated cumulative discontinuation probabilities using Kaplan-Meier estimates and assessed factors associated with discontinuation using Cox-proportional hazards models. The LNG implant continuation rate over the maximum 44-month study period was 60 percent, while rates for the copper IUD and DMPA-IM were 52 percent and 44 percent, respectively. Reasons for method discontinuation included side effects, particularly menstrual changes, and method stock-outs. Most implant and IUD users who sought removal were able to access services; however, room for improvement exists. In this cohort originally randomized to receive a contraceptive method and attend regular study visits, implants and IUDs continued to be highly acceptable over an additional two years, but facilities should continue to ensure that insertions and removals are available as requested.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"54 2","pages":"379-401"},"PeriodicalIF":2.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10239327/pdf/nihms-1888891.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9598331","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: 3

Validation of the Fertility Norms Scale and Association with Fertility Intention and Contraceptive Use in India. 印度生育规范量表的验证及其与生育意愿和避孕药具使用的关系。

IF 1.9 3区医学

Studies in Family Planning Pub Date : 2023-03-01 Epub Date: 2023-01-23 DOI: 10.1111/sifp.12227

Nandita Bhan, Nicole E Johns, Sangeeta Chatterji, Edwin E Thomas, Namratha Rao, Mohan Ghule, Rebecka Lundgren, Anita Raj

{"title":"Validation of the Fertility Norms Scale and Association with Fertility Intention and Contraceptive Use in India.","authors":"Nandita Bhan, Nicole E Johns, Sangeeta Chatterji, Edwin E Thomas, Namratha Rao, Mohan Ghule, Rebecka Lundgren, Anita Raj","doi":"10.1111/sifp.12227","DOIUrl":"10.1111/sifp.12227","url":null,"abstract":"Social norms related to fertility may be driving pregnancy desire, timing and contraceptive use, but measurement has lagged. We validated a 10-item injunctive Fertility Norms Scale (FNS) and examined its associations with family planning outcomes among 1021 women and 1020 men in India. FNS captured expectations around pronatalism, childbearing early in marriage and community pressure. We assessed reliability and construct validity through Cronbach's alpha and exploratory factor analysis (EFA) respectively, examining associations with childbearing intention and contraceptive use. FNS demonstrated good reliability (α = 0.65-0.71) and differing sub-constructs by gender. High fertility norm among women was associated with greater likelihood of pregnancy intention [RRR = 2.35 (95% CI: 1.25,4.39); ARRR = 1.53 (95% CI: 0.70,3.30)], lower likelihood of delaying pregnancy [RRR = 0.69 (95% CI: 0.50,0.96); ARRR = 0.72 (95% CI: 0.51,1.02)] and greater ambivalence on delaying pregnancy [RRR = 1.92 (95% CI: 1.18,3.14); ARRR = 1.99 (95% CI: 1.21,3.28)]. Women's higher FNS scores were also associated with higher sterilization [RRR = 2.17 (95% CI: 1.28,3.66); ARRR = 2.24 (95% CI: 1.32,3.83)], but the reverse was noted for men [RRR = 0.61 (95% CI: 0.36,1.04); ARRR = 0.54 (95% CI: 0.32,0.94)]. FNS indicated better predictive value among women compared to men for key reproductive outcomes. This measure may be useful for social norms-focused evaluations in family planning and warrants cross-contextual study.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"54 1","pages":"39-61"},"PeriodicalIF":1.9,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11147959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9174000","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

A Welcome Message from the New Editors. 新任编辑的欢迎辞

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-03-01 DOI: 10.1111/sifp.12238

引用次数: 0

Introduction to the Special Issue: Indicators in Sexual and Reproductive Health and Rights. 特刊导言:性健康和生殖健康及权利指标。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-03-01 DOI: 10.1111/sifp.12239

Jeffrey B Bingenheimer, Karen Hardee, Michelle Hindin, Aparna Jain, Joyce Mumah, Johannes van Dam

引用次数: 1

Measuring Fertility Intentions During Times of Crisis: An Example Using Survey Data Amid the Covid-19 Pandemic. 危机时期生育意愿的衡量：以科维德-19 大流行病期间的调查数据为例。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-03-01 Epub Date: 2023-02-04 DOI: 10.1111/sifp.12219

Letícia J Marteleto, Molly Dondero, Sneha Kumar, David C Mallinson

{"title":"Measuring Fertility Intentions During Times of Crisis: An Example Using Survey Data Amid the Covid-19 Pandemic.","authors":"Letícia J Marteleto, Molly Dondero, Sneha Kumar, David C Mallinson","doi":"10.1111/sifp.12219","DOIUrl":"10.1111/sifp.12219","url":null,"abstract":"Fertility intentions-intentions regarding whether and when to have children-predict reproductive health outcomes. Measuring fertility intentions is difficult, particularly during macrostructural shocks, for at least two reasons: (1) fertility intentions may be especially volatile during periods of uncertainty and (2) macrostructural shocks may constrain data collection. We propose a set of indicators that capture how a macrostructural shock directly alters fertility intentions, with a particular focus on the Coronavirus disease 2019 (Covid-19) pandemic. We advance the conceptualization and construct of fertility intentions measures in three ways. First, we demonstrate the value of direct questions about whether women attributed changes in fertility intentions to the pandemic. Second, we highlight the importance of a typology that delineates fertility postponement, advancement, foregoing, and indecision. Third, we demonstrate the importance of incorporating a granular time window within a two-year period to capture short-term changes to fertility intentions. We exemplify the value of our proposed measures using survey data from a probabilistic sample of women aged 18-34 in Pernambuco, Brazil. We discuss the self-reported change in intentions due to Covid in wave 1 as well as panel change across waves. We further ground our contributions by uncovering important variations by social origin and parity.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"54 1","pages":"161-180"},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10035575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9376326","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

Characteristics Associated with Reliability in Reporting of Contraceptive Use: Assessing the Reliability of the Contraceptive Calendar in Seven Countries. 与避孕药具使用报告可靠性相关的特征：评估七个国家避孕药具日历的可靠性。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-03-01 Epub Date: 2023-01-30 DOI: 10.1111/sifp.12226

Philip Anglewicz, Dana Sarnak, Alison Gemmill, Stan Becker

{"title":"Characteristics Associated with Reliability in Reporting of Contraceptive Use: Assessing the Reliability of the Contraceptive Calendar in Seven Countries.","authors":"Philip Anglewicz, Dana Sarnak, Alison Gemmill, Stan Becker","doi":"10.1111/sifp.12226","DOIUrl":"10.1111/sifp.12226","url":null,"abstract":"Although the reproductive calendar is the primary tool for measuring contraceptive dynamics in low-income settings, the reliability of calendar data has seldom been evaluated, primarily due to the lack of longitudinal panel data. In this research, we evaluated the reproductive calendar using data from the Performance Monitoring for Action Project. We used population-based longitudinal data from nine settings in seven countries: Burkina Faso, Nigeria (Kano and Lagos States), Democratic Republic of Congo (Kinshasa and Kongo Central Provinces), Kenya, Uganda, Cote d'Ivoire, and India. To evaluate reliability, we compared the baseline cross-sectional report of contraceptive use (overall and by contraceptive method), nonuse, or pregnancy with the retrospective reproductive calendar entry for the corresponding month, measured at follow-up. We use multivariable regressions to identify characteristics associated with reliability or reporting. Overall, we find that the reliability of the calendar is in the \"moderate/substantial\" range for nearly all geographies and tests (Kappa statistics between 0.58 and 0.81). Measures of the complexity of the calendar (number of contraceptive use episodes, using the long-acting method at baseline) are associated with reliability. We also find that women who were using contraception without their partners/husband's knowledge (i.e., covertly) were less likely to report reliably in several countries.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"54 1","pages":"17-38"},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9226619","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: 5

Measuring Nuance in Individual Contraceptive Need: A Case Study from a Cohort in Malawi. 测量个人避孕需求中的裸体：来自马拉维一个队列的案例研究。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-03-01 Epub Date: 2023-01-31 DOI: 10.1111/sifp.12223

Marta Bornstein, Sarah Huber-Krum, Jessica D Gipson, Alison H Norris

{"title":"Measuring Nuance in Individual Contraceptive Need: A Case Study from a Cohort in Malawi.","authors":"Marta Bornstein, Sarah Huber-Krum, Jessica D Gipson, Alison H Norris","doi":"10.1111/sifp.12223","DOIUrl":"10.1111/sifp.12223","url":null,"abstract":"Contraceptive counseling protocols tend to focus narrowly on pregnancy intentions, which may overlook other factors that contribute to whether an individual wants or needs contraception. In this report, we demonstrate the potential of two measures of individual contraceptive need that could be assessed as part of contraceptive counseling: (1) a composite score constructed from pregnancy intentions, sexual frequency, and perceived fecundity and (2) a direct measure of contraceptive need (\"do you feel it is necessary for you to be using contraception right now?\") We compare the two measures using data from Umoyo wa Thanzi, a cohort study in Central Malawi (N = 906; 2017-2018). More frequent sex, perceptions of being more fecund, and a stronger desire to avoid pregnancy were associated with directly reporting contraceptive need (p < 0.001). Women who directly reported contraceptive need had a higher average composite score than women who directly reported they had no need (mean = 7.4 vs. 6.3; p < 0.01), but nearly all participants had scores indicating some risk of unintended pregnancy. Contraceptive counseling protocols should consider assessing women's direct report of contraceptive need, along with risk factors for unintended pregnancy, such as sexual frequency, perceived fecundity, and desire to avoid pregnancy, to better counsel clients.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"54 1","pages":"63-74"},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10913817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9535817","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

Assessing the Suitability of Unmet Need as a Proxy for Access to Contraception and Desire to Use It. 评估未满足的需求作为获得避孕药具和使用避孕药具的愿望的替代物是否合适。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-03-01 Epub Date: 2023-02-26 DOI: 10.1111/sifp.12233

Leigh Senderowicz, Brooke W Bullington, Nathalie Sawadogo, Katherine Tumlinson, Ana Langer, Abdramane Soura, Pascal Zabré, Ali Sié

{"title":"Assessing the Suitability of Unmet Need as a Proxy for Access to Contraception and Desire to Use It.","authors":"Leigh Senderowicz, Brooke W Bullington, Nathalie Sawadogo, Katherine Tumlinson, Ana Langer, Abdramane Soura, Pascal Zabré, Ali Sié","doi":"10.1111/sifp.12233","DOIUrl":"10.1111/sifp.12233","url":null,"abstract":"Unmet need for contraception is a widely used but frequently misunderstood indicator. Although calculated from measures of pregnancy intention and current contraceptive use, unmet need is commonly used as a proxy measure for (1) lack of access to contraception and (2) desire to use it. Using data from a survey in Burkina Faso, we examine the extent to which unmet need corresponds with and diverges from these two concepts, calculating sensitivity, specificity, and positive/negative predictive values. Among women assigned conventional unmet need, 67 percent report no desire to use contraception and 61 percent report access to a broad range of affordable contraceptives. Results show unmet need has low sensitivity and specificity in differentiating those who lack access and/or who desire to use a method from those who do not. These findings suggest that unmet need is of limited utility to inform family planning programs and may be leading stakeholders to overestimate the proportion of women in need of expanded family planning services. We conclude that more direct measures are feasible at the population level, rendering the proxy measure of unmet need unnecessary. Where access to and/or desire for contraception are the true outcomes of interest, more direct measures should be used.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"54 1","pages":"231-250"},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10257191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9603974","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

Is the Decision Not to Use Contraception an Indicator of Reproductive Agency? 不采取避孕措施是生育能力的指标吗?

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-03-01 DOI: 10.1111/sifp.12235

Madeleine Short Fabic, Lotus McDougal, Anita Raj, Apoorva Jadhav

引用次数: 3

Misconceptions, Misinformation, and Misperceptions: A Case for Removing the "Mis-" When Discussing Contraceptive Beliefs. 误解、错误信息和错误认识：在讨论避孕观念时删除 "错误 "一词的理由。在讨论避孕观念时。

IF 2.1 3区医学

Studies in Family Planning Pub Date : 2023-03-01 Epub Date: 2023-02-08 DOI: 10.1111/sifp.12232

Rose Stevens, Kazuyo Machiyama, Constancia Vimbayi Mavodza, Aoife M Doyle

{"title":"Misconceptions, Misinformation, and Misperceptions: A Case for Removing the \"Mis-\" When Discussing Contraceptive Beliefs.","authors":"Rose Stevens, Kazuyo Machiyama, Constancia Vimbayi Mavodza, Aoife M Doyle","doi":"10.1111/sifp.12232","DOIUrl":"10.1111/sifp.12232","url":null,"abstract":"Beliefs about contraception are commonly conceptualized as playing an important role in contraceptive decision-making. Interventions designed to address beliefs typically include counseling to dispel any \"myths\" or \"misconceptions.\" These interventions currently show little evidence for impact in reducing beliefs. This commentary delves into the problems associated with using implicitly negative terminology to refer to contraceptive beliefs, which come laden with assumptions as to their validity. By conceptualizing women as getting it wrong or their beliefs as invalid, it sets the scene for dubious treatment of women's concerns and hampers the design of fruitful interventions to address them. To replace the multitude of terms used, we suggest using \"belief\" going forward to maintain value-free curiosity and remove any implicit assumptions about the origin or validity of a belief. We provide recommendations for measuring beliefs to help researchers understand the drivers and impacts of the belief they are measuring. Finally, we discuss implications for intervention design once different types of belief are better understood. We argue that tailored interventions by belief type would help address the root causes of beliefs and better meet women's broader contraceptive needs, such as the need for contraceptive autonomy and satisfaction.","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"54 1","pages":"309-321"},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9178780","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