Studies in Family Planning最新文献

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Contraceptive Method Skew in India 1992-2016: Analysis Using a New Method Skew Index. 1992-2016年印度避孕方法倾斜:使用新方法倾斜指数分析
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2021-12-01 Epub Date: 2021-10-20 DOI: 10.1111/sifp.12177
Aalok Ranjan Chaurasia
{"title":"Contraceptive Method Skew in India 1992-2016: Analysis Using a New Method Skew Index.","authors":"Aalok Ranjan Chaurasia","doi":"10.1111/sifp.12177","DOIUrl":"https://doi.org/10.1111/sifp.12177","url":null,"abstract":"<p><p>This paper analyses method skew in India over more than two decades using a new method skew index. The analysis reveals clear regional pattern in method skew in the country. In north and east regions of the country, method skew is average and below average, but it is high or very high in the south region. We investigate roles of such factors as poverty, education, social class, and religion in deciding the method skew at the district level using the classification modeling approach and find that the roles of these factors are different in different regions of the country. An important finding of the analysis is that there is a positive correlation between the degree of the method skew and contraceptive prevalence at the district level.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"52 4","pages":"487-512"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39535513","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: 3
An Assessment of Third-Party Reporting of Close Ties to Measure Sensitive Behaviors: The Confidante Method to Measure Abortion Incidence in Ethiopia and Uganda. 衡量敏感行为的密切联系的第三方报告的评估:测量埃塞俄比亚和乌干达堕胎发生率的红唇法。
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2021-12-01 Epub Date: 2021-11-11 DOI: 10.1111/sifp.12180
Margaret Giorgio, Elizabeth Sully, Doris W Chiu
{"title":"An Assessment of Third-Party Reporting of Close Ties to Measure Sensitive Behaviors: The Confidante Method to Measure Abortion Incidence in Ethiopia and Uganda.","authors":"Margaret Giorgio,&nbsp;Elizabeth Sully,&nbsp;Doris W Chiu","doi":"10.1111/sifp.12180","DOIUrl":"https://doi.org/10.1111/sifp.12180","url":null,"abstract":"<p><p>Indirect estimation techniques are important tools for measuring sensitive and stigmatized behaviors. This includes third-party reporting methods, which have become increasingly common in the field of abortion measurement, where direct survey approaches notoriously lead to underreporting. This paper provides the first in-depth assessment of one of the most widely used of these techniques in the field of abortion measurement: the confidante method. We outline six key assumptions behind the confidante method and describe how violations of these assumptions can bias resulting estimates. Using data from modules added to the performance monitoring for action surveys in Uganda and Ethiopia in 2018, we compute one-year abortion incidence estimates using the confidante method. We also perform a validation check, using the method to estimate intrauterine device /implant use. Our results revealed implementation problems in both settings. Several of the method's foundational assumptions were violated, and efforts to adjust for these violations either failed or only partially addressed the resulting bias. Our validation check also failed, resulting in a gross overestimate of intrauterine device/implant use. These results have implications more broadly for the potential biases that can be introduced in using third-party reporting of close ties to measure other sensitive or stigmatized behaviors.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"52 4","pages":"513-538"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d6/80/SIFP-52-513.PMC9298764.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39610917","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: 9
Contraceptive Conversations among Adolescent Girls and Young Women and Their Partners, Peers, and Older Female Family Members in Lilongwe, Malawi: A QualitativeAnalysis. 马拉维利隆圭少女和年轻妇女及其伴侣、同伴和老年女性家庭成员的避孕对话:一项定性分析
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2021-12-01 Epub Date: 2021-09-29 DOI: 10.1111/sifp.12174
Nivedita L Bhushan, Twambilile Phanga, Bertha Maseko, Dhrutika Vansia, Linda Kamtsendero, Margaret W Gichane, Suzanne Maman, Audrey E Pettifor, Nora E Rosenberg
{"title":"Contraceptive Conversations among Adolescent Girls and Young Women and Their Partners, Peers, and Older Female Family Members in Lilongwe, Malawi: A QualitativeAnalysis.","authors":"Nivedita L Bhushan,&nbsp;Twambilile Phanga,&nbsp;Bertha Maseko,&nbsp;Dhrutika Vansia,&nbsp;Linda Kamtsendero,&nbsp;Margaret W Gichane,&nbsp;Suzanne Maman,&nbsp;Audrey E Pettifor,&nbsp;Nora E Rosenberg","doi":"10.1111/sifp.12174","DOIUrl":"10.1111/sifp.12174","url":null,"abstract":"<p><p>In sub-Saharan Africa, adolescent girls and young women (AGYW) have high levels of unmet need for contraception, particularly those who are unmarried or nulliparous. Conversations with partners, peers, and family members influence AGYW contraceptive decision-making yet little is known about conversation content and impact or how they vary by relationship status and parity. This paper draws on qualitative data from 60 AGYW (aged 15-24) participating in a sexual and reproductive health study in Malawi to examine contraceptive conversation patterns among participants and their social ties. AGYW's relationship status and parity influenced whether they talked about contraceptives, who they talked to about contraceptives, and the type of contraceptives that were endorsed during conversations. Unmarried and nulliparous AGYW were less likely to discuss contraceptives with all social ties and when conversations occurred, norms and misinformation regarding nonbarrier methods were reinforced, and condoms were largely prescribed. Conversations with intimate partners often provided permission for contraceptive use while conversations with peers and older women in the family provided information on contraceptive methods. Our results highlight the unique roles that social ties play in AGYW contraceptive decision-making and suggest that existing contraceptive conversation patterns might exclude unmarried, nulliparous AGYW from accurate and comprehensive contraceptive information and options.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"52 4","pages":"397-413"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8664985/pdf/nihms-1728177.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39490967","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: 5
"We Don't Fear HIV. We Just Fear Walking around Pregnant.": A Qualitative Analysis of Adolescent Sexuality and Pregnancy Stigma in Informal Settlements in Kisumu, Kenya. “我们不害怕艾滋病毒。我们只是害怕怀着身孕四处走动。:肯尼亚基苏木非正式定居点青少年性行为和怀孕耻辱的定性分析。
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2021-12-01 Epub Date: 2021-11-11 DOI: 10.1111/sifp.12178
Lara E Miller, Sophia Zamudio-Haas, Beatrice Otieno, Sayo Amboka, Damaris Odeny, Irene Agot, Kevin Kadede, Hannington Odhiambo, Colette Auerswald, Craig R Cohen, Elizabeth A Bukusi, Hong-Ha M Truong
{"title":"\"We Don't Fear HIV. We Just Fear Walking around Pregnant.\": A Qualitative Analysis of Adolescent Sexuality and Pregnancy Stigma in Informal Settlements in Kisumu, Kenya.","authors":"Lara E Miller,&nbsp;Sophia Zamudio-Haas,&nbsp;Beatrice Otieno,&nbsp;Sayo Amboka,&nbsp;Damaris Odeny,&nbsp;Irene Agot,&nbsp;Kevin Kadede,&nbsp;Hannington Odhiambo,&nbsp;Colette Auerswald,&nbsp;Craig R Cohen,&nbsp;Elizabeth A Bukusi,&nbsp;Hong-Ha M Truong","doi":"10.1111/sifp.12178","DOIUrl":"https://doi.org/10.1111/sifp.12178","url":null,"abstract":"<p><p>In Kenya, adolescent pregnancy rates are high, contraception utilization is low, and adolescent sexuality is stigmatized. We describe how perceptions of sexuality and pregnancy stigma influence decision-making among adolescents in the informal settlements of Kisumu. We used purposive sampling to recruit 120 adolescent boys and girls aged 15-19 for focus group discussions. A semistructured interview guide was used to elicit social norms and community attitudes about sexual and reproductive health. We analyzed the data using the Framework Approach. The social stigma of adolescent sexuality and the related fear of pregnancy as an unambiguous marker of sexual activity emerged as main themes. This stigma led adolescents to fear social retribution but did not lead to more frequent contraception use due to additional stigma. The intensity of this fear was most acutely expressed by girls, leading some to seek unsafe, sometimes fatal, abortions, and to contemplate suicide. Fear of pregnancy outweighed fear of contracting HIV that was viewed as both treatable and less stigmatized. Our findings illustrate how fear of pregnancy among these adolescents is driven primarily by fears that their community will discover that they are sexually active. Interventions are urgently needed to address adolescent sexual stigma and to prevent negative outcomes.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"52 4","pages":"557-570"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8932675/pdf/nihms-1743349.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39881692","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: 7
Childhood Origins, Migration, and First Modern Contraceptive Use in Turkey. 土耳其的童年起源、移民和第一次现代避孕措施的使用。
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2021-12-01 Epub Date: 2021-10-27 DOI: 10.1111/sifp.12176
Jeylan Erman, Julia A Behrman
{"title":"Childhood Origins, Migration, and First Modern Contraceptive Use in Turkey.","authors":"Jeylan Erman,&nbsp;Julia A Behrman","doi":"10.1111/sifp.12176","DOIUrl":"https://doi.org/10.1111/sifp.12176","url":null,"abstract":"<p><p>This paper integrates contraception into the extant migrant-fertility framework using the case of internal migration within Turkey. Drawing from the 2013 Turkish Demographic and Health Survey data, we show that migration is positively associated with age of first modern contraceptive use. As women's migration is quickly followed by family formation, women also take up modern contraception after first childbirth, likely due to new encounters with medical professionals, differing contraceptive access and other social exposures. We also find that women whose childhoods were spent in urban areas have a higher risk of first modern contraception relative to women from rural areas, thus suggesting the enduring importance of socialization. These results show how selection processes, life-cycle factors, and sociocultural norms jointly shape modern contraceptive behavior in Turkey. Our results also demonstrate a need for increased reproductive care in rural areas and suggest continued fertility decline with urban migration.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"52 4","pages":"539-555"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39567252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing the Reliability of the Retrospective Reproductive Calendar: Evidence from Urban Kenya. 评估回顾性生殖日历的可靠性:来自肯尼亚城市的证据。
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2021-12-01 Epub Date: 2021-08-14 DOI: 10.1111/sifp.12173
Katherine Tumlinson, Siân L Curtis
{"title":"Assessing the Reliability of the Retrospective Reproductive Calendar: Evidence from Urban Kenya.","authors":"Katherine Tumlinson, Siân L Curtis","doi":"10.1111/sifp.12173","DOIUrl":"10.1111/sifp.12173","url":null,"abstract":"<p><p>The reproductive calendar is a data collection tool that collects month-by-month retrospective histories of contraceptive use. This survey instrument is implemented in large-scale demographic surveys, but its reliability is not well-understood. Our analysis helps to address this research gap, using longitudinal panel data with overlapping calendars from urban Kenya. Our findings indicate calendar data collected in 2014 underestimated 2012 reports of current use by 5 percentage points. And while the overall percentage of women reporting at least one episode of contraceptive use was similar across the two calendars (67 percent vs. 70 percent), there was notable disagreement in contraceptive behavior when comparing the histories of individual women; less than 20 percent of women with any contraceptive use reported the exact same pattern of use in both calendars. Low calendar reliability was especially apparent for younger women and those with complicated contraceptive histories. Individual-level discordance resulted in a small difference in 12-month discontinuation rates for the period of calendar overlap; when surveyed in 2014, women reported a 12-month discontinuation rate of 39 percent, compared to a rate of 34 percent reported in 2012. When using retrospective calendar data, attention must be paid to the potential for individual reporting errors.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"52 4","pages":"467-486"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8792829/pdf/nihms-1763655.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39309420","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
Demographic and Fertility Characteristics of Contraceptive Clusters in Burundi. 布隆迪避孕组合的人口和生育特征。
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2021-12-01 Epub Date: 2021-10-09 DOI: 10.1111/sifp.12179
Kerry L D MacQuarrie, Courtney Allen, Alison Gemmill
{"title":"Demographic and Fertility Characteristics of Contraceptive Clusters in Burundi.","authors":"Kerry L D MacQuarrie,&nbsp;Courtney Allen,&nbsp;Alison Gemmill","doi":"10.1111/sifp.12179","DOIUrl":"https://doi.org/10.1111/sifp.12179","url":null,"abstract":"<p><p>Examining women's reproductive experiences over time reveals a more dynamic view of women's behaviors and needs than current status measures alone. This study uses sequence and cluster analyses, which are designed for identifying patterns and subgroups in longitudinal data. We apply these methods to contraceptive calendar data in Burundi to identify discrete clusters of women based on contraceptive and pregnancy behaviors over the past 5 years. We identify six unique clusters; three characterized by no use of contraception (85 percent of women) and three by use (16 percent). The Quiet Calendar cluster (42 percent) comprise women who neither experience pregnancy nor use contraception. Family Builder 1 (25 percent) and 2 (18 percent) both include women who experience two pregnancies, but differ in unmet need and lifetime experience with contraception. Modern Mother (8 percent), Consistently Covered Mother (6 percent), and Traditional Mother (2 percent) clusters differ by type of contraception used following pregnancy. Factors associated with cluster membership are need for family planning, lifetime experience with contraception, marital status, pregnancy intention, and age. This clustering approach provides a new, more holistic way to measure the diverse needs across unique subpopulations and can inform the development of multifaceted, adaptable strategies to meet women's dynamic fertility needs over the reproductive life course.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"52 4","pages":"415-438"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/20/db/SIFP-52-415.PMC9293157.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39500653","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: 1
The Impact of Mass Media-Delivered Family Planning Campaigns in Low- and Middle-Income Countries: A Meta-Analysis of Advertising and Entertainment-Education Format Effects. 在低收入和中等收入国家,大众传媒传播的计划生育运动的影响:广告和娱乐教育形式效应的元分析。
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2021-12-01 Epub Date: 2021-09-28 DOI: 10.1111/sifp.12175
Dana Rogers, Leslie B Snyder, Michelle Rego
{"title":"The Impact of Mass Media-Delivered Family Planning Campaigns in Low- and Middle-Income Countries: A Meta-Analysis of Advertising and Entertainment-Education Format Effects.","authors":"Dana Rogers,&nbsp;Leslie B Snyder,&nbsp;Michelle Rego","doi":"10.1111/sifp.12175","DOIUrl":"https://doi.org/10.1111/sifp.12175","url":null,"abstract":"<p><p>Effective family planning methods are shown to save lives, contribute to gender equality, and boost economic development. Mass media communication campaigns in low- and middle-income countries have been effective in increasing contraceptive use, although the strategies that increase the likelihood of success are unclear. The present study uses meta-analyses to uncover the average effect of media campaigns on family planning behaviors in low- and middle-income countries and to examine the effectiveness of two communication strategies: entertainment-education and advertising/public service announcements. Results indicated that mass media-delivered family planning campaigns have a positive impact on family planning behaviors: d = 0.19, 95% CI [0.15, 0.24] for women (k = 64), d = 0.16, 95% CI [0.11, 0.21] for men (k = 27), and d = 0.20, 95% CI [0.17, 0.23] for an undifferentiated target group of men and women (k = 37). The use of an entertainment-education format, often in addition to campaign advertising messages, was associated with greater campaign success rates for women. Men, however, responded negatively to education-entertainment and positively to campaigns using only advertising and public service announcement formats. Recommendations for future family planning mass media campaigns and academic research opportunities are discussed.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"52 4","pages":"439-465"},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39468165","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
Issue Information 问题信息
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2021-12-01 DOI: 10.1111/sifp.12132
{"title":"Issue Information","authors":"","doi":"10.1111/sifp.12132","DOIUrl":"https://doi.org/10.1111/sifp.12132","url":null,"abstract":"","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43419147","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
Family Planning Beliefs and Their Association with Contraceptive Use Dynamics: Results from a Longitudinal Study in Uganda. 计划生育信念及其与避孕药具使用动态的关系:来自乌干达纵向研究的结果。
IF 2.1 3区 医学
Studies in Family Planning Pub Date : 2021-09-01 Epub Date: 2021-05-20 DOI: 10.1111/sifp.12153
Linnea A Zimmerman, Dana O Sarnak, Celia Karp, Shannon N Wood, Caroline Moreau, Simon P S Kibira, Fredrick Makumbi
{"title":"Family Planning Beliefs and Their Association with Contraceptive Use Dynamics: Results from a Longitudinal Study in Uganda.","authors":"Linnea A Zimmerman,&nbsp;Dana O Sarnak,&nbsp;Celia Karp,&nbsp;Shannon N Wood,&nbsp;Caroline Moreau,&nbsp;Simon P S Kibira,&nbsp;Fredrick Makumbi","doi":"10.1111/sifp.12153","DOIUrl":"https://doi.org/10.1111/sifp.12153","url":null,"abstract":"<p><p>Norms and beliefs toward contraception, both positive and negative, motivate contraceptive use; however, they have seldom been explored longitudinally in low- and middle-income countries, limiting our understanding of their influence on contraceptive dynamics. We used PMA2020 Uganda national longitudinal data of reproductive aged women in 2018 (baseline) and 2019 (follow-up) to explore discontinuation and switching among modern contraceptive users at baseline (n = 688) and contraceptive use at follow-up among nonusers at baseline (n = 1,377). Multivariable simple and multinomial logistic regressions assessed the association of individual and community-level contraceptive beliefs with contraceptive uptake, discontinuation and switching. One-quarter of nonusers at baseline were using contraception at follow-up, while 37 percent of users at baseline had discontinued and 28 percent had switched methods at follow-up. The odds of contraceptive uptake were lower among women who strongly agreed that contraception impacted future fertility or caused conflict within a couple, relative to those who strongly disagreed (adjusted odds ratio (aOR): 0.7 and aOR: 0.6, respectively), but higher among women who strongly agreed that contraception preserved beauty (aOR: 1.6). Women who strongly agreed that it was acceptable to use contraception before having children were less likely to discontinue their method than those who strongly disagreed (adjusted relative risk ratio (aRRR): 0.5), though living in a community where more women agreed with this statement was associated with higher discontinuation (aRRR: 6.0). Family planning programs that promote positive beliefs toward family planning could improve contraceptive uptake and continuation. More research is needed to understand how contraceptive beliefs shape contraceptive decisions across the life course.</p>","PeriodicalId":22069,"journal":{"name":"Studies in Family Planning","volume":"52 3","pages":"241-258"},"PeriodicalIF":2.1,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/sifp.12153","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38920196","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: 7
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