Journal of Biosocial Science最新文献

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Breathing in danger: unveiling cooking fuel transitions in India and alarming effect of household air pollution on under-five children's health. 危险的呼吸:揭示印度烹饪燃料的转变以及家庭空气污染对五岁以下儿童健康的惊人影响。
IF 1.5 3区 社会学
Journal of Biosocial Science Pub Date : 2024-11-18 DOI: 10.1017/S002193202400035X
Priyandu M Bajpayee, Pratap C Mohanty, Milind K Yadav
{"title":"Breathing in danger: unveiling cooking fuel transitions in India and alarming effect of household air pollution on under-five children's health.","authors":"Priyandu M Bajpayee, Pratap C Mohanty, Milind K Yadav","doi":"10.1017/S002193202400035X","DOIUrl":"https://doi.org/10.1017/S002193202400035X","url":null,"abstract":"<p><p>Air pollution in households is a prime contributor to health issues in developing countries, as in the case of India. According to the latest National Family Health Survey Report 2022, more than half of India's rural population and 41 per cent overall still depend on solid or unclean fuel combustions, which may reflect in future health hazards. Thus, it is crucial to understand the issue empirically. To that end, the study traces the transitional pattern of unclean cooking fuel users towards clean fuel over the last 30 years using responses from all five National Family Health Survey rounds. Further, the study uses an adjusted probit model to analyse the determinants that lead to the choice of cooking fuel in a household and a logistic model to examine the association between the choice made and the respiratory health of children under five. The empirical results show that the number of households using unclean fuel has declined over the years, with a slightly higher decline in the last five years. Moreover, it also shows that poverty status and place of residence significantly influence cooking fuel choice. Additionally, children residing in households that use clean fuels are less likely to suffer respiratory infections. In conclusion, the present study provides strong evidence to ameliorate the existing policies in a way that exhorts clean energy use. The authors propose pro-poor, pro-rural policies to expedite the clean energy transition, benefitting the most vulnerable households.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"1-24"},"PeriodicalIF":1.5,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Volga German surnames and Alzheimer's disease in Argentina: an epidemiological perspective - CORRIGENDUM. 阿根廷的伏尔加德意志姓氏与阿尔茨海默病:流行病学视角 - CORRIGENDUM。
IF 1.5 3区 社会学
Journal of Biosocial Science Pub Date : 2024-11-12 DOI: 10.1017/S0021932024000361
Arturo Leonardo Morales, Marcelo Isidro Figueroa, Pablo Navarro, Estela Raquel Chaves, Anahí Ruderman, José Edgardo Dipierri, Virginia Ramallo
{"title":"Volga German surnames and Alzheimer's disease in Argentina: an epidemiological perspective - CORRIGENDUM.","authors":"Arturo Leonardo Morales, Marcelo Isidro Figueroa, Pablo Navarro, Estela Raquel Chaves, Anahí Ruderman, José Edgardo Dipierri, Virginia Ramallo","doi":"10.1017/S0021932024000361","DOIUrl":"https://doi.org/10.1017/S0021932024000361","url":null,"abstract":"","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"1"},"PeriodicalIF":1.5,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigation of usage of antenatal care services by Syrian immigrant pregnant women and the frequency of anaemia and hypertension during the pandemic. 调查叙利亚移民孕妇产前护理服务的使用情况以及大流行期间贫血和高血压的发生频率。
IF 1.5 3区 社会学
Journal of Biosocial Science Pub Date : 2024-10-28 DOI: 10.1017/S0021932024000348
Zeynep Meva Altaş, Mehmet Akif Sezerol
{"title":"Investigation of usage of antenatal care services by Syrian immigrant pregnant women and the frequency of anaemia and hypertension during the pandemic.","authors":"Zeynep Meva Altaş, Mehmet Akif Sezerol","doi":"10.1017/S0021932024000348","DOIUrl":"https://doi.org/10.1017/S0021932024000348","url":null,"abstract":"<p><p>During the pandemic period, the use of health services by disadvantaged groups such as immigrants has deteriorated. The study aims to evaluate the use of antenatal care services by Syrian pregnant women during the pandemic. It is a cross-sectional type of study. The population consisted of 495 pregnant women who applied to the Extended Migrant Health Center (EMHC) between August 2020 and December 2022. Demographic data and pregnancy-related health records were examined through the system records, without any contact with the pregnant women. The percentage of pregnant women who had timely follow-up for each antenatal visit were 11.5% (n=56), 17.2% (n=80), 20.0% (n=88), and 17.4% (n=73), respectively. Only 17.7% (n=87) of the pregnant women made the recommended number of visits during their pregnancy period. The recommended number of follow-ups was statistically significantly higher in women with high-risk pregnancies (p=0.045). Of the pregnant women, 27.4% had anaemia and 2.4% had hypertension. The use of antenatal care in immigrant pregnant women is very low. Interventions are needed in this regard. Increasing the utilization of antenatal care services by immigrant pregnant women is extremely important for both the health of the pregnant woman and the health of the baby.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trends in adult mortality rates in India, 1970 to 2018: age-period-cohort analysis. 1970年至2018年印度成人死亡率趋势:年龄段队列分析。
IF 1.5 3区 社会学
Journal of Biosocial Science Pub Date : 2024-10-24 DOI: 10.1017/S0021932024000270
Sheuli Misra, Akansha Singh, Srinivas Goli, K S James
{"title":"Trends in adult mortality rates in India, 1970 to 2018: age-period-cohort analysis.","authors":"Sheuli Misra, Akansha Singh, Srinivas Goli, K S James","doi":"10.1017/S0021932024000270","DOIUrl":"https://doi.org/10.1017/S0021932024000270","url":null,"abstract":"<p><p>High premature adult deaths in developing countries are gaining attention, as recent studies show their increasing impact on overall mortality rates. This paper has twofold objectives: firstly, it investigates the long-term trends and patterns of adult mortality between 1970 and 2018 in India. Secondly, it attempts to detect age, period, and cohort (APC) effects on adult mortality decline over time. Data on age-specific mortality rates and disease-adjusted life years for adult age groups (15-59 years) were collected from the Sample Registration System and the Global Burden of Disease study, respectively. The trends in age-standardized mortality rates were presented graphically, and critical change points were highlighted using a change-point analysis. The intrinsic estimator model was applied to estimate the independent effects of APC on adult mortality. The findings revealed that adult mortality declined between 1970 and 2018 with multiple critical change points. The APC effects showed a notable decline in adult mortality during 2005-2018 and for the recent birth cohorts, 1980-2004. However, the rate of mortality declined slowly over time. Results also indicated that mortality started increasing from mid-adult ages and peaked in older adult ages due to the age effects and provided evidence of a rise in adult life loss due to non-communicable diseases in recent years. Overall, the study underscores the importance of implementing health policies aimed at reducing life loss in the most economically active ages that can have long-term negative implications for the country's economic growth.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"1-23"},"PeriodicalIF":1.5,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Geographical disparities in temporal trends of low birth weight in Saskatchewan from 2002/2003 to 2021/2022: insights from a joinpoint regression analysis. 2002/2003 年至 2021/2022 年萨斯喀彻温省出生体重不足时间趋势的地域差异:连接点回归分析的启示。
IF 1.5 3区 社会学
Journal of Biosocial Science Pub Date : 2024-10-15 DOI: 10.1017/S0021932024000336
Daniel A Adeyinka
{"title":"Geographical disparities in temporal trends of low birth weight in Saskatchewan from 2002/2003 to 2021/2022: insights from a joinpoint regression analysis.","authors":"Daniel A Adeyinka","doi":"10.1017/S0021932024000336","DOIUrl":"https://doi.org/10.1017/S0021932024000336","url":null,"abstract":"<p><p>Low birth weight (LBW) is an important public health indicator that is associated with various negative health outcomes in infants. To effectively implement interventions that would improve health outcomes in children, it is important to understand both the historical trends and current levels of LBW rates. In this study, trends and regional differences in LBW rates in Saskatchewan from 2002/2003 to 2021/2022 were assessed. A joinpoint regression analysis was conducted using historical LBW rates, obtained from the Canadian Institute for Health Information database. Data were analysed using average percent change and average annual percent change. Spatial patterns and trends were identified using a choropleth map. From a provincial and national rate of 5.2% in 2002/2003, the LBW rate in Saskatchewan increased to 6.5% in 2021/2022, approaching the national rate of 6.8%. Over the 20-year period, average annual changes for Canada were 1.4% and 1.0% for Saskatchewan. There was a turning point in the study: 2004/2005 for Canada and 2011/2012 for Saskatchewan. Initially, Saskatchewan had stable LBW rates, increasing yearly by 0.1%, while the national rate was 5.7%. However, in recent years, Saskatchewan's rate increased to 1.8% annually, surpassing the national rate of 0.9%. Geographical differences were also observed within Saskatchewan, with the Far North region having the highest LBW rate (9.2%), and the Central West region having the lowest rate (4.3%) in 2021/2022. The Central East, Regina Qu'Appelle, and southern Saskatchewan saw significant upwards trends in LBW rates between 2015/2016 and 2021/2022. There is an increasing trend in LBW rates in Canada and Saskatchewan, as well as geographical disparities within the province. The geographical disparities in LBW rates underscore the need for tailored interventions in high-risk regions in the province.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unveiling disparities: a non-linear decomposition analysis of the gap in menstrual hygiene material use between adolescent women in Aspirational and the remaining districts of India. 揭示差距:对印度有抱负地区和其他地区的少女在经期卫生用品使用方面的差距进行非线性分解分析。
IF 1.5 3区 社会学
Journal of Biosocial Science Pub Date : 2024-10-14 DOI: 10.1017/S0021932024000312
Mahashweta Chakrabarty, Aditya Singh, Subhojit Let, Shivani Singh
{"title":"Unveiling disparities: a non-linear decomposition analysis of the gap in menstrual hygiene material use between adolescent women in Aspirational and the remaining districts of India.","authors":"Mahashweta Chakrabarty, Aditya Singh, Subhojit Let, Shivani Singh","doi":"10.1017/S0021932024000312","DOIUrl":"https://doi.org/10.1017/S0021932024000312","url":null,"abstract":"<p><p>This study aimed to investigate the factors contributing to the gap in the use of hygienic materials during menstruation to collect blood among adolescent women between Aspirational and the remaining districts of India. The study sample consisted of 114805 adolescent women (20835 women from 112 Aspirational districts and 93970 women from 595 remaining districts) from the National Family Health Survey-5. Fairlie decomposition was used to identify and measure the factors contributing to the gap in the use of hygienic materials between Aspirational and the remaining districts of India. This study determined that the use of hygienic materials during menstruation varied significantly between Aspirational and the remaining districts. While only 37% of adolescent women used hygienic materials in Aspirational districts, almost 52% did so in the remaining districts. Seventy-five per cent of Aspirational districts (84 of 112 districts) reported less than 50% use of hygienic materials, which is lower than the national average and the average of the remaining districts. It was revealed that nearly 90% of the total explained gap between the two groups was accounted for by household wealth, place of residence, exposure to mass media, and education level. Wealth was the main contributor to the gap, explaining about 46% of the difference in hygienic materials use between Aspirational and the remaining districts, followed by the place of residence (18%), exposure to mass media (15%), and education level (11%). Findings suggest that targeted interventions to improve access to hygienic materials among adolescent women in Aspirational districts, particularly those in the northern states of Uttar Pradesh, Bihar, and Chhattisgarh, are necessary. Policy efforts should focus on women from poor households, improving access to education, and expanding mass media exposure in Aspirational districts to reduce the gap in menstrual hygiene practices among adolescent women in India.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"1-19"},"PeriodicalIF":1.5,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comment on 'Changing relationships between HIV prevalence and circumcision in Lesotho', and 'Age-incidence and prevalence of HIV among intact and circumcised men: an analysis of PHIA surveys in Southern Africa'. 就 "莱索托艾滋病毒感染率与包皮环切术之间关系的变化 "和 "未受包皮环切术和包皮环切术的男性中艾滋病毒的年龄发病率和感染率:对南部非洲 PHIA 调查的分析 "发表评论。
IF 1.5 3区 社会学
Journal of Biosocial Science Pub Date : 2024-09-01 Epub Date: 2024-05-20 DOI: 10.1017/S0021932024000208
Brian J Morris, Joya Banerjee
{"title":"Comment on 'Changing relationships between HIV prevalence and circumcision in Lesotho', and 'Age-incidence and prevalence of HIV among intact and circumcised men: an analysis of PHIA surveys in Southern Africa'.","authors":"Brian J Morris, Joya Banerjee","doi":"10.1017/S0021932024000208","DOIUrl":"10.1017/S0021932024000208","url":null,"abstract":"<p><p>Two articles by Garenne (2023a,b) argue that voluntary medical male circumcision does not reduce human immunodeficiency virus transmission in Africa. Here we point out key evidence and analytical flaws that call into question this conclusion.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"925-928"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond the margins: antenatal health and healthcare behaviours among homeless women in Kolkata Municipal Corporation, India. 超越边缘:印度加尔各答市无家可归妇女的产前保健和医疗行为。
IF 1.5 3区 社会学
Journal of Biosocial Science Pub Date : 2024-09-01 Epub Date: 2024-09-23 DOI: 10.1017/S0021932024000324
Margubur Rahaman, Kailash Chandra Das
{"title":"Beyond the margins: antenatal health and healthcare behaviours among homeless women in Kolkata Municipal Corporation, India.","authors":"Margubur Rahaman, Kailash Chandra Das","doi":"10.1017/S0021932024000324","DOIUrl":"10.1017/S0021932024000324","url":null,"abstract":"<p><p>Despite high childbearing rates among homeless women in India, the antenatal health and healthcare behaviours among such population remain poorly understood. To address this research gap, a mixed-methods approach was employed in the present study, involving interviews with a sample of 400 women aged 15-49 years, utilising time and location sampling techniques. Additionally, a purposeful sample of 52 women from the same age group participated in in-depth interviews. The respondents exhibited rampant socio-economic backwardness, including chronic homelessness (36%), no formal education (54%), engagement in rag picking (31%), and low income levels. About 56% of the women reported poor self-rated health (SRH), notably higher among those aged 35 and above and those living alone (68%). Poor SRH was also prevalent among the ever married (61%), ragpickers (61%), beggars (62%), chronic homeless individuals (62%), tobacco (60%) and alcohol consumers (61%), and those with chronic diseases (61%). Common health issues included depression or anxiety (56%) and iron deficiency anaemia (35%). The level of unmet healthcare needs was 41%, with significant variation across diseases. Lack of reproductive health rights and awareness, socio-cultural beliefs, stigma, socio-economic poverty, poor quality of public healthcare services, irregularity in charity-run healthcare, and time constraints hindered antenatal care visits. The study underscores the urgent need for population-centric programmes and policies aimed at promoting reproductive health to achieve Sustainable Development Goal 3 of 'Good health and wellbeing' by 2030.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"864-884"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The association of solid fuel use in households for cooking with elevated blood pressure among reproductive-aged married women in Bangladesh. 孟加拉国已婚育龄妇女家庭使用固体燃料做饭与血压升高的关系。
IF 1.5 3区 社会学
Journal of Biosocial Science Pub Date : 2024-09-01 Epub Date: 2024-09-19 DOI: 10.1017/S0021932024000300
Nuruzzaman Khan, Syful Islam, Mostaured Ali Khan, Iqbal Kabir, Atika Rahman Chowdhury, Diba Paul, Hazrat Ali
{"title":"The association of solid fuel use in households for cooking with elevated blood pressure among reproductive-aged married women in Bangladesh.","authors":"Nuruzzaman Khan, Syful Islam, Mostaured Ali Khan, Iqbal Kabir, Atika Rahman Chowdhury, Diba Paul, Hazrat Ali","doi":"10.1017/S0021932024000300","DOIUrl":"10.1017/S0021932024000300","url":null,"abstract":"<p><p>Bangladesh is experiencing a rapid increase in hypertension prevalence, particularly in socio-economically disadvantaged communities. The higher use of solid fuel in these communities could be one of the significant factors contributing to this trend, but evidence supporting this hypothesis is limited in Bangladesh. Therefore, this study aims to investigate the associations of household solid fuel use and its exposure level with systolic and diastolic blood pressure (DBP) and hypertension. We analysed 7,320 women's data from 2017/18 Bangladesh Demographic and Health Survey. We considered three outcome variables: (i) systolic blood pressure (BP) (continuous response), (ii) DBP (continuous response), and (iii) hypertension status (yes, no). Our primary exposures of interest were fuel type (clean vs solid) and the potential level of household air pollution exposure through solid fuel use (unexposed, moderately exposed, and highly exposed). We used a multilevel mixed-effects Poisson regression model with robust variance to determine association between exposure and outcome variables while adjusting for confounders. Of the total respondents analysed, approximately 82% used solid fuel for cooking. The age-standardised prevalence of hypertension was 28%. Respondents using solid fuel were found to be 1.44 times (95% confidence interval [CI], 1.04-1.89) more likely to develop hypertension compared to clean fuel users. Compared to women using clean fuel, the likelihood of hypertension was found to be 1.61 times (95% CI, 1.07-2.20) higher among the moderately exposed group and 1.80 times (95% CI, 1.27-2.32) higher among the highly exposed group. Similar associations were reported for systolic and DBP. The use of solid fuel increases the risk of becoming hypertensive and elevates systolic and DBP. Policies and programmes are necessary to increase awareness of the adverse effects of solid fuel use on health, including hypertension. Efforts should be made to reduce solid fuel use and ensure proper ventilation systems in households where solid fuel is used.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"885-895"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
'They will be like a person with a disease': a qualitative investigation of variation in contraceptive side-effect experiences in Central Oromia, Ethiopia. 他们会像生病的人一样":对埃塞俄比亚中奥罗莫地区避孕副作用体验差异的定性调查。
IF 1.5 3区 社会学
Journal of Biosocial Science Pub Date : 2024-09-01 Epub Date: 2024-09-20 DOI: 10.1017/S0021932024000294
Rose Stevens, Eshetu Gurmu, Ametelber Negash, Elizabeth Ewart, Alexandra Alvergne
{"title":"'They will be like a person with a disease': a qualitative investigation of variation in contraceptive side-effect experiences in Central Oromia, Ethiopia.","authors":"Rose Stevens, Eshetu Gurmu, Ametelber Negash, Elizabeth Ewart, Alexandra Alvergne","doi":"10.1017/S0021932024000294","DOIUrl":"10.1017/S0021932024000294","url":null,"abstract":"<p><p>Contraceptive side effects are consistently given as the main reason why women are dissatisfied with contraception or choose not to use it. However, why some women suffer more from side effects remains unknown. Through inductive analysis of in-depth interviews and focus group discussions with 40 contraceptive users and 3 key informants in Central Oromia, Ethiopia, we explored women's rationales for variation in side-effect experiences. The data first reveal the wide diversity in type and severity of side-effect experiences reported by users of contraception. Second, we found that women's rationales for why some individuals suffer more side effects from contraception invoke economic and physical hardship (food insecurity and heavy workloads), as well as interindividual differences in biology (one's blood must 'fit' with contraception). Finally, the analysis revealed the tension many women face in trying to negotiate the trade-off between the consequences of these side effects and those of an unwanted pregnancy. The results show the value of using a biosocial approach, which centres women's voices and experiences, for informing the measurement of contraceptive side effects within population health surveys and clinical trials. Additionally, the findings help gain an understanding of how an individual's social, biological, and cultural contexts drive variation in when and why different side effects manifest.</p>","PeriodicalId":47742,"journal":{"name":"Journal of Biosocial Science","volume":" ","pages":"845-863"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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