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Patterns of contraceptive use among clients of the Barbados Family Planning Association. 巴巴多斯计划生育协会服务对象使用避孕药具的模式。
Pub Date : 1969-01-01
G E Ebanks

This is a study of the behavior patterns of lower class Barbadian women during the fecund period of their lives with respect to the introduction of new types of contraceptives within a multiple method family planning program. The behavior patterns of these women are examined through their use of the facilities of The Barbados Family Planning Association (BFPA). In 1955, the BFPA was set up to disseminate information on family planning and to provide the material means for family limitation. From its inception, a variety of contraceptive methods have been made available to women utilizing the services. The study is developed within a diffusion theoretic framework that focuses on the trial and adoption stages of the diffusion process. Data are drawn for this thesis from 2 samples: 1) a systematic sample of records kept by the BFPA on its clients, and 2) a systematic stratified sample chosen from patients of the Population Council Research Project (PCRP). (The PCRP was an affiliate of the BFPA between 1965 and 1967.) Patients were interviewed at both the family planning clinics and in their homes. The BFPA has followed the policy of making available at nominal cost all existing contraceptive methods. This has led to very high dropout rates after admission and a considerable amount of method changing. However, changes take place generally in the direction of increasing the reliability of the method used. The lower the reliability of the method, the greater the rate of dropout as well as the rate of change from it. The longer the time spent in the program, the greater the number of methods used; but the longer the time a method is used, the less likely that it will be given up for another method. The transition probabilities for changing from user to nonuser in a year do not remain constant over the 12 years for which the program has been in operation. This is also true for changing from nonuser to user. In the case of the users these probabilities remain constant for time spans of 4 consecutive years; decreasing from one time span to another. The transition probabilities for going from nonuser to user remain constant for time spans of 4 consecutive years over the first 8 years of operation of the program and for the last 3 years. The year 1964 was found to be deviant. However, the probability of going from nonuser to user increases from one time span to the other. Therefore, 3 time subsystems are delimited, each characterized by constant probabilities. Each subsystem represents a unique period in the development of the program.

这是一项关于巴巴多斯下层妇女在生育时期在多种方法计划生育方案中采用新型避孕药具的行为模式的研究。通过使用巴巴多斯计划生育协会的设施来检查这些妇女的行为模式。1955年,设立了计划生育协会,传播计划生育的信息,并为限制生育提供物质手段。从一开始,就向利用这些服务的妇女提供各种避孕方法。该研究是在扩散理论框架内进行的,重点关注扩散过程的试用和采用阶段。本文的数据来自两个样本:1)BFPA保存的客户记录的系统样本,2)人口理事会研究项目(PCRP)患者的系统分层样本。(PCRP在1965年至1967年间是BFPA的附属机构。)患者在计划生育诊所和家中接受了采访。基金会遵循以名义费用提供所有现有避孕方法的政策。这导致了入学后非常高的辍学率和相当数量的方法变化。然而,变化通常发生在增加所用方法可靠性的方向上。方法的可靠性越低,退出率和变化率就越大。在程序中花费的时间越长,使用的方法越多;但是,一种方法使用的时间越长,它就越不可能被另一种方法所放弃。在程序运行的12年中,一年内从用户变为非用户的转换概率并没有保持不变。从非用户转换为用户也是如此。在用户的情况下,这些概率在连续4年的时间跨度内保持不变;递减的:从一个时间跨度到另一个时间跨度递减的从非用户到用户的转换概率在项目运行的前8年和最后3年连续4年的时间跨度内保持不变。1964年被认为是不正常的一年。然而,从一个时间跨度到另一个时间跨度,从非用户到用户的概率是增加的。因此,划分了3个时间子系统,每个子系统都具有恒定的概率特征。每个子系统代表了该计划发展的一个独特时期。
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