停止或转换:在48个低收入和中等收入国家中,在希望避免怀孕时停止使用或转换避孕方法的相关性。

IF 1.9 3区 医学 Q2 DEMOGRAPHY Studies in Family Planning Pub Date : 2023-06-01 DOI:10.1111/sifp.12221
Dana Sarnak, Alison Gemmill, Sarah E K Bradley, Eve Brecker, Kaitlyn Patierno
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引用次数: 3

摘要

由于与避孕方法有关的原因而停止避孕,虽然可能是为了避免怀孕,但这是一种普遍现象,可能导致大量未满足的需求和意外怀孕。有些妇女停止使用避孕药具,并没有迅速恢复一种方法(“停止”),而另一些妇女则能够迅速改用另一种方法,以实现避免怀孕的生殖目标(“转换”)。我们使用来自48个国家的人口与健康调查数据来研究在因方法相关原因停止避孕的妇女中,能够改用另一种方法的妇女与最终完全停止避孕的妇女之间的区别。结果显示,想要限制生育、曾经结过婚以及最近使用过药物都与切换或停止有关。此外,我们发现西非和中非的妇女比其他地区的妇女更有可能停止使用。在希望推迟或避免怀孕的妇女中,解决继续避孕的障碍,包括有效转换避孕方法,应成为旨在提供以客户为中心的护理、支持妇女和夫妇作出最佳计划生育选择的全球和国家举措的优先事项。
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Stop or Switch: Correlates of Stopping Use or Switching Contraceptive Methods While Wanting to Avoid Pregnancy in 48 Low- and Middle-Income Countries.

Contraceptive discontinuation for method-related reasons, while presumably wanting to avoid pregnancy, is a common phenomenon and can contribute to high levels of unmet need and unplanned pregnancies. Some women discontinue contraceptive use and do not quickly resume a method ("stopping"), while others are able to quickly switch to another method to achieve their reproductive goal of avoiding pregnancy ("switching"). We use Demographic and Health Survey data from 48 countries to examine what differentiates women who were able to switch to another method versus those who ultimately stopped entirely, among women who discontinued contraception for method-related reasons. Results show that wanting to limit births, having ever been married, and recent prior use are all associated with switching versus stopping. In addition, we find that women in West and Middle Africa were more likely to stop use compared to women in other regions. Addressing obstacles to contraceptive continuation, including effective method switching, among women who wish to delay or avoid pregnancy should be a priority for global and country initiatives aiming to deliver client-centered care that supports women and couples to make their best family planning choices.

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来源期刊
CiteScore
4.00
自引率
9.50%
发文量
35
期刊介绍: Studies in Family Planning publishes public health, social science, and biomedical research concerning sexual and reproductive health, fertility, and family planning, with a primary focus on developing countries. Each issue contains original research articles, reports, a commentary, book reviews, and a data section with findings for individual countries from the Demographic and Health Surveys.
期刊最新文献
Unwanted Family Planning Including Unwanted Sterilization: Preliminary Prevalence Estimates for India. The Reliability of Contraceptive Discontinuation Reporting in Burkina Faso, Kenya, and Uganda. Contraceptive Care Visit Objectives and Outcomes: Evidence From Burkina Faso, Pakistan, and Tanzania. Estimating the Social Visibility of Abortions in Uganda and Ethiopia Using the Game of Contacts Women's Perspectives on the Unique Benefits and Challenges of Self‐Injectable Contraception: A Four‐Country In‐Depth Interview Study in Sub‐Saharan Africa
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