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Internal migration and contraceptive knowledge and use in Guatemala.
David P Lindstrom1, Coralia Herrera Hernández
1Department of Sociology and Population Studies and Training Center, Brown University, Providence, RI, USA. David_Lindstrom@brown.edu
International Family Planning Perspectives
|October 4, 2006
Summary
Rural-to-urban migrants in Guatemala show increased contraceptive knowledge with longer urban residence. Targeted reproductive health programs are needed, especially for indigenous Mayan migrants, to address unmet needs.
Area of Science:
- Demography
- Public Health
- Reproductive Health
Background:
- Significant disparities exist in modern contraceptive knowledge and use between rural and urban populations in Guatemala.
- Understanding contraceptive adoption among rural-to-urban migrants is crucial for assessing the need for targeted reproductive health initiatives.
Purpose of the Study:
- To examine the association between migration status, duration of urban residence, and knowledge/use of modern contraceptives.
- To identify factors influencing contraceptive adoption among migrants in urban Guatemala.
Main Methods:
- Bivariate and multivariate analyses were conducted on data from the 1999 Guatemalan Migration and Reproductive Health Survey.
- 971 married male and female respondents were analyzed regarding their migration status and urban residency duration.
Main Results:
- Migrants' knowledge of modern contraceptives increased with longer duration of urban residence.
- Mayan migrants demonstrated slower knowledge accumulation compared to non-Mayan migrants, potentially due to cultural/linguistic barriers.
- Migrants' modern contraceptive use approached that of urban nonmigrants over time, with knowledge being a key factor.
Conclusions:
- Recent migrants, particularly indigenous Mayans, may have limited knowledge and choices regarding modern contraceptives in urban areas.
- There is a potential for unmet need for contraception among recent urban migrants.
- Reproductive health programs should prioritize recent migrants, especially indigenous populations, in urban settings to enhance contraceptive awareness and use.
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