动态停滞:在生育停滞的背景下,避孕药不使用的原因
Apoorva Jadhav1, Madeleine Short Fabic1
1Office of Population and Reproductive Health, USAID, Arlington, VA, 22202, USA.
Gates open research
|October 5, 2023
概括
不使用避孕的原因正在发生变化,即使总生育率 (TFR) 停滞不前. 了解这些不使用避孕药的转变对于那些生育过渡停滞的国家的计划生育计划至关重要.
科学领域:
- 人口统计学 人口统计学
- 公共卫生 公共卫生
- 生殖健康 生殖健康
背景情况:
- 许多国家已经降低了总生育率 (TFR),但有些国家面临着生育率停滞,TFR超过替代水平.
- 了解在这些情况下不使用避孕药对于有效的计划生育干预至关重要.
- 这项研究研究的是,在生育率停滞的情况下,不使用的原因是静态的还是动态的.
研究的目的:
- 调查女性在"生育停滞"的国家不使用避孕措施的原因的趋势.
- 为了确定非使用的个人层面原因是否与人口层面的生育率指标一致.
- 在不同的人口背景下为计划生育制定有针对性的计划策略提供信息.
主要方法:
- 来自十个国家的人口和健康调查 (DHS) 数据的分析.
- 两项最近在每个国家进行的调查的比较.
- 国家分为"过渡前" (没有生育过渡) 和"过渡" (停滞过渡) 组.
主要成果:
- 不使用避孕的原因是动态的,而不是停滞不前的.
- 在转型前的国家,反对避孕是越来越多的不使用避孕的原因.
- 在过渡国家,服务质量和方法副作用是越来越多的理由.
- 在这两种国家类型中,感知到的低生育率是越来越令人担忧的.
- 地理上访问和成本一直是不那么突出的原因.
结论:
- 计划性努力必须解决在转型前的国家中对避孕措施日益强烈的反对.
- 过渡国家需要改善服务质量和管理副作用问题.
- 在这两种情况下,解决对生育能力的看法都很重要.
- 改变个人态度和障碍需要量身定制的计划开发,即使人口水平的生育指标停滞不前.
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