This study examines an inconsistency between an attitude and a behaviour: non-use of contraception among people who are trying to get pregnant. More than one in four people in that situation report using contraception 'sometimes' or 'always' and consequently face the risk of pregnancy. We test three potential explanations: acceptability of having (further) children; perceived low pregnancy risk; and perceived social pressure. Using 10 waves of the German pairfam panel, we estimate sex-specific between-within models, where each explanation is tested by several indicators. We find evidence for the explanation of a(nother) child being considered acceptable: a positive fertility desire increases contraceptive non-use among women and men, and relationship duration increases it among women. Supporting the explanation of low perceived pregnancy risk, analyses show that perceived infertility, breastfeeding, and age increase the probability of non-use of contraception for women and men. However, there is no strong evidence for perceived social pressure affecting contraceptive non-use.
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http://dx.doi.org/10.1080/00324728.2024.2416533 | DOI Listing |
This study examines an inconsistency between an attitude and a behaviour: non-use of contraception among people who are trying to get pregnant. More than one in four people in that situation report using contraception 'sometimes' or 'always' and consequently face the risk of pregnancy. We test three potential explanations: acceptability of having (further) children; perceived low pregnancy risk; and perceived social pressure.
View Article and Find Full Text PDFBMJ Open
January 2025
IMA World Health, Kinshasa, Democratic Republic of the Congo.
Objectives: To understand the current state of maternal, newborn and child health (MNCH) among internally displaced persons (IDPs), returnees and host communities in remote counties of Jonglei state.
Design: Cross-sectional, randomly sampled, mixed-methods, population-based household study.
Setting: Ayod, Nyirol, Fangak and Pigi counties of Jonglei, South Sudan.
BMJ Open
January 2025
Institute for Population and Social Research, Mahidol University, Salaya, Putthamonthon, Nakhon Pathom, Thailand
Objective: To assess the prevalence of non-utilisation of postpartum services in northwestern Nigeria from 2003 to 2018 and to identify and estimate the influence of social determinants, a crucial step in improving maternal and child health in the region.
Design: The 2003, 2008, 2013 and 2018 Nigeria Demographic and Health Survey rounds were used. Descriptive, trend and multivariable logistic regression analyses were used to show the trend and assess the influence of social determinants.
Front Glob Womens Health
December 2024
Trisha Wood Santos Consulting, LLC, Seattle, WA, United States.
Introduction: Unintended pregnancy is a global public health challenge. Many contraceptive methods are available to end users, but non-use and discontinuation due to health concerns or side effects, particularly related to unpredictable or undesirable menstrual bleeding, are common. Oral contraceptive pills (OCPs) often have regular bleeding patterns compared to other hormonal contraceptives but require daily adherence.
View Article and Find Full Text PDFReprod Health
December 2024
Faculté de Médecine Purpan, CERPOP, Inserm, Université Paul Sabatier Toulouse 3, 37 Allées Jules Guesde, 31073, Toulouse Cedex 7, France.
Introduction: Adolescents face unique challenges in accessing appropriate information and services regarding sexuality and reproductive health (SRH). This poor access can lead to sexual behaviours that could put them at risk of unintended pregnancies and sexually transmitted infections. Adolescents living with HIV (ALHIV) have specific SRH needs that remain unmet.
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