Education and nonuse of contraceptives among poor women in Chiapas, Mexico
Education and nonuse of contraceptives among poor women in Chiapas, Mexico
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DOI：
10.2307/2991962
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发表时间：
1999-09-01
期刊：
影响因子：
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通讯作者：
Halperin, D
中科院分区：
文献类型：
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作者：
Nazar-Beutelspacher, A;Molina-Rosales, D;Halperin, D
内容：相对鲜为人知的是，贫困和文盲如何影响妇女的决定，采取避孕措施，特别是他们的可能性，从来没有实行controlling.Methods：随机抽样的883名妇女在工会年龄在15-49岁的墨西哥恰帕斯州边境地区进行了采访，在1994年的一部分，生殖健康的区域调查。对整个样本和各个年龄组进行多变量logistic回归分析，以确定社会经济变量与妇女从未采取避孕措施的可能性之间的关系。缺乏任何教育与不使用避孕药具的可能性独立相关，文盲妇女从未采取过避孕措施的可能性是中学妇女的1.6倍。其他社会经济变量也独立地提高了不使用的可能性，包括在家中分娩，经历了至少两个孩子的死亡，以及在调查时没有带薪工作。受教育程度对不使用的可能性的影响因年龄而异：虽然从未上过学的女性在最年轻和最年长的女性中增加了这种可能性，但随着时间的推移，这种影响的程度逐渐减弱。此外，在年轻妇女中，社会经济变量比上学率更重要的解释nonuse.Conclusions：在过去的20年中，在恰帕斯州边境地区的计划生育服务的增加，削弱了学校教育对避孕做法的直接影响。然而，从未上过学仍然是这一人群从不使用避孕药具的一个强有力的预测因素。
Context: Relatively little is known about how poverty and illiteracy affect women's decisions to adopt contraception, specifically their likelihood of never having practiced contraception.Methods: A random sample of 883 women in union aged 15-49 living in the Border Region of the Mexican state of Chiapas were interviewed in 1994 as part of a regional survey of reproductive health. Multivariate logistic regression analyses were performed for the sample as a whole and for individual age-groups to determine the relationship between socioeconomic variables and the likelihood that a woman had never practiced contraception.Results: The lack of any schooling at all was independently associated with the likelihood of nonuse of contraceptives, as illiterate women were 1.6 times as likely as those who attended secondary school to have never practiced contraception. Other socioeconomic variables that also independently raised the likelihood of nonuse were delivering at home, having experienced the death of at least two children and not having paid employment at the time of the survey. The effect of schooling on the likelihood of nonuse varied by age: While never having been to school increased that likelihood among both the youngest and oldest women, the magnitude of the effect lessened over time. Moreover, among younger women, socioeconomic variables other than school attendance were more important in explaining nonuse.Conclusions: The increased availability of family planning services in the Border Region of Chiapas over the last 20 years has weakened the direct effect of schooling on contraceptive practice. However, having never been to school remains a strong predictor of never-use of contraceptives in this population.