Social networks, ideation, and contraceptive behavior in Bangladesh: a longitudinal analysis
Social networks, ideation, and contraceptive behavior in Bangladesh: a longitudinal analysis
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DOI：
10.1016/s0277-9536(99)00276-2
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发表时间：
2000-01-01
影响因子：
5.4
通讯作者：
Kincaid, DL
中科院分区：
文献类型：
--
作者：
Kincaid, DL
来自孟加拉国已婚妇女小组的纵向调查数据被用来估计社会网络方法对计划生育现场工作人员交流的影响，并测试解释妇女为什么采用现代避孕药具的行为改变的理论模型。政府外地工作人员接受了培训，以便在位于每个村庄社会网络中心的意见领袖家中与妇女组织小组讨论。从创新扩散和社会网络理论中衍生出一组干预变量，统称为“意念”，以解释社会网络方法如何影响避孕行为。研究发现，采用社会网络方法的妇女使用现代避孕药具的比率比在家接受实地工作人员访问的妇女高5倍。社会网络方法对现代避孕药具使用的影响几乎是传统实地工作者访问的两倍，在控制了先前避孕药具使用和意图、先前家访和选定的社会人口特征的影响之后。两种方法对思维的影响程度相同。研究结果证实了思想对生育率变化的影响，并建议计划生育项目将受益于培训现场工作人员使用社会网络方法。1999爱思唯尔科学有限公司版权所有。
Longitudinal survey data from a panel of married women in Bangladesh is used to estimate the impact of a social network approach to family planning field worker communication and to test a theoretical model of behavior change that explains why women adopt modern contraceptives.Government field workers were trained to organize group discussions with women in the homes of opinion leaders located at central points in each village's social network. A set of intervening variables, referred to collectively as 'ideation', are derived from diffusion of innovation and social network theory to explain how the social network approach affects contraceptive behavior. The rate of increase in modern contraceptive use was found to be five times greater among women in the social network approach than among women who were visited by field workers at home. The impact of the social network approach on modern contraceptive use was almost double that of conventional field worker visits after controlling for the effects of prior contraceptive use and intention, prior home visits, and selected socio-demographic characteristics. Both approaches had the same degree of impact on ideation. The results confirm the influence of ideation on fertility change and suggest that family planning programs would benefit from training field workers to use a social network approach. (C) 1999 Elsevier Science Ltd. All rights reserved.