Covert contraceptive use: Prevalence, motivations, and consequences
Covert contraceptive use: Prevalence, motivations, and consequences
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DOI：
10.2307/172249
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发表时间：
1998-12-01
影响因子：
2.1
通讯作者：
Fapohunda, BM
中科院分区：
文献类型：
--
作者：
Biddlecom, AE;Fapohunda, BM
本文探讨妇女使用避孕药具的隐蔽性，即她们在丈夫不知情的情况下使用避孕方法。本文提出了三个问题：（1）隐性崛起如何衡量？(2)它有多普遍？（3）隐性使用的潜在因素是什么？现有的研究与1997年在赞比亚城市环境中从已婚妇女及其丈夫那里收集的调查和定性数据一起使用。据估计，妇女秘密使用避孕药具的情况占目前所有避孕药具使用情况的6%至20%，在避孕普及率较低时更为普遍。多变量分析表明，配偶避孕沟通困难是隐性树的最强决定因素。丈夫对避孕的反对是通过配偶之间的沟通而不是对隐蔽使用的直接影响。丈夫的前生殖器没有显著影响。文章的结论与隐蔽使用生殖健康和计划生育方案，特别是妇女（和男子）的保密服务的需要的影响。
This article examines women's covert use of contraceptives, that is, their use of a method without their husbands' knowledge. Three questions are addressed: (1) How is covert rise measured? (2) How prevalent is it? and (3) What are the factors underlying covert use? Existing studies are used together with survey and qualitative data collected in 1997 in an urban setting in Zambia from married women and their husbands. Women's covert use of contraceptives is estimated to account for 6 to 20 percent of all current contraceptive use, and it is more widespread when contraceptive prevalence is low. The multivariate analysis indicates that difficult spousal communication about contraception is the strongest determinant of covert tree. Husbands' disapproval of contraception works through spousal communication rather than as a direct influence on covert use. Husbands' pronatalism had no significant effect. The article concludes with implications of covert use for reproductive health and family planning programs, especially women's (and men's) needs for confidential services.