Contraceptive Use, Birth Spacing, and Autonomy: An Analysis of the Oportunidades Program in Rural Mexico
Contraceptive Use, Birth Spacing, and Autonomy: An Analysis of the Oportunidades Program in Rural Mexico
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DOI：
10.1111/j.1728-4465.2009.00186.x
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发表时间：
2009-03-01
影响因子：
2.1
通讯作者：
Mitchell, Marc
中科院分区：
文献类型：
--
作者：
Feldman, Becca S.;Zaslavsky, Alan M.;Mitchell, Marc
1997年在墨西哥实施的有条件现金转移方案Occupidades向母亲提供现金奖励，鼓励她们投资于家庭成员的健康和教育。根据墨西哥国家公共卫生研究所收集的数据，本研究评估了该方案对1998-2000年试验期间和2000- 2003年期间生活在农村地区的titulares（女户主）避孕药具使用和生育间隔的影响，并将对照组纳入其中。2000年，有资格者比对照组妇女更有可能使用现代避孕药具，尽管到2003年，所有受益者使用现代避孕药具的概率相同。自主权的变化是不是一个调解人，虽然基线自主权修改程序的避孕药具使用的影响。考克斯比例风险模型估计，出生间隔是类似的受益人和控制。不一致的结果可能是由于在这项研究中定义避孕方法的方式。这项研究的结果可能有助于帮助方案规划者更好地了解有条件现金转移支付在改变拉丁美洲贫困农村妇女的计划生育和生育率方面的作用。
Oportunidades, a conditional cash-transfer program instituted in Mexico in 1997, provides cash incentives to mothers to invest in the health and education of family members. Drawing from data gathered by Mexico's National Institute of Public Health, this study assesses the effect of the program on contraceptive use and birth spacing among titulares (female household heads) living in rural areas during the experimental period, 1998-2000, and during 2000-03, after incorporation of the control group. In 2000, titulares were more likely to use modern contraceptives than were women in the control group, although by 2003 all beneficiaries had the same probability of use. Change in autonomy was not a mediator, although baseline autonomy modified the program's influence on contraceptive use. Cox proportional hazard models produced estimates that birth spacing was similar between the beneficiaries and controls. Inconsistent findings may be the result of the way contraceptive use was defined in this study. Findings from this study may be useful for helping program planners better understand the role of conditional cash transfers in modifying family planning and fertility among poor rural women in Latin America.