THE CAUSES OF UNMET NEED FOR CONTRACEPTION AND THE SOCIAL CONTENT OF SERVICES
THE CAUSES OF UNMET NEED FOR CONTRACEPTION AND THE SOCIAL CONTENT OF SERVICES
复制标题
DOI：
10.2307/2137932
复制
发表时间：
1995-03-01
影响因子：
2.1
通讯作者：
BRUCE, J
中科院分区：
文献类型：
--
作者：
BONGAARTS, J;BRUCE, J
自1960年代以来，调查数据表明，想要停止或推迟生育的妇女中有很大一部分没有采取避孕措施。 这种差异被称为避孕的“未满足需求”。 传统的解释是，这些妇女无法获得避孕用品和服务，这反过来又导致了对扩大计划生育方案的重视。 本研究分析了调查数据和人类学相关研究，认为传统的解释是不充分的。 虽然在许多环境中，获得服务的地理位置仍然是一个问题，但不使用服务的主要原因是缺乏知识、担心副作用以及社会和家庭的反对。 这一发现突出表明，需要扩大对服务的投资，不仅提供避孕药具，而且满足潜在客户密切相关的健康和社会需求。 当方案超越提供服务的传统界限，影响和改变限制自愿使用避孕药具的文化和家庭因素时，它们可能最成功。
Since the 1960s, survey data have indicated that substantial proportions of women who have wanted to stop or delay childbearing have not practiced contraception. This discrepancy is referred to as the ''unmet need'' for contraception. The traditional interpretation, that these women lack access to contraceptive supplies and services, has led in turn to an emphasis on expanding family planning programs. This study analyzes survey data and related anthropological studies on the causes of unmet need and concludes that the conventional explanation is inadequate. Although for many environments geographic access to services remains a problem, the principal reasons for nonuse are lack of knowledge, fear of side effects, and social and familial disapproval. This finding underscores the need for expanded investment in services that not only provide contraceptives, but also attend to closely related health and social needs of prospective clients. Programs are likely to be most successful when they reach beyond the conventional boundaries of service provision to influence and alter the cultural and familial factors that limit voluntary contraceptive use.