Lindstrom D P
Popul Stud (Camb). 1998 Nov;52(3):255-74. doi: 10.1080/0032472031000150456.
This paper uses retrospective life history data to assess the impact of family planning services on contraceptive use in a rural Mexican township. Between 1960 and 1990 contraceptive use rose and fertility declined dramatically. Both contraceptive supply and demand factors were influential in these trends. The start of the government-sponsored family planning programme in the late 1970s was associated with a sharp rise in female sterilization and use of the IUD. However, once we controlled for the changing socio-economic and demographic characteristics of the sample, the presence of family planning services had no significant effect on the likelihood that women used modern reversible methods compared to traditional methods. Men and women expressed concerns about the safety of modern methods such as the pill and the IUD. Efforts to increase modern contraceptive use should place greater emphasis on communicating the safety of these methods and improving the quality of services.
本文利用回顾性生命史数据，评估计划生育服务对墨西哥一个乡村小镇避孕措施使用情况的影响。1960年至1990年间，避孕措施的使用有所增加，生育率也大幅下降。避孕措施的供应和需求因素都对这些趋势产生了影响。20世纪70年代末政府发起的计划生育项目启动后，女性绝育和宫内节育器的使用急剧增加。然而，一旦我们控制了样本中不断变化的社会经济和人口特征，与传统方法相比，计划生育服务的存在对女性使用现代可逆方法的可能性没有显著影响。男性和女性都对避孕药丸和宫内节育器等现代方法的安全性表示担忧。增加现代避孕措施使用的努力应更加注重宣传这些方法的安全性并提高服务质量。
