Speizer Ilene S, Irani Laili, Barden-O'Fallon Janine, Levy Jessica
Department of Maternal and Child Health, University of North Carolina at Chapel Hill, 27599-7599, USA.
Reprod Health. 2009 Nov 19;6:19. doi: 10.1186/1742-4755-6-19.
Recent studies have demonstrated that it is common for women to report inconsistent fertility motivations and family planning behaviors. This study examines these inconsistencies among urban Honduran women interviewed at two points in time and presents reasons for inconsistent fertility motivations and contraceptive behaviors at follow-up.
Data come from a one-year panel study conducted in Honduras from October 2006 to December 2007. A total of 633 women aged 15-44 years were interviewed at baseline and follow-up and have non-missing information on the key variables of interest. At baseline and follow-up, women were asked how much of a problem it would be (no problem/small problem/big problem) if they got pregnant in the next couple of weeks. At follow-up, women were asked an open-ended question on reasons it would be no problem, a small problem, or a big problem. The open-ended question was recoded into a smaller set of response categories. Univariate and bivariate analyses are presented to examine inconsistencies and reasons for stated inconsistencies.
At follow-up, over half the women using a contraceptive method said that it would be no problem if they got pregnant. Nearly half of the women changed their perceptions between baseline and follow-up. Common reasons for reporting no problem among contraceptive users were that they accepted a child as God's will or that children are a blessing, their last child was old enough and they wanted another child. Common reasons for reporting a big/small problem among non-users of family planning (who have an unmet need for family planning) were that they were not in a stable relationship, the husband was not present, and they would expect a negative response from their family.
Inconsistent fertility motivations and contraceptive behaviors are common among effective contraceptive users. Women who are using contraception and become pregnant will not necessarily report the pregnancy as unintended, given the widespread acceptance of unintended pregnancies in Honduras. Family planning providers need to recognize that fertility motivations vary over time and that women may not have firm motivations to avoid a pregnancy.
近期研究表明，女性报告的生育动机和计划生育行为不一致的情况很常见。本研究调查了洪都拉斯城市女性在两个时间点接受访谈时的这些不一致情况，并阐述了随访时生育动机和避孕行为不一致的原因。
数据来自2006年10月至2007年12月在洪都拉斯进行的为期一年的面板研究。共有633名年龄在15 - 44岁的女性在基线期和随访期接受了访谈，且在关键变量上没有缺失信息。在基线期和随访期，询问女性如果在接下来几周内怀孕会有多大问题（没问题/小问题/大问题）。在随访期，询问女性关于怀孕没问题、小问题或大问题的原因的开放式问题。该开放式问题被重新编码为一组较小的回答类别。呈现单变量和双变量分析以检查不一致情况及所述不一致的原因。
在随访期，超过一半使用避孕方法的女性表示如果怀孕没问题。近一半女性在基线期和随访期之间改变了她们的看法。避孕使用者报告没问题的常见原因是她们接受孩子是上帝的旨意或者孩子是一种福气，她们的最后一个孩子已足够大且她们想要另一个孩子。未使用计划生育措施（有未满足的计划生育需求）的女性报告有大/小问题的常见原因是她们关系不稳定、丈夫不在身边，并且她们预计家人会有负面反应。
生育动机和避孕行为不一致在有效避孕使用者中很常见。鉴于洪都拉斯对意外怀孕的广泛接受，正在使用避孕措施但怀孕的女性不一定会将怀孕报告为意外。计划生育提供者需要认识到生育动机随时间变化，并且女性可能没有坚定的避免怀孕的动机。
