El Colegio de Mexico, Center for Demographic, Urban, and Environmental Studies, CEDUA, Mexico City, Mexico.
Glob Public Health. 2011;6 Suppl 1:S90-110. doi: 10.1080/17441692.2011.581674. Epub 2011 Jun 28.
Despite increased use of modern contraception among Mexican women, there has been a significant increase in abortions. Little is known about the experiences behind these trends. This study examines decision-making around contraception, pregnancy, childbearing and abortion. We carried out 26 in-depth interviews with 23- to 35-year-old females and males in Mexico City. Interviewees described reproductive planning 'without a plan' and sporadic contraceptive use. Linking of reproductive preferences and contraceptive use occurred only after raising a child for a few years or after experiencing an abortion. Interviewees described side effects of hormonal contraceptives and the intrauterine device (IUD) and problems with condoms. Only 8% of participants disagreed with abortion completely. Those with mixed views opposed abortion for pregnancies resulting from lack of responsibility or due to personal problems or concerns about one's future. However, these more controversial reasons were the primary motivations for terminating pregnancies. Females and males expressed that females made most decisions related to contraception, pregnancy and abortion. Further research could explore the reasons behind reproductive planning 'without a plan', 'on and off' contraceptive use and abortion beliefs and experiences that are somewhat contradictory.
尽管墨西哥妇女越来越多地使用现代避孕方法，但堕胎率却显著上升。对于这些趋势背后的经验，人们知之甚少。本研究考察了避孕、怀孕、生育和堕胎方面的决策。我们在墨西哥城对 23 至 35 岁的女性和男性进行了 26 次深入访谈。受访者描述了“无计划”的生殖计划和零星的避孕措施。只有在生育几年后或经历过堕胎后，受访者才会将生殖偏好和避孕措施联系起来。受访者描述了激素避孕药和宫内节育器（IUD）的副作用以及避孕套的问题。只有 8%的参与者完全反对堕胎。那些持混合观点的人反对因缺乏责任感或个人问题或对未来的担忧而导致的怀孕堕胎。然而，这些更具争议性的原因是终止妊娠的主要动机。女性和男性都表示，女性在与避孕、怀孕和堕胎相关的大多数决策中占主导地位。进一步的研究可以探讨“无计划”的生殖计划、“断断续续”的避孕措施以及与堕胎相关的信仰和经验背后的原因，这些原因在某种程度上是相互矛盾的。
