Withers Mellissa, Tavrow Paula, Abe Denise
Center for Southeast Asian Studies, University of California, Los Angeles, Los Angeles, CA 90078, USA.
Health Care Women Int. 2012;33(9):814-32. doi: 10.1080/07399332.2011.585534.
In this longitudinal study from rural Bali, Indonesia, we sought to identify the predictors of birth avoidance among 665 married women of reproductive age who reported the intention to stop childbearing. We found that almost 30% of women who wanted no more children had a subsequent birth during the 4-year study period. Women at highest risk for an unwanted birth were younger, had fewer children, and did not use a long-term contraceptive method. The ability to meet intentions to stop childbearing depended on women's motivation (family size), fecundity (proxied by age), and their use of long-term contraceptive methods. Our results suggest that to reduce unwanted births among rural women, family planning providers should recommend long-term methods to younger women with smaller family sizes who express clear intentions to stop childbearing.
在印度尼西亚巴厘岛农村进行的这项纵向研究中，我们试图确定665名报告有停止生育意愿的育龄已婚妇女中避免生育的预测因素。我们发现，在4年的研究期内，近30% 不想再要孩子的妇女随后又生育了。意外生育风险最高的女性年龄较小、子女较少且未采用长效避孕方法。实现停止生育意愿的能力取决于女性的生育动机（家庭规模）、生育力（以年龄为代表）以及她们对长效避孕方法的使用。我们的研究结果表明，为减少农村妇女的意外生育，计划生育服务提供者应向表示有明确停止生育意愿、家庭规模较小的年轻女性推荐长效避孕方法。
