Stud Fam Plann. 2019 Jun;50(2):87-112. doi: 10.1111/sifp.12087. Epub 2019 Mar 13.
This study explores how armed conflict relates to contraceptive use in Colombia, combining data from the Uppsala Conflict Data Program and Demographic and Health Surveys 1990-2016. Our study is the first systematic effort to investigate whether and how violent conflict influences women's contraceptive use, using nationally representative data across all stages of women's reproductive careers. With fixed effects linear probability models, we adjust for location-specific cultural, social, and economic differences. The results show that although modern contraceptive use increased over time, it declined according to conflict intensity across location and time. We find no evidence that this relationship varied across socioeconomic groups. Increased fertility demand appears to explain a small portion of this relationship, potentially reflecting uncertainty about losing a partner, but conflict may also result in lack of access to contraceptive goods and services.
本研究结合 Uppsala 冲突数据项目和 1990-2016 年人口与健康调查的数据,探讨了武装冲突与哥伦比亚避孕措施使用之间的关系。我们的研究首次系统地考察了暴力冲突是否以及如何影响女性的避孕措施使用,使用了全国代表性数据,涵盖了女性生殖生涯的所有阶段。通过固定效应线性概率模型,我们根据特定地点的文化、社会和经济差异进行了调整。结果表明,尽管现代避孕措施的使用随着时间的推移而增加,但根据地点和时间的冲突强度而下降。我们没有发现这种关系在社会经济群体中存在差异的证据。生育需求的增加似乎可以解释这种关系的一小部分,这可能反映了对失去伴侣的不确定性,但冲突也可能导致无法获得避孕用品和服务。