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2004年至2014年间黑人女性非婚生育情况的下降:近期趋势是避孕措施增加的结果吗?

Declines in Non-marital Births Among Black Women Between 2004 and 2014: Are Recent Trends the Result of Increases in Contraception?

作者信息

Burke Kristen Lagasse, Raley R Kelly

机构信息

Department of Sociology & Population Research Center, University of Texas at Austin, Austin, TX, USA.

出版信息

Popul Res Policy Rev. 2022 Oct;41(5):2267-2288. doi: 10.1007/s11113-022-09724-4. Epub 2022 May 25.

Abstract

Non-marital birth rates for women in their twenties began declining in 2008, but the mechanisms driving this decline are not yet well understood. Using a proximate determinants of fertility framework and decomposition techniques, we consider the importance of changes in relationship status, contraceptive use, and other dimensions of deliberate fertility control in understanding trends in the non-marital fertile pregnancy rate between 2004 and 2014. We use data from several cycles of the National Survey of Family Growth to identify relationship and contraceptive use status at the time of conception for pregnancies that resulted or were likely to result in live births (i.e., fertile pregnancies), and focus our analysis on non-Hispanic Black women in their twenties. We find that changes in relationship status and sexual activity did not contribute to the decline in fertile pregnancy rates, nor did changes in the distribution of contraceptive method use. Instead, changing fertile pregnancy rates within contraceptive use categories, including among those who report using no method of contraception, account for the observed trend. Though contraceptive method mix is an insufficient explanation for recent trends, our results suggest that considering the sources of within-method variation in fertile pregnancy rates over time is key to understanding declines in non-marital births, and that some women not using contraception likely engaged in a form of deliberate fertility control not captured by the National Survey of Family Growth.

摘要

2008年起,二十多岁女性的非婚生育率开始下降,但其下降机制尚未得到充分理解。运用生育的近因决定因素框架和分解技术,我们探讨了关系状况变化、避孕措施使用以及其他有意控制生育方面在理解2004年至2014年非婚可育妊娠率趋势中的重要性。我们利用来自多个周期的全国家庭成长调查数据,确定导致或可能导致活产(即可育妊娠)的怀孕时的关系和避孕措施使用状况,并将分析重点放在二十多岁的非西班牙裔黑人女性上。我们发现,关系状况和性活动的变化并未导致可育妊娠率下降,避孕方法使用分布的变化也没有。相反,在避孕措施使用类别内,包括那些报告未采取任何避孕措施的人群中,可育妊娠率的变化导致了观察到的趋势。尽管避孕方法组合不足以解释近期趋势,但我们的结果表明,考虑随时间推移可育妊娠率在方法内变化的来源是理解非婚生育下降的关键,而且一些未采取避孕措施的女性可能采取了全国家庭成长调查未涵盖的有意控制生育形式。

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Use of nonpreferred contraceptive methods among women in Ohio.俄亥俄州女性对非首选避孕方法的使用情况。
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