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Contraception Use in a Community of International Migration

Contraception Use in a Community of International Migration. Katie Kessler, Liliana Quezada, Shira Goldenberg. Outline. Why study contraception in an international migrant-sending community? What methods did this study use? What were the results? What are the implications?. Background.

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Contraception Use in a Community of International Migration

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  1. Contraception Use in a Community of International Migration Katie Kessler, Liliana Quezada, Shira Goldenberg

  2. Outline • Why study contraception in an international migrant-sending community? • What methods did this study use? • What were the results? • What are the implications?

  3. Background • Rural to urban migration associated with changes in use of and access to effective contraceptive methods • Disparities in access to and use of contraception in Mexico and the U.S.

  4. Background • Unmet need for contraception • Varies greatly by country • Unintended Pregnancy

  5. Background: Theoretical Framework • Adaptation Hypothesis • Disruption Hypothesis • Selection Hypothesis

  6. Methods • Tlacuitapa, Jalisco, Mexico • Data Collection • Data Analysis

  7. Research Questions and Hypotheses • Does contraceptive use increase with migration? • Does migration increase the use of efficacious contraceptive methods? • Does migration reduce the unmet need for contraception? • Does migration reduce the rate of unplanned pregnancies?

  8. Findings: Migration and Efficacious Contraception Use

  9. Findings: Migration and the Unmet Need for Contraception • 27% of the Tlacuitapeñopopulation is currently experiencing an unmet need for contraception • U.S. exposure: negative influence on unmet need

  10. Findings: Migration and Unintended Pregnancy • 30% who had children had wanted to delay the pregnancy or had not wanted to conceive their last child at all

  11. Local social norms • “I think over here they’re more conservative, more secretive, and over there they are more open about it, they don’t want to follow that tradition” • Stigma and Shame • “People are around, you know, looking and I just don’t want people to look at me like that” (about buying condoms at a store) • Access to Information • “I thought if I used contraception I couldn’t ever get pregnant”

  12. Discussion • Use of Contraception: Migration has positive influence on efficacious contraceptive use • Unmet Need for Contraception: Migration reduces the unmet need for contraception • Unintended Pregnancy: Migration does not reduce unintended pregnancies among Tlacuitapenses

  13. Conclusions • Supports adaptation hypothesis • Increased efficacious contraceptive use, but not necessarily fewer unintended pregnancies

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