La situación económica: social determinants of contraceptive use in rural Honduras.
Glob Public Health
; 9(4): 455-68, 2014.
Article
em En
| MEDLINE
| ID: mdl-24593192
ABSTRACT
Contraceptive use is an important determinant of unintended pregnancy, but little is known about the social and structural factors that determine women's contraceptive use in rural Honduras. In this study, we aim to characterise the individual and social determinants of contraceptive use among women in rural Honduras. In 2011 and 2012, we conducted 14 interviews and 2 focus groups with women 18 years and older. In our analysis, we created a family-planning narrative for each participant and coded transcripts around key emergent themes related to these determinants. We found that social determinants--including poverty, gender dynamics and availability of family-planning methods--had a strong influence on contraceptive use among women in our sample. Study participants stated that they were faced with a difficult economic situation compounded by rising prices of basic goods and diminishing job opportunities. Paradoxically, at the same time that the economic situation led women to seek contraception, it also contributed to the structural barriers that limited their ability to obtain their method of choice and maintain continuous contraceptive use. Our findings suggest the need for multi-level efforts to create an enabling and sustainable environment for family planning among women in rural Honduras.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Direitos da Mulher
/
Saúde da Mulher
/
Anticoncepção
/
Serviços de Planejamento Familiar
/
Determinantes Sociais da Saúde
/
Acessibilidade aos Serviços de Saúde
Tipo de estudo:
Health_economic_evaluation
/
Qualitative_research
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Middle aged
/
Pregnancy
País/Região como assunto:
America central
/
Honduras
Idioma:
En
Revista:
Glob Public Health
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Estados Unidos