Methods Tlacuitapa, Jalisco, Mexico Data Collection Data Analysis
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?
Findings: Migration and Efficacious Contraception Use
Findings: Migration and the Unmet Need for Contraception 27% of the Tlacuitapeño population is currently experiencing an unmet need for contraception ◦ U.S. exposure: negative influence on unmet need
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
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”
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
Conclusions Supports adaptation hypothesis Increased efficacious contraceptive use, but not necessarily fewer unintended pregnancies