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

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Presentation on theme: "Contraception Use in a Community of International Migration Katie Kessler, Liliana Quezada, Shira Goldenberg."— Presentation transcript:

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 Tlacuitapeño population 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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