Induced Abortion and Unintended Pregnancy In Guatemala

Singh, Susheela; Prada, Elena; Kestler, Edgar

doi:10.1363/3213606

Cited by 53 publications

(52 citation statements)

References 8 publications

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“…The number of women not receiving care relative to hospitalized women will have to be estimated through special studies. 10,11 Only some of the women having an unsafe abortion will need and be able to seek hospital care; such a decision is not only influenced by the severity of the symptoms (e.g. bleeding, pain, fever, infection) but also by the availability of and access to medical services, the (perceived) legal conditions of induced abortion, and the fear of being reported.…”

Section: Methodsmentioning

confidence: 99%

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Unsafe abortion in 2008: global and regional levels and trends

Shah¹,

Åhman

2010

Reproductive Health Matters

120

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Section: Methodsmentioning

confidence: 99%

“…10,11 The abortion-to-birth ratio in hospitals is adjusted for spontaneous abortions that occur at 13-22 weeks of pregnancy that may require hospital treatment. Women who have a miscarriage before 13 weeks of pregnancy rarely need hospital care.…”

Section: Methodsmentioning

confidence: 99%

Unsafe abortion in 2008: global and regional levels and trends

Shah¹,

Åhman

2010

Reproductive Health Matters

120

View full text Add to dashboard Cite

“…Including this variable allows for the possibility that a woman could identify as Ladino but could have an indigenous up-bringing as well as for the possibility that a woman could identify as indigenous but, with use of the dominant language, may have increased access to social and health services (Seiber and Bertrand 2002;De Broe et al 2005;Singh, Prada, and Kestler 2006). In some cases, Spanish speaking women of indigenous heritage have also been linked to different patterns of contraceptive use and fertility than their non-Spanish speaking counterparts (Bertrand, Seiber, and Escudero 2001;De Broe et al 2005).…”

Section: Modeling Contraceptive Use and Intentmentioning

confidence: 99%

“…Furthermore, urban living may enable the development of influential social-networks useful for passing contraceptive and family planning information which may help to break down social barriers and health concerns relating to family planning implementation (Entwisle et al 1996;Kohler, Behrman, and Watkins 2001;Lindstrom and Muñoz-Franco 2005;Lindstrom and Hernández 2006;Singh, Prada, and Kestler 2006). To account for the potential differences between urban and rural women, urban residence will be included as a potential splitting variable in the model development.…”

Section: Modeling Contraceptive Use and Intentmentioning

confidence: 99%

“…Moreover, several micro-level studies have evaluated behavior within smaller communities and have revealed significant geographic variation in barriers to contraception (Bertrand, Seiber, and Escudero 2001;De Broe et al 2005;De Broe and Hinde 2006). Using varying spatial units (municipality, department or regional levels) researchers have linked variation in fertility and family planning behaviors to service access, ethnic diversity and socio-economic level (De Broe and Hinde 2006;Singh, Prada, and Kestler 2006). The results from these studies have not determined the exact mechanisms underlying spatial variation in behaviors, yet they support the importance of incorporating community context in analyses of contraception and childbearing.…”

Section: Modeling Contraceptive Use and Intentmentioning

confidence: 99%

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Contraceptive use and intent in Guatemala

Grace¹

2010

DemRes

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Guatemala is characterized by low contraceptive use rates and one of the highest fertility rates in the Western Hemisphere. These rates are particularly extreme for the poorest segment of the population and for the indigenous population. However, notable increases in contraceptive use have occurred within the past ten years, indicating that Guatemala may be on the precipice of significant demographic change. The purpose of this research is to enhance understanding of the modern contraceptive revolution in Guatemala through identification of the segments of the Guatemalan population at most need for contraceptive and family planning services. Using the most recently available survey data, the 2002 Reproductive Health Survey data set (RHS), classification trees are used to determine the women with greatest need for reproductive health services. The results highlight the persistent marginalization of the poor and the indigenous and provide further insight into the impact of education, place of residence and couple characteristics on contraceptive use and intent.1 University of California at Santa Barbara. E-mail: grace@geog.ucsb.edu. This work was conducted, in part, while the author was a postdoctoral researcher at the Max Planck Institute for Demographic Research, Rostock.http://www.demographic-research.org 335Grace: Contraceptive use and intent in Guatemala IntroductionMuch of Latin America has recently experienced a rapid decline in fertility accelerated by an increase in contraceptive use (PRB 2007). An increasing number of countries in both Central and South America are characterized by below replacement total fertility rates (TFR) and contraceptive prevalence rates (CPR) matching those of more developed countries (De Broe and Hinde 2006;PRB 2007;Rosero-Bixby, Martin, and Martin-Garcia 2008). However, a closer look at country and regional family planning behavior in Latin America reveals exceptional subgroups with unusually high TFR and correspondingly low CPR. Once a leader in family planning, and despite recent strides in contraceptive expansion and fertility decline, Guatemala has the highest TFR in Latin America and one of the lowest CPRs in the Western Hemisphere (Santiso-Galvez and Bertrand 2004;De Broe and Hinde 2006;PRB 2007). In a context where maternal and infant mortality rates are high, poverty is rampant, and malnutrition is common, empowering women with the knowledge and resources to plan their own families is vital. However, Guatemala's low CPR and high TFR suggest that the ability of women to freely determine the timing and number of births may be limited.The goal of this research is to identify the Guatemalan women with the greatest need for contraceptive services using the most recently 3 collected data. The results of the analysis aim to provide information helpful to monitoring Guatemala's evolving contraceptive needs and documenting the fertility transition in a contemporary less developed country. Differing from related research, this study incorporates flexible modeling techniqu...

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