Práctica anticonceptiva y clases sociales en México : la experiencia reciente

Bronfman, Mario; López, Elsa; Tuirán, Rodolfo

doi:10.24201/edu.v1i2.586

Cited by 9 publications

(8 citation statements)

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“…Mexico’s policy was initiated more than a decade before the 1994 World Population Conference and widespread concern with demographic targets. While the architects of Mexico’s policy firmly believed in informed consent and the right to decide freely on the number and spacing of children, the extent to which program goals were emphasized over women’s voluntary decision-making has been raised both inside and outside of Mexico (31, 32). Lack of access to wanted LARC methods, rather than coercion, seems to be at issue in our study in Texas.…”

Section: Discussionmentioning

confidence: 99%

The Availability and Use of Postpartum LARC in Mexico and Among Hispanics in the United States

Potter

Hubert²,

White

2016

Matern Child Health J

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Objectives In the 1980’s, policy makers in Mexico led a national family planning initiative focused, in part, on postpartum IUD use. The transformative impact of this initiative is not well known, and is relevant to current efforts in the United States (US) to increase women’s use of long-acting reversible contraception (LARC). Methods Using six nationally representative surveys, we illustrate the dramatic expansion of postpartum LARC in Mexico and compare recent estimates of LARC use immediately following delivery through 18 months postpartum to estimates from the US. We also examine unmet demand for postpartum LARC among 321 Mexican-origin women interviewed in a prospective study on postpartum contraception in Texas in 2012, and describe differences in the Mexican and US service environments using a case-study with one of these women. Results Between 1987 and 2014, postpartum LARC use in Mexico doubled, increasing from 9% to 19% immediately postpartum and from 13% to 26% by 18 months following delivery. In the US, <0.1% of women used an IUD or implant immediately following delivery and only 9% used one of these methods at 18 months. Among postpartum Mexican-origin women in Texas, 52% of women wanted to use a LARC method at six months following delivery, but only 8% used one. The case study revealed provider and financial barriers to postpartum LARC use. Conclusions Some of the strategies used by Mexico’s health authorities in the 1980s, including widespread training of physicians in immediate postpartum insertion of IUDs, could facilitate women’s voluntary initiation of postpartum LARC in the US. Significance The long history of postpartum LARC in Mexico is little known outside the country. The widespread availability and acceptance of postpartum LARC in Mexico illuminates the potential demand for this service among Mexican-origin women living in the US. Moreover, Mexico’s concerted effort to make LARC available to postpartum women can serve as an example for the US and other countries seeking to expand voluntary access to highly effective contraception.

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Section: Discussionmentioning

confidence: 99%

The Availability and Use of Postpartum LARC in Mexico and Among Hispanics in the United States

Potter

Hubert²,

White

2016

Matern Child Health J

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“…The women in the lowest and low classes experienced substantial declines in the CFR, an acceleration in the transition to parenthood, and a sharp decline in the age at last birth. These changes may be attributable to a lack of access to FPPs, hence recourse to, or forced sterilisation, as is common in rural areas (Bronfman et al 1986 ; Caetano and Potter 2004 ). By contrast, couples in the upper classes delayed the transition to parenthood and shortened their childbearing period by maintaining a stable age at last birth.…”

Section: Resultsmentioning

confidence: 99%

Analysis of Latin American Fertility in Terms of Probable Social Classes

Torres

2020

Eur J Population

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Theories of demographic change have not paid enough attention to how factors associated with fertility decline play different roles across social classes that are defined multidimensionally. I use a multidimensional definition of social class along with information on the reproductive histories of women born between 1920 and 1965 in six Latin American countries to show the following: the enduring connection between social stratification and fertility differentials, the concomitance of diverse fertility decline trajectories by class, and the role of within- and between-class social distances in promoting/preventing ideational change towards the acceptance of lower fertility. These results enable me to revisit the scope of theories of fertility change and to provide an explanatory narrative centred on empirically constructed social classes (probable social classes) and the macro- and micro-level conditions that influenced their life courses. I use 21 census samples collected between 1970 and 2005 in Bolivia, Brazil, Chile, Colombia, Mexico, and Paraguay.

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“…The women in the Lowest and Low classes experienced substantial declines in the CFR, an acceleration in the transition to parenthood, and a sharp decline in the age at last birth. These changes may be attributable to sterilisation and a lack of access to FPPs, which are common in rural areas (Bronfman, López and Tuirán, 1986;Caetano and Potter, 2004). By contrast, couples in the upper classes delayed the transition to parenthood and shortened their childbearing period by maintaining a stable age at last birth.…”

Section: Resultsmentioning

confidence: 99%

Analysis of Latin American fertility change in terms of probable social classes

Torres¹

2020

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Práctica anticonceptiva y clases sociales en México : la experiencia reciente

Cited by 9 publications

References 0 publications

The Availability and Use of Postpartum LARC in Mexico and Among Hispanics in the United States

The Availability and Use of Postpartum LARC in Mexico and Among Hispanics in the United States

Analysis of Latin American Fertility in Terms of Probable Social Classes

Analysis of Latin American fertility change in terms of probable social classes

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