An application of Systematic Anomalous Case Analysis to improve models predicting contraceptive use in the Philippines

2021 ◽  
pp. 1-14
Author(s):  
Subasri Narasimhan ◽  
Jessica D. Gipson
Keyword(s):  
Reproductive Health ◽  
Health Outcomes ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Sexual Debut ◽  
Case Analysis ◽  
Reproductive Behaviour ◽  
The Philippines ◽  
Health And Nutrition ◽  
Depth Interviews

Abstract Amidst persistently high unintended pregnancy rates and lags in contraceptive use, novel methodological approaches may prove useful in investigating sexual and reproductive health outcomes in the Philippines. Systematic Anomalous Case Analysis (SACA) – a mixed-methods technique – was employed to examine predictors of women’s lifetime contraceptive use. First, multivariable, longitudinal Poisson regression models predicted fertility and sexual debut using the 1998–2009 Cebu Longitudinal Health and Nutrition Surveys (CLHNS), then regression outliers and normative cases were used to identify 48 participants for in-depth interviews (2013–2014) for further examination. Qualitative findings from 24 women highlighted ‘control over life circumstances’ was critical, prompting the addition of two items to the original quantitative models predicting any contraceptive use (n=532). Each of the items, ‘what happens to [them] is their own doing’ and ‘[I] do not [have] enough control over direction life is taking [me]’, significantly and independently predicted any contraceptive use (aOR: 2.37 (CI: 1.24–4.55) and aOR: 0.46 (CI: 0.28–0.77), respectively). The findings demonstrate the utility of SACA to improve the understanding and measurement of sexual and reproductive health outcomes and underscore the importance of integrating psychosocial constructs into existing models of fertility and reproductive behaviour in the Philippines to improve sexual and reproductive health outcomes.

scholarly journals Using Systematic Anomalous Case Analysis to Examine Sexual and Reproductive Health Outcomes in the Philippines

2020 ◽  
Vol 51 (2) ◽  
pp. 139-159
Author(s):  
Jessica D. Gipson ◽  
Jasmine Uysal ◽  
Subasri Narasimhan ◽  
Socorro (Connie) Gultiano
Keyword(s):  
Reproductive Health ◽  
Health Outcomes ◽  
Sexual And Reproductive Health ◽  
Case Analysis ◽  
The Philippines

scholarly journals Exploring condom use decision-making of adolescents: The role of affective and rational processes

2021 ◽  
Author(s):  
Eugene Lee Davids ◽  
Yanga Zembe ◽  
Petrus J de Vries ◽  
Catherine Mathews ◽  
Alison Swartz
Keyword(s):  
Decision Making ◽  
Reproductive Health ◽  
Health Outcomes ◽  
Condom Use ◽  
Sexual And Reproductive Health ◽  
Sexual Debut ◽  
Western Cape ◽  
Affective States ◽  
Individual Interviews

Abstract Background Condom use remains the most effective behavioural method for the prevention of HIV and unplanned pregnancies. However, condom use remains inconsistent among young people. Exploring the condom use decision-making processes that adolescent engage in might provide information that would assist in the prevention of many challenges related to poor sexual and reproductive health outcomes. This study, therefore, aimed to explore the factors that influenced decision-making about condom use of adolescents from two schools in the Western Cape, South Africa. Methods A sample of 16 adolescents were selected using stratified random sampling. Data were collected using semi-structured, individual interviews. Thematic analysis was used to analyse the data generated. Results The link between sexual debut and affective processes were frequently discussed in condom use decision-making. Decisions about sexual debut were influenced by the belief that sex was a perceived symbol of ‘true love’ on the one hand, and respect for perceived parental expectations of age-appropriate sex, on the other. Condom use decision-making was shaped by adolescents’ concerns about their future and lack of stability in their lives. Adolescents fears of pregnancy, parenthood and disease shaped their condom use decision-making. It became evident that rational and affective decision-making in condom use choice were not mutually exclusive, but that these processes could happen simultaneously. Conclusions The study highlights the role of affective states as part of the process of examining alternatives when deciding to use a condom or not. Interventions are needed that examine both the role of affective and rational processes as part of the decision-making process to inform adolescent sexual and reproductive health outcomes.

Sexual and Reproductive Health Information and Experiences Among Syrian Refugee Adolescent Girls in Lebanon

2021 ◽  
Vol 31 (5) ◽  
pp. 983-998
Author(s):  
L’Emira Lama El Ayoubi ◽  
Sawsan Abdulrahim ◽  
Maia Sieverding
Keyword(s):  
Reproductive Health ◽  
Adolescent Girls ◽  
Sexual And Reproductive Health ◽  
Well Being ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Syrian Refugee ◽  
Entry Points ◽  
Depth Interviews ◽  
Source Of Information

Providing adolescent girls with sexual and reproductive health (SRH) information protects them from risks and improves their well-being. This qualitative study, conducted in Lebanon, examined Syrian refugee adolescent girls’ access to SRH information about and experiences with puberty and menarche, sex, marriage, contraception, and pregnancy. We gathered data through three focus group discussions (FGDs) with unmarried adolescent girls, 11 in-depth interviews with early-married adolescents, and two FGDs with mothers. Our findings highlighted that adolescent participants received inadequate SRH information shortly before or at the time of menarche and sexual initiation, resulting in experiences characterized by anxiety and fear. They also revealed discordance between girls’ views of mothers as a preferred source of information and mothers’ reluctance to communicate with their daughters about SRH. We advance that mothers are important entry points for future interventions in this refugee population and offer recommendations aimed to improve adolescent girls’ SRH and rights.

scholarly journals Exploring Adolescent Characteristics, Experiences and Socio-environmental Responses on Premarital Pregnancy in Central Java Indonesia

2020 ◽  
Vol 202 ◽  
pp. 12030
Author(s):  
Zahroh Shaluhiyah ◽  
Antono Suryoputro ◽  
Aulia Novelira ◽  
Ratih Indraswari
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Parental Supervision ◽  
Premarital Pregnancy ◽  
Central Java ◽  
Partner Influence ◽  
Permissive Attitude ◽  
Environmental Responses ◽  
Depth Interviews ◽  
Main Factor

The aim of this study was to explore the phenomena of premarital pregnancy by exploring adolescent characteristics, experiences and socio- environmental responses. It employs descriptive study and phenomenology approach using in-depth interviews to explore adolescent’s premarital pregnancy experiences. A total of 49 adolescents aged 12-19 years with premarital pregnancy were willing to participate in this study and 10 respondents were interviewed in more deeply. The data were analyzed using thematic content analysis. The average age of the respondents were 17 years old and most of them had low educational level. Their knowledge on sexual and reproductive health was categorized as lack of knowledge. Nearly half of them were more permissive so that partner influence to have sex is main factor that is difficult to resist by the respondents. Parents and community responses were initially forced to resist their premarital pregnancy, but it gradually became normally accept. Premarital pregnancy was more influenced by peer’s permissive attitude, frequent access to pornography, and lack of parental supervision. There were four respondents who tried to seek abortion. It is recommended to provide comprehensive sexual and reproductive health education to adolescents in order to prevent premarital pregnancy.

Using Social Ecological Theory to Identify Factors Associated With Risky Sexual Behavior in Cambodian Adolescent Girls and Young Women Aged 10 to 24 Years: A Systematic Review

2020 ◽  
Vol 32 (2-3) ◽  
pp. 71-80 ◽  
Author(s):  
Farwa Rizvi ◽  
Joanne Williams ◽  
Humaira Maheen ◽  
Elizabeth Hoban
Keyword(s):  
Sexual Behavior ◽  
Reproductive Health ◽  
Sex Education ◽  
Risky Sexual Behavior ◽  
Sexual And Reproductive Health ◽  
Sexual Debut ◽  
Modern Contraceptive ◽  
Unintended Pregnancies ◽  
Social Ecological ◽  
Increased Risk

There is an increase in risky sexual behavior (RSB) in Cambodian female youth aged 10 to 24 years, which can contribute to detrimental sexual and reproductive health due to the increased risk of acquiring sexually transmitted infections, unintended pregnancies, or abortions. Bronfenbrenner’s social ecological model was used to identify factors at personal, microenvironment, and macroenvironment levels potentially associated with RSB. A systematic literature review employing PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines was conducted to search 8 databases for articles published between 1994 and 2019. A risk of bias tool was applied for methodological quality of the 4 included studies. RSB is associated with multiple factors including sexual debut at young age, alcohol and substance abuse, multiple partners, living away from parents or orphan status, peer delinquency, non-use of condoms by partners, transactional sex, low education and socioeconomic status, and no access to sexual and reproductive health services. Multipronged preventive strategies operating at different levels are recommended in terms of including sex education and increasing reproductive health literacy programs at the schools and community programs for safe sex, condom use and sexual negotiation skills, and access to modern contraceptive methods.

Sexual and reproductive health and philanthropic funding in Australia

Sexual Health ◽  
2014 ◽  
Vol 11 (4) ◽  
pp. 298 ◽  
Author(s):  
Liz Gill-Atkinson ◽  
Cathy Vaughan ◽  
Hennie Williams
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Service Providers ◽  
The United States ◽  
Government Funding ◽  
Limited Evidence ◽  
Research Grants ◽  
Government Grants ◽  
Grant Applications ◽  
Depth Interviews

Background Australia’s philanthropic sector is growing and could support efforts to improve sexual and reproductive health (SRH). However, philanthropy is often misunderstood in Australia and there is limited evidence of philanthropic support for SRH initiatives. Methods: We aimed to understand the barriers and facilitators to philanthropic funding of SRH initiatives in Australia. A qualitative approach was used and involved 13 in-depth interviews with professionals from the philanthropic sector, and from organisations and services involved in SRH. Results: Barriers to organisations in seeking philanthropic funding for SRH activities included insufficient resources for writing grant applications and the small financial value of philanthropic grants. Facilitators to seeking philanthropic funding for SRH included a perception that government funding is shrinking and that philanthropic research grants are less competitive than government grants. Philanthropic participants identified that barriers to funding SRH include the sensitive nature of SRH and the perceived conservative nature of philanthropy. Facilitators identified by these participants in supporting SRH initiatives included networking and relationships between grant-makers and grant-seekers. All participants agreed that philanthropy does and could have a role in funding SRH in Australia. Conclusions: The findings of this research suggest that barriers to philanthropic funding for SRH in Australia exist for organisations attempting to access philanthropic funding. Philanthropic organisations could provide more financial support to Australian SRH service providers, as happens in countries such as the United States and United Kingdom. Addressing these barriers and promoting the facilitators could lead to increased awareness of SRH by Australia’s philanthropic sector.

Prevalence and determinants of condom use among male adolescents in Indonesia

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
I Gusti Ngurah Edi Putra ◽  
Desri Astuti ◽  
Dyah Anantalia Widyastari ◽  
Dusita Phuengsamran
Keyword(s):  
Reproductive Health ◽  
Condom Use ◽  
Sexual And Reproductive Health ◽  
Sexual Debut ◽  
Secondary Data ◽  
Health Concern ◽  
Sexually Active ◽  
Unsafe Sex ◽  
Cross Sectional ◽  
Male Adolescents

AbstractAdolescent sexual and reproductive health problems remain a public health concern in Indonesia. An increase of premarital sex as well as early sexual debut among adolescents without any protection leads to a high risk of adverse sexual and reproductive health consequences. This study aimed to assess condom use prevalence and identify its determinants among male adolescents who are sexually active in Indonesia. This was a cross-sectional study using secondary data from the Adolescent Reproductive Health component of the Indonesia Demographic and Health Survey (IDHS) 2012. The sample for this study was 1341 sexually active male adolescents aged 15–24 years old. Data were analyzed descriptively and using binary logistic regression for bivariate and multivariate analysis. This study found that condom use prevalence among male adolescents at first and last sex accounted for 25.0% and 27.4%, respectively. Determinants of condom use varied by time of sexual intercourse. Knowledge of sexual and reproductive health and obtaining information about condoms were consistently related to condom use at first and last sexual encounter. Meanwhile, residential type, age at first sex, and sexual partner were significant determinants of condom use at sexual debut whilst educational level was only associated with condom use at last sex. As the level of protected sex among male adolescents was very low, providing comprehensive sexuality education (CSE) is suggested in order to develop the capacity among adolescents in making informed decisions and preventing unsafe sex.

scholarly journals “The Financial Is the Main Issue, It’s Not Even the Child”: Exploring the Role of Finances in Men’s Concepts of Fatherhood and Fertility Intention

2018 ◽  
Vol 12 (4) ◽  
pp. 1074-1083 ◽  
Author(s):  
Megan Hamm ◽  
Elizabeth Miller ◽  
Lovie Jackson Foster ◽  
Mario Browne ◽  
Sonya Borrero
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Low Income ◽  
Financial Stability ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Fertility Intention ◽  
Reproductive Health Services ◽  
Family Planning Services

Despite demonstrable need, men’s utilization of sexual and reproductive health services remains low. This low utilization may particularly affect low-income men, given the disproportionate prevalence of unintended pregnancy in low-income populations. Bolstering men’s utilization of sexual and reproductive health services requires understanding the services that are most relevant to them. Semistructured interviews about fatherhood, fertility intention, and contraceptive use were conducted with 58 low-income Black and White men in Pittsburgh, Pennsylvania. The interviews were analyzed using content analysis to determine common themes that were most relevant to the men interviewed. The primacy of financial stability emerged as a dominant theme in men’s perceptions of fatherhood readiness, successful fathering, and fertility intentions. However, men had children despite feeling financially unprepared, and their contraceptive use was not always congruent with their stated fertility intentions. Some men described financial services as a feature of family planning services that they would find useful. Because of the salience of financial stability in preparation for fatherhood, integrating financial counseling and job skills training into the context of sexual and reproductive health services could be a useful structural intervention to increase men’s use of family planning services and to provide them with the support they say they need as fathers.

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