Men’s and Women’s Approaches to Disclosure About BRCA-Related Cancer Risks and Family Planning Decision-Making

2018 ◽  
Vol 28 (14) ◽  
pp. 2155-2168 ◽  
Author(s):  
Marleah Dean ◽  
Emily A. Rauscher
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Brca Mutation ◽  
Cancer Risks ◽  
Men And Women ◽  
Disclosure Decisions ◽  
History Of ◽  
Planning Decision ◽  
Decision Making Model ◽  
Practical Implications

Little is known about how men and women who test positive for a BRCA gene mutation or have a strong family history of carrying a BRCA mutation manage disclosures about their BRCA-related cancer risks and family planning decision-making. By conducting interviews with 25 men and 20 women, this study investigated men’s and women’s approaches to disclosing their BRCA-related cancer risks and family planning decision-making. Guided by the Disclosure Decision-Making Model (DD-MM), this study demonstrates that men and women assess both information and the recipients of disclosures when making disclosure decisions. Theoretical implications for the DD-MM are discussed along with practical implications for hereditary cancer risk and family planning.

GENDER RELATIONS: HUSBAND–WIFE FERTILITY AND FAMILY PLANNING DECISIONS IN KENYA

2001 ◽  
Vol 33 (1) ◽  
pp. 13-23 ◽  
Author(s):  
SITAWA R. KIMUNA ◽  
DONALD J. ADAMCHAK
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Doubling Time ◽  
Sociodemographic Characteristics ◽  
Demographic Health Survey ◽  
Men And Women ◽  
Planning Decisions ◽  
Married Men ◽  
Planning Decision ◽  
Health Survey Data

Although Kenya’s fertility rate has declined from 6·7 births per woman in the mid-1980s to 5·4 births per woman in 1993 (NCPD, 1994), population growth is still high, yielding a doubling time of 35 years. This study uses the 1993 Kenya Demographic Health Survey data collected from 1257 couples to examine the socioeconomic and sociodemographic characteristics of married men and women and their communication with their spouses over fertility and family planning decision-making practices. The logistic regression analysis shows that education for both men and women, discussion of fertility and family planning between spouses, male approval of use of contraception and male family size desires are important factors that influence ever-use of family planning.

scholarly journals Women’s empowerment for abortion and family planning decision making among marginalized women in Nepal: a mixed method study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Heera KC ◽  
Mangala Shrestha ◽  
Nirmala Pokharel ◽  
Surya Raj Niraula ◽  
Prajjwal Pyakurel ◽  
...  
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Mixed Method ◽  
Women's Empowerment ◽  
Women’S Empowerment ◽  
Key Informants ◽  
Marginalized Communities ◽  
Modern Contraceptives ◽  
Marginalized Women ◽  
Planning Decision

Abstract Background Women’s empowerment is multidimensional. Women’s education, employment, income, reproductive healthcare decision making, household level decision making and social status are vital for women’s empowerment. Nepal is committed to achieving women empowerment and gender equality, which directly affects the reproductive health issues. This can be achieved by addressing the issues of the poor and marginalized communities. In this context, we aimed to find the association of women’s empowerment with abortion and family planning decision making among marginalized women in Nepal. Methods A cross sectional study was conducted at selected municipalities of Morang district of Nepal from February 2017 to March 2018. A mixed method approach was used, where 316 married marginalized women of reproductive age (15–49 years) and 15 key informant interviews from representative healthcare providers and local leaders were taken. From key informants, data were analysed using the thematic framework method. Findings obtained from two separate analyses were drawn together and meta inferences were made. Results Women’s empowerment was above average, at 50.6%. Current use of modern contraceptives were more among below average empowerment groups (p 0.041, OR 0.593 C.I. 0.36–0.98). We could not find any statistically significant differences among levels of women’s empowerment, including those women with abortion knowledge (p 0.549); family planning knowledge (p 0.495) and women’s decision for future use of modern contraceptives (p 0.977). Most key informants reported that unsafe abortion was practiced. Conclusions Women’s empowerment has no direct role for family planning and abortion decision making at marginalized communities of Morang district of Nepal. However, different governmental and non-governmental organizations influence woman for seeking health care services and family planning in rural community of Nepal irrespective of empowerment status.

scholarly journals Concordance, communication, and shared decision-making about family planning among couples in Nepal: A qualitative and quantitative investigation

2019 ◽  
Vol 37 (2) ◽  
pp. 357-376
Author(s):  
Carol R. Underwood ◽  
Lauren I. Dayton ◽  
Zoé Mistrale Hendrickson
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Shared Decision Making ◽  
Quantitative Study ◽  
Shared Decision ◽  
Partner Communication ◽  
Joint Decision ◽  
Couple Communication ◽  
Spousal Concordance ◽  
Planning Decision

Couple communication and joint decision-making are widely recommended in the family planning and reproductive health literature as vital aspects of fertility management. Yet, most studies continue to rely on women’s reports to measure couple concordance. Moreover, the association between communication and decision-making is often assumed and very rarely studied. Arguably, associations between dyadic communication and shared decision-making constitute a missing link in our understanding of how communication affects fertility-related practices. Informed by Carey’s notions of transmission and ritual communication, this study sought to address those gaps with two complementary studies in Nepal: a qualitative study of married men and women and a quantitative study of 737 couples. To assess spousal concordance on matters of family planning-related communication and decision-making in the quantitative study, responses from the couple were compared for each question of interest and matched responses were classified as concordant. Quantitative results found that more than one-third of couples reported spousal communication on all measured family planning-related topics. Nearly, 87% of couples reported joint decision-making on both family planning use and method type. Partner communication was significantly and positively associated with concordant family planning decision-making in both bivariate and multivariate models. Couples communicating about three family planning topics had more than twice the odds of concordant family planning decision-making than did those not reporting such communication. The qualitative findings provided insights into discordant as well as concordant interactions, revealing that decision-making, even when concordant, is not necessarily linear and is often complex.

scholarly journals Model Pengambilan Keputusan Meningkatkan Akseptor Keluarga Berencana Metode Kontrasepsi Jangka Panjang

2013 ◽  
Vol 7 (11) ◽  
pp. 483 ◽  
Author(s):  
Suryani Manurung
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Counseling Services ◽  
Shared Decision ◽  
Contraceptive Methods ◽  
The People ◽  
Secondary Health Care ◽  
Development Goals ◽  
Decision Making Model

Pada periode 2002-2012, tren angka fertilitas total mengalami stagnasi sekitar 2,6. Milenium Development Goals (MDGs) menunjukkan kemajuan yang baik, tetapi masih memerlukan kerja keras untuk mencapai target tahun 2015. Khususnya upaya untuk mencapai target 102 per 100.000 kelahiran hidup. Metode keluarga berencana (KB) yang banyak digunakan pasien pascapersalinan saat ini adalah metode kontrasepsi jangka pendek seperti pil dan suntik. Sedang metode kontrasepsi jangka panjang seperti intra uterine device dan implant cenderung turun satu poin dari tahun 2002 hingga 2007. Upaya mengatasi masalah yang sedang dialami masyarakat Indonesia saat ini meningkatkan akseptor KB metode kontrasepsi jangka panjang (MKJP). Model pengambilan keputusan adalah alat yang dikembangkan untuk meningkatkan kualitas pelayanan KB di tingkat pelayanan kesehatan primer dan sekunder. Alat tersebut dapat membantu meningkatkan kepuasan pasien, penggunaan jasa konseling, dan pemilihan penggunaan KB MKJP yang aman dan efektif. Model shared decision ma-king adalah model pengambilan keputusan yang banyak digunakan, bermanfaat dalam memotivasi pasien memilih perawatan yang tepat dan mem-pertahankan hubungan terapeutik. Diharapkan jumlah akseptor KB MKJP dapat memenuhi target MDGs 2015. Trends in total fertility rate from the year 2002-2012, amounting to 2.6 stag-nated. Targets of the Millennium Development Goals (MDGs) have shown good progress but still needs to work hard to achieve in 2015. MDGs particular purpose, efforts are needed to achieve the 2015 target of 102 per 100,000 live births. Family planning method that is widely used today are short-term contraceptive methods such as pills or injections. Being a long-term contraceptive methods (LTM) such as intra uterine device and implants tend to go down one point from the year 2002 to 2007. Efforts to address the problems being experienced by the people of Indonesia is currently im-proving family planning acceptors LTM. Decision making model is a tool de-veloped to improve the quality of family planning services at the level of pri-mary and secondary health care. This tool can help increase the patient satisfaction, using counseling services, and the selection use is safe and effective of contraceptive LTM. Model of shared decision making is a decision making model that is widely used, useful in motivating patients choose the proper care and maintain a therapeutic relationship. Expected number of family planning acceptors LTM can meet MDGs targets by 2015.

Multi-Criteria Renewable Energy Planning Decision-Making Model Based on VIKOR

2012 ◽  
Vol 512-515 ◽  
pp. 1174-1180 ◽  
Author(s):  
Chun Yan Dai ◽  
Xi Liang Zhang ◽  
En Chuang Wang ◽  
Zhen Liu ◽  
Song Lin Tang
Keyword(s):  
Decision Making ◽  
Renewable Energy ◽  
Optimal Choice ◽  
Energy Planning ◽  
Planning Program ◽  
Model Based ◽  
Program Selection ◽  
Planning Decision ◽  
Social Environmental ◽  
Decision Making Model

Abstract: Renewable energy planning will consider and weigh the technical, economic, social, environmental and other factors comprehensively, these factors tend to use many types of standard to measure, and these metrics often conflict with each other, which bring many difficult to renewable energy planning. Based on renewable energy planning program selection feature, a multi-criteria renewable energy planning decision-making model based on VIKOR was built to resolve the multi-criteria conflict problems, so that to achieve the optimal choice of the renewable energy planning. And the model was applied for the renewable energy planning decision making in one of the province in China.

Assessing Health Diagnosis Disclosure Decisions in Relationships: Testing the Disclosure Decision-Making Model

2012 ◽  
Vol 27 (4) ◽  
pp. 356-368 ◽  
Author(s):  
Kathryn Greene ◽  
Kate Magsamen-Conrad ◽  
Maria K. Venetis ◽  
Maria G. Checton ◽  
Zhanna Bagdasarov ◽  
...  
Keyword(s):  
Decision Making ◽  
Diagnosis Disclosure ◽  
Disclosure Decisions ◽  
Decision Making Model ◽  
Health Diagnosis
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