Who meets their intentions to stop childbearing? Results of a longitudinal study in rural eastern Bali, Indonesia.
In this longitudinal study from rural Bali, Indonesia, we sought to identify the predictors of birth avoidance among 665 married women of reproductive age who reported the intention to stop childbearing. We found that almost 30% of women who wanted no more children had a subsequent birth during the 4-year study period. Women at highest risk for an unwanted birth were younger, had fewer children, and did not use a long-term contraceptive method. The ability to meet intentions to stop childbearing depended on women's motivation (family size), fecundity (proxied by age), and their use of long-term contraceptive methods. Our results suggest that to reduce unwanted births among rural women, family planning providers should recommend long-term methods to younger women with smaller family sizes who express clear intentions to stop childbearing.
Center for Southeast Asian Studies, University of California, Los Angeles, Los Angeles, CA 90078, USA. mellwit@yahoo.com
Mellissa
M
Withers
Paula
P
Tavrow
Denise
D
Abe
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D003267:Contraception / Q000523:psychology / Q000706:statistics & numerical data*; D003268:Contraception Behavior / Q000523:psychology / Q000706:statistics & numerical data*; D003657:Decision Making; D005191:Family Characteristics; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D007214:Indonesia; D033182:Intention; D008137:Longitudinal Studies; D016017:Odds Ratio; D010298:Parity; D011247:Pregnancy; D049168:Pregnancy, Unplanned / Q000523:psychology; D012044:Regression Analysis; D043762:Reproductive Behavior / Q000523:psychology*; D012307:Risk Factors; D012424:Rural Population; D012959:Socioeconomic Factors; D055815:Young Adult