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Migration and Contraception among Mexican Women: Assessing Selection, Disruption, and Adaptation
Population Research and Policy Review ( IF 2.6 ) Pub Date : 2021-06-06 , DOI: 10.1007/s11113-021-09661-8
Chenoa A Flippen 1 , Rebecca A Schut 2
Affiliation  

Despite the sizeable impact of migration on childbearing, less is known about how it shapes contraceptive use undergirding fertility. We utilize binational survey data collected in 2006/7 by the Migration, Gender, and Health among Immigrant Latinos in Durham, NC study to assess how selection, disruption, and adaptation shape contraceptive use among Mexican migrant women. We address selectivity with respect to both socio-demographic and formative sexual initiation characteristics, comparing migrants to non-migrants in Mexico. We examine the disruptive effect of migration on contraception among migrant women sexually initiated in Mexico. Finally, we compare current methods between Mexican migrants and non-migrants to assess adaptation to U.S. contraceptive practices. We find migrant selectivity is less important than context in shaping immigrant women’s contraceptive practices, though migrant women sexually initiated in the United States exhibit earlier and higher levels of contraceptive use than their migrant peers initiated in Mexico. Migration also disrupts contraceptive trajectories. Many migrants discontinue contraceptive use pre-migration in response to their husbands’ solo migration. Partner separation also reduces contraceptive use immediately after migration. Finally, migrants show numerous signs of adaptation to the U.S. context, mainly via the adoption of oral contraception. The main obstacle for contraceptive use in Durham is lack of information about where to obtain it. Efforts to improve immigrants’ reproductive health should recognize the deleterious effect of policies encouraging family separation. Health care must reach immigrant women soon after arrival, be attuned to pre-migration contraceptive practices, and recognize the unique vulnerabilities of women migrating at older ages.



中文翻译:

墨西哥妇女的迁移和避孕:评估选择、中断和适应

尽管移民对生育有相当大的影响,但人们对它如何影响避孕药具的使用以加强生育能力知之甚少。我们利用 2006/7 年在北卡罗来纳州达勒姆的拉丁裔移民中的移民、性别和健康收集的双边调查数据研究评估选择、破坏和适应如何影响墨西哥移民妇女避孕药具的使用。我们通过比较墨西哥的移民和非移民来解决社会人口统计学和形成性性启蒙特征方面的选择性问题。我们研究了移民对在墨西哥发起性行为的移民妇女避孕的破坏性影响。最后,我们比较了墨西哥移民和非移民之间当前的方法,以评估对美国避孕措施的适应性。我们发现,在塑造移民妇女的避孕措施方面,移民的选择性不如环境重要,尽管在美国开始性行为的移民妇女比在墨西哥开始的移民女性更早和更高水平地使用避孕药具。移民也扰乱了避孕轨迹。许多流动人口因丈夫单独外出而停止在流动前使用避孕药具。伴侣分离也减少了迁移后立即使用避孕药具。最后,移民表现出许多适应美国环境的迹象,主要是通过采用口服避孕药。在达勒姆使用避孕药具的主要障碍是缺乏关于从哪里获得避孕药具的信息。改善移民生殖健康的努力应该认识到鼓励家庭分离的政策的有害影响。医疗保健必须在移民妇女到达后尽快到达,适应移民前的避孕措施,并认识到老年移民妇女的独特脆弱性 伴侣分离也减少了迁移后立即使用避孕药具。最后,移民表现出许多适应美国环境的迹象,主要是通过采用口服避孕药。在达勒姆使用避孕药具的主要障碍是缺乏关于从哪里获得避孕药具的信息。改善移民生殖健康的努力应该认识到鼓励家庭分离的政策的有害影响。医疗保健必须在移民妇女到达后尽快到达,适应移民前的避孕措施,并认识到老年移民妇女的独特脆弱性 伴侣分离也减少了迁移后立即使用避孕药具。最后,移民表现出许多适应美国环境的迹象,主要是通过采用口服避孕药。在达勒姆使用避孕药具的主要障碍是缺乏关于从哪里获得避孕药具的信息。改善移民生殖健康的努力应该认识到鼓励家庭分离的政策的有害影响。医疗保健必须在移民妇女到达后尽快到达,适应移民前的避孕措施,并认识到老年移民妇女的独特脆弱性 在达勒姆使用避孕药具的主要障碍是缺乏关于从哪里获得避孕药具的信息。改善移民生殖健康的努力应该认识到鼓励家庭分离的政策的有害影响。医疗保健必须在移民妇女到达后尽快到达,适应移民前的避孕措施,并认识到老年移民妇女的独特脆弱性 在达勒姆使用避孕药具的主要障碍是缺乏关于从哪里获得避孕药具的信息。改善移民生殖健康的努力应该认识到鼓励家庭分离的政策的有害影响。医疗保健必须在移民妇女到达后尽快到达,适应移民前的避孕措施,并认识到老年移民妇女的独特脆弱性.

更新日期:2021-06-07
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