The Experts below are selected from a list of 3564 Experts worldwide ranked by ideXlab platform
Christine Dehlendorf - One of the best experts on this subject based on the ideXlab platform.
-
we never thought of a vasectomy a qualitative study of men and women s counseling around sterilization
Contraception, 2013Co-Authors: Grace Shih, Kate Dube, Christine DehlendorfAbstract:Abstract Background Sterilization is the most commonly used method of contraception in the United States; however, little is known about how providers counsel about these procedures or the information patients desire. In this study, we explore male and female experiences of sterilization counseling and their perspectives on ideal sterilization counseling. Study design In-depth individual and group interviews were conducted with 37 heterosexual couples between the ages of 25 and 55 years. Each couple had reached their Desired Family Size. Interviews were recorded and transcribed using NVivo software and analyzed using modified grounded theory. Results Men and women differed in their experiences of sterilization counseling. Women commonly received counseling on female sterilization but not vasectomy, while men rarely discussed either form of sterilization with their providers. Both men and women Desired more information about sterilization. Conclusions Contraceptive counseling of couples who have completed childbearing does not routinely include men or the option of vasectomy, despite the advantages of this method with respect to safety, efficacy and cost. Family planning and primary care providers have an important role in ensuring that couples are aware of all their options and can make an informed decision about their contraception.
-
he s a real man a qualitative study of the social context of couples vasectomy decisions among a racially diverse population
American Journal of Men's Health, 2013Co-Authors: Grace Shih, Kate Dube, Miriam Sheinbein, Sonya Borrero, Christine DehlendorfAbstract:Vasectomy has advantages with respect to safety and cost when compared with female sterilization. The reasons underlying the overall low use of vasectomy, particularly among Black and Latinos, have not been adequately explored. The goals of this study were to (a) explore the social context of vasectomy decisions and (b) generate hypotheses about the social factors contributing to differences in vasectomy use by race/ethnicity. Fourteen group and nine couples interviews were conducted. Participants were 37 heterosexual couples aged 25 to 55 years who had reached their Desired Family Size and self-identified as Black, Latino, or White. Participants discussed reasons that men and women would or would not select male sterilization. Reasons to select vasectomy included a desire to care for their current Family, sharing contraceptive responsibility, and infidelity. Reasons not to select vasectomy included negative associations with the term sterilization, loss of manhood, and permanence. Misconceptions about va...
John Bongaarts - One of the best experts on this subject based on the ideXlab platform.
-
fertility transition is sub saharan africa different
Population and Development Review, 2013Co-Authors: John Bongaarts, John B CasterlineAbstract:this high fertility combined with declining mortality has resulted in rapid population growth—2.5 percent per year—and the un projects the sub-Saharan population to grow from 0.86 billion in 2010 to 1.96 billion in 2050 and 3.36 billion in 2100. Such unprecedented expansion of human numbers creates a range of social, economic, and environmental challenges and makes it more difficult for the continent to raise living standards. Hence the growing interest in demographic trends in africa among policymakers. according to conventional demographic theory, high fertility in the early stages of the demographic transition is the consequence of high Desired Family Size. Couples want many children to assist with Family enterprises such as farming and for security in old age. in addition, high child mortality leads parents to have additional children to protect against loss or to replace losses. Fertility decline occurs once rising levels of urbanization and education, changes in the economy, and declining mortality lead parents to desire a smaller number of births. to implement these desires, parents rely on contraception or abortion, and Family planning programs in many countries accelerate their adoption (notestein 1945;
-
can Family planning programs reduce high Desired Family Size in sub saharan africa
International Perspectives on Sexual and Reproductive Health, 2011Co-Authors: John BongaartsAbstract:During the past half century fertility declines have been pervasive in Asia and Latin America. Between the early 1950s and the early 2000s the total fertility rate (TFR)-the average number of live births a woman would have during her lifetime assuming constant fertility rates-dropped from 5.7 to 2.4 births per woman in Asia and from 5.9 to 2.3 births per woman in Latin America.1 Only a handful of countries in these regions still have fertility rates higher than four births per woman. In Sub-Saharan Africa however fertility remains high in the large majority of countries. Although some declines have occurred the average total fertility rate in 2005-2010 exceeded 5.1 births per woman-more than double the levels observed in Asia and Latin America.
Oraby Doaa - One of the best experts on this subject based on the ideXlab platform.
-
Policy brief: Fertility preferences and behaviors among younger cohorts in Egypt: Recent trends, correlates, and prospects for change [Arabic]
Knowledge Commons, 2020Co-Authors: Abdel-tawab, Nahla G., Attia Shadia, Bader Nourhan, Roushdy Rania, El-nakib Shatha, Oraby DoaaAbstract:After years of steady decline, Egypt experienced an increase in the total fertility rate (TFR) from 3.0 births per woman in 2008 to 3.5 in 2014, which was coupled with an increase in Desired Family Size among young people. To better understand this increase in fertility as well as prospects for change, the Evidence Project/Population Council conducted secondary analyses of quantitative data from the Egypt Demographic and Health Survey (EDHS) and the Survey of Young People in Egypt (SYPE) and collected qualitative data from young people and key informants. This brief examines the changes in fertility preferences and behaviors among young people aged 15–34, identifies key drivers of the increase in fertility, assesses prospects for change including challenges and opportunities, and proposes recommendations for targeted and sustainable interventions addressing increased fertility among young people in Egypt. Findings suggest that key drivers of increased fertility include decreased use of Family planning (FP) among married women with two or more children, a shift towards use of short acting FP methods, and increased contraceptive discontinuation. These factors may be due in part to decreased exposure to FP messages, declines in quality of Family planning counseling, and socioeconomic, political, and programmatic changes that Egypt went through between 2008 and 2014. These findings and additional insights will be useful to policymakers, program designers, and health care professionals in addressing increased fertility and delivering more effective voluntary FP services in Egypt
-
Fertility preferences and behaviors among younger cohorts in Egypt: Recent trends, correlates, and prospects for change
Knowledge Commons, 2020Co-Authors: Abdel-tawab, Nahla G., Attia Shadia, Bader Nourhan, Roushdy Rania, El-nakib Shatha, Oraby DoaaAbstract:After years of steady decline, Egypt experienced an increase in the total fertility rate (TFR) from 3.0 births per woman in 2008 to 3.5 in 2014, which was coupled with an increase in Desired Family Size among young people. To better understand this increase in fertility as well as prospects for change, the Evidence Project/Population Council conducted secondary analyses of quantitative data from the Egypt Demographic and Health Survey (EDHS) and the Survey of Young People in Egypt (SYPE) and collected qualitative data from young people and key informants. This report examines the changes in fertility preferences and behaviors among young people aged 15–34, identifies key drivers of the increase in fertility, assesses prospects for change including challenges and opportunities, and proposes recommendations for targeted and sustainable interventions addressing increased fertility among young people in Egypt. Findings suggest that key drivers of increased fertility include decreased use of Family planning (FP) among married women with two or more children, a shift towards use of short acting FP methods, and increased contraceptive discontinuation. These factors may be due in part to decreased exposure to FP messages, declines in quality of Family planning counseling, and socioeconomic, political, and programmatic changes that Egypt went through between 2008 and 2014. These findings and additional insights will be useful to policymakers, program designers, and health care professionals in addressing increased fertility and delivering more effective voluntary FP services in Egypt
Egbert Te R Velde - One of the best experts on this subject based on the ideXlab platform.
-
realizing a Desired Family Size when should couples start
Human Reproduction, 2015Co-Authors: Dik J F Habbema, Marinus J C Eijkemans, Henri Leridon, Egbert Te R VeldeAbstract:STUDY QUESTION: Until what age can couples wait to start a Family without compromising their chances of realizing the Desired number of children? SUMMARY ANSWER: The latest female age at which a couple should start trying to become pregnant strongly depends on the importance attached to achieving a Desired Family Size and on whether or not IVF is an acceptable option in case no natural pregnancy occurs. WHAT IS KNOWN ALREADY: It is well established that the treatment-independent and treatment-dependent chances of pregnancy decline with female age. However, research on the effect of age has focused on the chance of a first pregnancy and not on realizing more than one child. STUDY DESIGN, Size, DURATION: An established computer simulation model of fertility, updated with recent IVF success rates, was used to simulate a cohort of 10 000 couples in order to assess the chances of realizing a one-, two- or three-child Family, for different female ages at which the couple starts trying to conceive. PARTICIPANTS/MATERIALS, SETTING, METHODS: The model uses treatment-independent pregnancy chances and pregnancy chances after IVF/ICSI. In order to focus the discussion, we single out three levels of importance that couples could attach to realizing a Desired Family Size: (i) Very important (equated with aiming for at least a 90% success chance). (ii) Important but not at all costs (equated with a 75% success chance) (iii) Good to have children, but a life without children is also fine (equated with a 50% success chance). MAIN RESULTS AND THE ROLE OF CHANCE: In order to have a chance of at least 90% to realize a one-child Family, couples should start trying to conceive when the female partner is 35 years of age or younger, in case IVF is an acceptable option. For two children, the latest starting age is 31 years, and for three children 28 years. Without IVF, couples should start no later than age 32 years for a one-child Family, at 27 years for a two-child Family, and at 23 years for three children. When couples accept 75% or lower chances of Family completion, they can start 4-11 years later. The results appeared to be robust for plausible changes in model assumptions. LIMITATIONS, REASONS FOR CAUTION: Our conclusions would have been more persuasive if derived directly from large-scale prospective studies. An evidence-based simulation study (as we did) is the next best option. We recommend that the simulations should be updated every 5-10 years with new evidence because, owing to improvements in IVF technology, the assumptions on IVF success chances in particular run the risk of becoming outdated. WIDER IMPLICATIONS OF THE FINDINGS: Information on the chance of Family completion at different starting ages is important for prospective parents in planning their Family, for preconception counselling, for inclusion in educational courses in human biology, and for increasing public awareness on human reproductive possibilities and limitations. STUDY FUNDING/COMPETING INTERESTS: No external funding was either sought or obtained for this study. There are no conflicts of interest to be declared.
Grace Shih - One of the best experts on this subject based on the ideXlab platform.
-
we never thought of a vasectomy a qualitative study of men and women s counseling around sterilization
Contraception, 2013Co-Authors: Grace Shih, Kate Dube, Christine DehlendorfAbstract:Abstract Background Sterilization is the most commonly used method of contraception in the United States; however, little is known about how providers counsel about these procedures or the information patients desire. In this study, we explore male and female experiences of sterilization counseling and their perspectives on ideal sterilization counseling. Study design In-depth individual and group interviews were conducted with 37 heterosexual couples between the ages of 25 and 55 years. Each couple had reached their Desired Family Size. Interviews were recorded and transcribed using NVivo software and analyzed using modified grounded theory. Results Men and women differed in their experiences of sterilization counseling. Women commonly received counseling on female sterilization but not vasectomy, while men rarely discussed either form of sterilization with their providers. Both men and women Desired more information about sterilization. Conclusions Contraceptive counseling of couples who have completed childbearing does not routinely include men or the option of vasectomy, despite the advantages of this method with respect to safety, efficacy and cost. Family planning and primary care providers have an important role in ensuring that couples are aware of all their options and can make an informed decision about their contraception.
-
he s a real man a qualitative study of the social context of couples vasectomy decisions among a racially diverse population
American Journal of Men's Health, 2013Co-Authors: Grace Shih, Kate Dube, Miriam Sheinbein, Sonya Borrero, Christine DehlendorfAbstract:Vasectomy has advantages with respect to safety and cost when compared with female sterilization. The reasons underlying the overall low use of vasectomy, particularly among Black and Latinos, have not been adequately explored. The goals of this study were to (a) explore the social context of vasectomy decisions and (b) generate hypotheses about the social factors contributing to differences in vasectomy use by race/ethnicity. Fourteen group and nine couples interviews were conducted. Participants were 37 heterosexual couples aged 25 to 55 years who had reached their Desired Family Size and self-identified as Black, Latino, or White. Participants discussed reasons that men and women would or would not select male sterilization. Reasons to select vasectomy included a desire to care for their current Family, sharing contraceptive responsibility, and infidelity. Reasons not to select vasectomy included negative associations with the term sterilization, loss of manhood, and permanence. Misconceptions about va...